Filed Under:Markets, Employee Benefits

Feds set a wellness incentive standard under PPACA

What if a wellness program participant already has high blood pressure? (AP photo/Stuart Ramson)
What if a wellness program participant already has high blood pressure? (AP photo/Stuart Ramson)

Federal agencies said they have tried to take a moderate approach to setting standards for group health plan wellness incentive programs.

Some groups have asked the agencies to make wellness program rules as flexible as possible.

Officials noted in a discussion of group health plan wellness program regulations that the PPACA Section 1201 wellness program antidiscrimination rules apply mainly to "health-contingent" programs, or programs that tie financial incentives, such as premium discounts, to weight loss, actual avoidance of tobacco, and other changes in health factors.

The PPACA Section 1201 antidiscrimination rules do not apply to "participatory programs," or programs that simply reward people for taking a class, filling out a questionnaire, or engaging in some other reasonable, nondiscriminiatory activity, officials said.

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Nichole Morford

Nichole Morford
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