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New Rules Offer Clarification about Employer-Sponsored Wellness Programs

On April 16, the Equal Employment Opportunity Commission (EEOC) published a long-awaited proposed rule on employer-sponsored wellness programs. The new regulation gives much needed guidance to both employers and employees about how wellness programs offered as part of an employer’s group health plan must comply with the Americans with Disabilities’Act (ADA) and the provisions governing wellness programs in the Health Insurance Portability and Accountability Act (HIPAA) and the PPACA. NAHU appreciates the clarification this proposed rule brings. It will be a real benefit to the many employers who offer wellness programs to their employees already and may also help other employers begin to offer more meaningful wellness opportunities to contain medical care costs and improve the health and well-being of their workers.

The proposed rule describes how Title I of the ADA applies to employee wellness programs that are part of group health plans and includes questions about employees’ health (such as health risk assessments) and medical examinations (such as screening for high cholesterol, high blood pressure or blood glucose levels). To be acceptable, such programs must be voluntary and employers must provide employees with a notice that describes what medical information will be collected as part of the wellness program, who will receive it, how the information will be used and how it will be kept confidential. Employers are bound to keep data collected as part of the program private and provide employees that opt for it with reasonable alternatives. Furthermore, the employers are bound by the financial incentive limitations of the PPACA, so financial incentives for wellness programs may not exceed 30% of the cost of coverage and smoking cessation incentives may not exceed 50%.

Read the full article here.

Contact Steven G. Cosby, MHSA with questions or to request more information and to schedule a healthcare plan evaluation, savings analysis or group plan solution for your company.

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