UINTAH SCHOOL DISTRICT WELLNESS POINTS FUND
Make a commitment to your health. Start September 1, 2015 – August 31, 2016
Uintah School District
Published 7/1/15
WELCOME TO UINTAH SCHOOL DISTRICT
EMPLOYEE WELLNESS
Your health is important to you. It’s important to your family
and friends too.
Your health is also important to Uintah
School District. As your employer, we recognize the value of
investing in a Wellness Program which promotes healthy
lifestyles and builds a district wide culture of wellness.
For this reason, Uintah School District is offering you and
your spouse an opportunity to participate in the school
district’s Wellness Program and what we call the “Employee
Wellness Points Fund”.
The Wellness Points Fund offers a
variety of health and wellness activities in which you can
earn points for completing. When you earn enough points,
your portion of the cost for PEHP Medical Insurance
coverage will be reduced by 7%.
The information in this booklet will further explain how our
Wellness Program works and what you can do to participate!
Remember, what we do today to eat better, reduce stress,
or exercise more will affect how well we live tomorrow.
Wellness Year 2015/2016
INSIDE
How to Participate
Name Release Form
Wellness Points Fund Calendar
Biometric Health Screening
Waiver of Biometric Screening Form
Online Health Risk Assessment
Weight Management
Tobacco Cessation
Blood Pressure Management
Lipid Education Program
Diabetes Management
WeeCare/Postpartum Weight Management
Preventive Screenings
Wellness Verification Form
Wellness Challenges
Wellness My Way
Wellness My Way Verification Form
Wellness Champion/Fit Choices
Wellness Champion/Fit Choice Verification Form
Webinars
Good for You Rebate
Wellness Program Q & A
Wellness Year 2015/2016
How to participate…
If you are enrolled in PEHP Medical Insurance
Employees are required to earn a minimum of 800 points during the current
school year in order to be eligible for the 7% insurance premium reduction for the
following school year. Participation by spouses is on a voluntary basis. Those spouses
who do take part may contribute up to 100 of the 800 points necessary! Employees
and spouses electing to participate in the Wellness Program must submit a signed
Name Release form to Cathy Bilbey at the district office.
How to get started
Review the Employee Wellness Points Fund Calendar to find your points earning
choices. Select the activities in which you want to participate. Each activity you
complete earns you the points associated with that activity. The Employee Wellness
Points Fund opens September 1, 2015. The deadline to earn your 800 wellness points
for a 7% premium reduction for the 2017 school year is August 31, 2016.
All preventive screenings, Wellness My Way, and Wellness Champion/Fit Choices
require signed Uintah School District Wellness Verification forms. Submit completed
forms to Cathy Bilbey at the District Office. Verification forms are not necessary for
any PEHP Healthy Utah wellness activity, i.e. cholesterol management, webinars, etc.
PEHP Healthy Utah will send verification to Uintah School District when you sign up
online.
How points are tracked
The points you earn between September 1, 2015 and August 31, 2016 can be tracked
by going to the Uintah School District website at www.uintah.net and clicking on
“Employee Wellness” and “Track Wellness Points”. Points are updated monthly. Look
for your employee number (sorted numerically) to see the activities you have
completed and the points earned.
*To print a Uintah School District Name Release Form or one of the Uintah School District Wellness Verification
Forms, go to the district web page at www.uintah.net and click on “Employee Wellness”.
Wellness Year 2015/2016
Uintah School District
Wellness Program
Name Release Form
I ______________________________________________________ , being a PEHP insured employee and/or
Print Name
spouse of Uintah School District, authorize PEHP Healthy Utah to release my First, Middle,
and Last Name to the Uintah School District Wellness Program Representative as
verification that I have completed both the PEHP Healthy Utah Health Screening and the
PEHP Healthy Utah Risk Assessment.
In addition, I authorize PEHP Healthy Utah to release my First, Middle, and Last Name to
the Uintah School District Wellness Program Representative as verification that I have
signed up for, and completed, any wellness program or wellness activity offered through
PEHP Healthy Utah.
This permission is given knowing that I am authorizing that only verification of
participation is provided and not the individual results of the health screening, health
questionnaire, Wellness Program or wellness activity.
__________________________________________
Employee Signature
__________________________________________
Spouse Signature
Wellness Year 2015/2016
______________________
Date
______________________
Date
USD EMPLOYEE WELLNESS POINTS FUND
Wellness Activity
Points
Deadlines for Enrollment & Completion
Description, Delivery, & Provider
PEHP Healthy Utah Biometric Screening
Required
*
September 1, 2015 through August 31, 2016
PEHP Healthy Utah Biometric Screenings are held three times annually during the months of August,
April, and June. One screening allowed per year. See details.
PEHP Healthy Utah Health Risk Assessment
Required
*
September 1, 2015 through August 31, 2016
PEHP Healthy Utah Risk Assessment is to be completed after you have your biometric screening. Go
online to www.pehp.org. See details.
PEHP Healthy Utah Biometric Screening &
Health Risk Assessment/SPOUSE ONLY
100
September 1, 2015 through August 31, 2016
PEHP Healthy Utah Biometric Screenings are held three times annually during the months of August,
April, and June. One screening allowed per year. See details.
Preventive Screenings
50
September 1, 2015 through August 31, 2016
Dental Exam, Vision Exam, Physical Exam, Flu Vaccine, Mammography, Colonoscopy, Adult
Immunizations. 50 points each. Signed USD Wellness Verification form required. See details.
PEHP Healthy Utah Webinars
20
September 1, 2015 through August 31, 2016
PEHP Healthy Utah Webinars: Go online to www.pehp.org. 20 points per webinar. No verification
form necessary. See details.
Tobacco Cessation
150
September 1, 2015 through August 31, 2016
PEHP Healthy Utah Tobacco Cessation Program. Go online to www.pehp.org. No verification form
necessary. See details.
Weight Management
250
September 1, 2015 through August 31, 2016
PEHP Healthy Utah Waist Aweigh Program or BMI Improvement Rebate. Once per year. Go online to
www.pehp.org. No verification form necessary. See details.
Wellness My Way
300
September 1, 2015 through August 31, 2016
Self directed approach to reach a personal wellness goal. May be earned twice per year for a total of
600 points. Signed USD Wellness My Way Verification form and tracker required. See details.
Wellness Champion/Fit Choices
150
September 1, 2015 through August, 31, 2016
Wellness activities directed by individual worksite District Wellness Champions. Up to four per year.
Signed USD Wellness Champion/Fit Choice Verification form required. See details.
District Sponsored Wellness Challenge
100
September, 2015 through October, 2015
USD sponsored wellness challenges. Registration will be emailed 1 week prior to start date. Tracking
calendars are required for verification. See details.
District Sponsored Wellness Challenge
100
November, 2015 through December, 2015
USD sponsored wellness challenge. Registration will be emailed 1 week prior to start date. Tracking
calendars are required for verification. See details.
District Sponsored Wellness Challenge
100
January, 2016 through February, 2016
USD sponsored wellness challenge. Registration will be emailed 1 week prior to start date. Tracking
calendars are required for verification. See details.
District Sponsored Wellness Challenge
100
March, 2016 through April, 2016
USD sponsored wellness challenge. Registration will be emailed 1 week prior to start date. Tracking
calendars are required for verification. See details.
Diabetes Management
200
September 1, 2015 through August 31, 2016
PEHP Diabetes Management Program. Go online to www.pehp.org. No verification form necessary.
See details.
WeeCare & Postpartum Weight
Management
50
September 1, 2015 through August 31, 2016
PEHP WeeCare and/or Postpartum Weight Management Program. Go online to www.pehp.org.
Verification form necessary. See details.
Lipid Education Program
100
September 1, 2015 through August 31, 2016
PEHP Healthy Utah Lipid Education Program by lowering your LDL to goal level. Go online to
www.pehp.org. No verification form necessary. See details.
Blood Pressure Management
100
September 1, 2015 through August 31, 2016
PEHP Healthy Utah Blood Pressure Improvement by lowering your blood pressure to normal range.
Go online to www.pehp.org. No verification form necessary. See details.
PEHP Healthy Utah Good for You Rebate
200
September 1, 2015 through August 31, 2016
Earn the $50 Good for you Rebate by completing the PEHP Healthy Utah biometric screening. Your
measurements must fall within the predetermined guidelines to qualify. No verification form
necessary. See Details.
It is required that both the PEHP Healthy Utah Biometric Screening and Health Risk Assessment
Questionnaire be completed, in addition to earning 800 points, in order to receive a 7% reduction in
Reminder – What you do during the current school
year earns you your premium reduction for the following school year!
premium for the 2016/2017 school year.
Biometric Screening + Health Risk Assessm ent
Questionnaire + 800 points= 7% reduction in premium
for the 2016/2017 school year!
BIOMETRIC
SCREENING*
GOAL: Your journey to wellness begins with a free yearly biometric
screening. Screenings are available by online appointment only
during the months of August, April, and June for Uintah School District
employees and spouses. The feedback you get from this assessment
can be the starting point for improving your health.
Getting Started: Make your appointment online at
www.pehp.org.
Click on “Register for Testing Session” to
schedule your screening.
Note: If you elect to have your biometric screening performed by your personal
physician, you must sign the Waiver of Biometric Screening by PEHP form. Submit the
signed form to Cathy Bilbey at the District Office.
*Biometric screenings are required for all PEHP insured employees participating in the
Wellness Program.
Wellness Year 2015/2016
Wavier of Biometric Screening by PEHP
I, _________________________________________ , an employee of Uintah School District (“USD”),
understand that receiving a wellness premium reduction on the employee portion of the
medical insurance offered by USD is contingent upon my having a yearly biometric
screening and completing an online risk assessment from PEHP Healthy Utah. I have been
given the opportunity to have the yearly biometric screening through USD and PEHP
Healthy Utah at no cost to me; however, I understand that I may choose to go to my
personal physician for this yearly screening.
If I choose to have this screening completed by my personal physician, I understand that it
is my sole responsibility to ensure that the entire process is completed. I agree to hold my
physician, PEHP Healthy Utah, Uintah School District or any other person or entity involved
harmless in the event my personal information is not input into the PEHP Healthy Utah
system for me to complete my online risk assessment.
In addition, I further acknowledge and understand that I must complete the online risk
assessment by the stipulated deadline. I understand if it is not completed, I take full
responsibility and hold all others harmless regardless of fault. I agree I am personally
responsible for the entire process from my physician visit to completion of the online risk
assessment and if the assessment is not completed, I will not be eligible for the wellness
medical insurance premium discount.
I have been given the opportunity to ask questions concerning this waiver.
understand it and acknowledge that no exceptions will be made to it.
I fully
_____________________________________
Print Name
_____________________________________
_________________________
Signature
Date
Wellness Year 2015/2016
ONLINE HEALTH
RISK ASSESSMENT *
GOAL: After completing your Biometric Screening complete your
Online Health Risk Assessment. You will receive a $50 rebate check in
the mail after your assessment is finished.
Go online to www.pehp.org.
Click on “Take Health Risk Assessment” to
complete.
Note: Spouses who take part in both the Biometric Screening and the Health Risk
Assessment contribute 100 points of the 800 required! Both the screening AND the
assessment must be completed for the points.
*Health Risk Assessments are required for all PEHP insured employees participating in the
Wellness Program.
Wellness Year 2015/2016
WEIGHT MANAGEMENT
Worth 250 Points
GOAL: Improve your life by obtaining a healthy weight.
Participate in the PEHP Healthy Utah Waist Aweigh weight
management program. To begin the Waist Aweigh program, go
online to www.pehp.org. To qualify for Waist Aweigh your BMI must
be 30 or higher. Waist Aweigh will help you succeed in reaching your
weight and health goals. PEHP coaches will work with you in a
confidential partnership via phone to get you started, monitor your
progress, and celebrate your success.
To earn your 250 points, no proof of verification is necessary. PEHP
Healthy Utah will send verification to Uintah School District when you
sign up online.
Wellness Year 2015/2016
TOBACCO CESSATION
Worth 150 points
GOAL: Quit smoking by enrolling in the PEHP Healthy Utah Tobacco
Cessation Program.
To participate in the PEHP Healthy Utah Tobacco Cessation program,
go online to https://pehp.quitlogix.org. It is difficult to quit smoking,
but the PEHP Quitline is available to help! Quitline is a free program
that provides helpful tools, information and personal coaching
throughout your quit process.
Participate in 5 Quitline calls and remain tobacco free for 6 months.
To earn your 150 points, no proof of verification is necessary. PEHP
Healthy Utah will send verification to Uintah School District Wellness
when you sign up online.
Wellness Year 2015/2016
BLOOD PRESSURE
MANAGEMENT
Worth 100 points
GOAL: Lower your blood pressure to within normal range (120/80) or
(140/90 – 150/90) for those over age 60. Physicians may verify blood
pressures within normal range per individual.
Participate in the PEHP Healthy Utah Blood Pressure Rebate program
by clicking on www.pehp.org. Choose “Rebate Program” and
complete the blood pressure rebate improvement.
To earn your 100 points, no proof of verification is necessary. PEHP
Healthy Utah will send verification to Uintah School District Wellness
when you sign up online.
Wellness Year 2015/2016
LIPID EDUCATION
PROGRAM
Worth 100 points
GOAL: Participate in the PEHP Lipid Education Program and lower
your LDL to goal level.
Attain this goal with the help of a PEHP Healthy Utah staff member or
your primary care physician.
To earn your 100 points, no proof of verification is necessary. PEHP
Healthy Utah will send verification to Uintah School District Wellness
when you sign up online.
Wellness Year 2015/2016
DIABETES MANAGEMENT
Worth 200 Points
GOAL: Become educated about and obtain support for your diabetes
management.
To begin the PEHP Healthy Utah Diabetes Management Program, go
online to www.pehp.org. Complete all the requirements of either the
Diabetes “A” or “B” rebate within 12 months of your testing session.
To earn your 200 points, no proof of verification is necessary. PEHP
Healthy Utah will send verification to Uintah School District Wellness
when you sign up online.
Wellness Year 2015/2016
WeeCare &
Postpartum Weight Management
Worth 100 points
GOAL: Help postpartum mothers to reach pre-pregnancy weight and
obtain educational resources.
To participate in the PEHP WeeCare and/or Postpartum Weight
program, go online to www.pehp.org. In order to obtain the rebate,
you must be enrolled in WeeCare during your pregnancy. In addition,
you may earn a second rebate for postpartum weight loss.
To earn your 50 points, for either or both programs, proof of
verification is necessary, i.e. copy of rebate check or copy of email
confirmation.
Wellness Year 2015/2016
PREVENTIVE
SCREENINGS
Worth 50 points per screening
GOAL: Treat potential health problems before they develop or
worsen by having preventive health screenings.
Choose and complete one or all of the following yearly
screenings/exams: Dental, Vision, Physical, Flu Vaccine, Adult
Immunizations, Mammography and Colonoscopy.
To earn your 50 points, you must return the signed Uintah School
District Wellness Verification form to the District Office c/o Cathy
Bilbey.*
*To print a Uintah School District Wellness Verification form, go to the district web page at www.uintah.net and
click on “Employee Wellness”.
Wellness Year 2015/2016
Uintah School District
Wellness Verification Form
In order to receive the points associated with any of the preventive screenings
listed below, you must return a completed Wellness Verification Form to Cathy
Bilbey, Uintah School District Wellness, no later than August 31, 2016.
NAME: _____________________________
DATE: __________________
PREVENTIVE SCREENINGS
Dental Exam (2 per year) 50 pts. each: _____________________________
Medical Professional Signature
Eye Exam (1 per year) 50 pts.: ____________________________________
Medical Professional Signature
Physical Exam (1 per year) 50 pts.: ________________________________
Medical Professional Signature
Flu Vaccine (1 per year) 50 pts.: __________________________________
Medical Professional Signature
Adult Immunization 50 pts. each: _________________________________
Medical Professional Signature
Mammography (1 per year) 50 pts.: _______________________________
Medical Professional Signature
Colonoscopy (1 per year) 50 pts.: _________________________________
Medical Professional Signature
Please return this completed form to Cathy Bilbey, Uintah School District Wellness.
Email: cathy.bilbey@uintah.net
Fax: 435-781-3107
Uintah School District
635 West 200 South
Vernal, UT 84078
Wellness Year 2015/2016
WELLNESS
CHALLENGES
Each Challenge is Worth 100 Points
GOAL: Participate in a six week Uintah School District Wellness
Challenge to increase awareness and improve health.
Four Wellness Challenges will be offered throughout the school year.
You may complete one or all four of the challenges. Registration for
the challenges will be sent out via email to all employees one week
prior to the start date.
To earn your 100 points, return your tracking calendar to your
Wellness Representative at the end of the challenge.
Wellness Year 2015/2016
WELLNESS MY WAY
Worth 300 points
GOAL: Capitalize on your personal interests and your preferred
method of staying active and healthy.
Wellness My Way is a self-directed approach to accomplish a personal
physical health and wellness objective. Choose a physical wellness
goal of your choice and work towards achieving it for a minimum of
three months. Map out your method to meet your goal. Examples:
Train and participate in an event such as a 10k Marathon or Triathlon,
Team Sports, Cross Fit, Fitness Classes, Swimming, Biking, Walking,
etc.
This health management objective can be counted twice per year.
To earn your 300 points, you must submit a signed Uintah School
District Verification form stating that for a minimum of three months
you participated in a Wellness My Way activity along with a
completed exercise log. Any exercise log is acceptable.*
*To print a Uintah School District Wellness My Way Verification Form, go to the district web page at
www.uintah.net and click on “Employee Wellness”.
Wellness Year 2015/2016
Uintah School District
Wellness My Way Verification Form
In order to receive 300 points for finishing a Wellness My Way personal health
and wellness objective, this form, along with a completed 3-month exercise log of
your choice, must be submitted to Cathy Bilbey, Uintah School District Wellness,
no later than August 31, 2016.
I am submitting this Wellness My Way Verification and accompanying exercise log
for having completed 15 or more days per month of exercise for a period of 3
months.
By signing here, I confirm that the information I have provided is correct and
honorable.
Signature: _______________________________
Date: _______________
This health management objective can be used twice a year.
Please return this completed form and accompanying documents to Cathy Bilbey, Uintah
School District Wellness.
Email: cathy.bilbey@uintah.net
Fax: 435-781-3107
Uintah School District
635 West 200 South
Vernal, UT 84078
Wellness Year 2015/2016
WELLNESS
CHAMPION/FIT CHOICES
Worth 150 points
GOAL: Be more physically active by joining your Wellness Champion
and coworkers in Fit Choice activities at your work location.
Participate, along with other coworkers, in a worksite Wellness
Champion sponsored activity before/after school. Activities may
include a team sport, aerobics, biking, walking, running, etc.
To earn your 150 points, you must submit a signed Uintah School
District Verification form stating that for a minimum of six weeks, you
participated with your Wellness Champion in a Fit Choice.*
This health management objective may be completed up to four times
per year.
*To print a Uintah School District Wellness Champion/ Fit Choice Verification Form, go to the district web page
at www.uintah.net and click on “Employee Wellness”.
Wellness Year 2015/2016
Uintah School District
Wellness Champion/Fit Choice Verification Form
In order to receive 150 points for completing a Wellness Champion/Fit Choice
activity, this form must be submitted to Cathy Bilbey, Uintah School District
Wellness, no later than August 31, 2016.
I, ____________________________ , participated in a Wellness Champion Fit
Print Name
Choice activity at my work location three days a week for a period of six weeks.
____________________________________________
Employee Signature
_____________________
Date
____________________________________________
Wellness Champion Signature
_____________________
Date
This health management objective may be completed up to four times per year.
Please return this completed form and accompanying documents to Cathy Bilbey, Uintah
School District Wellness.
Email: cathy.bilbey@uintah.net
Fax: 435-781-3107
Uintah School District
635 West 200 South
Vernal, UT 84078
Wellness Year 2015/2016
WEBINARS
Worth 20 points each
GOAL: Get connected with health and wellness information on a
variety of subjects.
PEHP Healthy Utah Webinars are available online and can be viewed
at your convenience. To find the schedule and register to listen to a
PEHP Webinar go online to www.pehp.org.
No proof of verification is necessary. PEHP Healthy Utah will send
verification of your attendance to Uintah School District Wellness.
Wellness Year 2015/2016
GOOD FOR YOU REBATE!
Worth 200 points
Goal: Participate in a PEHP Healthy Utah biometric screening OR visit
your physician and complete and achieve ALL required criteria:
BMI: Women < 25%; Men < 18%
Waist Circumference: Women < 35 inches; Men < 40 inches
Total Cholesterol: < 200 mg/dl, or Total Cholesterol/HDL <135mg/dl
HDL: Women > 50 mg/dl; Men > 40 mg/dl*
Blood Pressure: < 120/80 mm/Hg
Blood Glucose: < 100 mg/dl
No Tobacco Use
*Rebate Exception: You qualify if you meet all criteria except for low HDL: Women 40-50 mg/dL; Men
30-40 mg/dL; or 10 year risk for having a heart attack is less than 10%. To be determined by PEHP
Healthy Utah.
To earn your 200 points, no proof of verification is necessary. PEHP Healthy
Utah will send verification of your achievement to Uintah School District
Wellness.
Wellness Year 2015/2016
Uintah School District
Wellness Program Q & A
1. How does the Uintah School District Wellness Program benefit me?
By electing to participate in the school district’s Wellness Program you will receive a reduction in
the cost of your medical insurance premium. For the current school year, this is a yearly savings
of $1,176.00 for someone on a PEHP Preferred Family plan! Not only will you see monetary
benefits for participating, but also the benefit of having fun with co-workers and at the same
time, hopefully, improved personal health and wellbeing!
2. I’m a new employee to the school district. How do I get the insurance premium discount?
All new hires who qualify for health insurance automatically get the premium discount when
hired. To qualify for the discount at the start of the upcoming contract year, you will need to
complete the following steps during the current contract year and every year thereafter:
1. Submit a signed Name Release Form to Cathy Bilbey at the district office (one-time
requirement).
2. Earn a minimum of 800 points during the current school year in order to be eligible for
the insurance premium reduction for the following school year. If hired between
October 1st and November 30th you are required to earn 500 points. If hired after
December 1st, no points are required, however, you must complete any remaining
District sponsored Wellness Challenges.
3. Complete a PEHP Healthy Utah Health Screening before August 31st.
Or
Complete a doctor performed health screening before August 31st.
4. Complete the online, PEHP Healthy Utah Health Risk Assessment before August 31st.
Example: Sign a Name Release Form and submit it to Cathy Bilbey at the district office. Review
the Employee Points Fund Chart to find your points earning choices. Earn 800 points by
completing the activities in which you wish to participate. PEHP Healthy Utah Screenings will be
held in April, June, and again in August. Sign up online and complete 1 of the screenings. One
to two days after your screening, complete the online PEHP Healthy Utah Health Risk
Assessment. You now qualify for the health insurance premium discount for the upcoming
contract year.
3. Do spouses need to participate in the school district’s Wellness Program to receive the
premium discount, or just the employee?
Participation by spouses is voluntary. Only employees need to participate, although we
encourage spouses to join in. Spouses who take part in both the Biometric Screening and the
Health Risk Assessment can contribute 100 of the 800 points necessary for your premium
reduction. All spouses who choose to participate must sign a Name Release Form.
4. How often do I need to have a health screening and complete the PEHP Healthy Utah Health
Risk Assessment?
To receive the premium discount, one screening per year is required. Example: If you were
screened in April, your next screening would be done in April of the following year. A screening
year runs from September 1st to August 31st. Once you’ve completed your annual screening, you
will need to complete the PEHP Healthy Utah Health Risk Assessment by going to PEHP’s
website at www.pehp.org. Instructions for completing a Health Risk Assessment are available
on the school district website under “Employee Wellness”.
5. How will I receive credit for having a PEHP Healthy Utah Health Screening and completing the
PEHP Healthy Utah Health Assessment?
All employees electing to participate in the school district’s Wellness Program will be required
to sign a Name Release Form. The release form will allow PEHP Healthy Utah to provide the
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District with a list of those individuals who have completed both the Biometric Screening and
Health Risk Assessment. All health information is private and only a list of names will be
provided. If your name is on the list, you will receive the credit!
Where do I get a Name Release Form and where should I submit the form?
Release forms are available on the school district website under “Employee Wellness”. Once
you have signed the form, submit it to Cathy Bilbey at the district office. Forms will only need to
be signed one time to participate in the Wellness Program.
How do I arrange to have a PEHP Healthy Utah Health Screening?
The district arranges for PEHP Healthy Utah to provide health screenings for PEHP insured
employees three times yearly, April, June and August. To schedule an appointment, log on to
PEHP’s website by going to www.pehp.org or call them directly at (801) 366-7300. Step by step
instructions for scheduling a testing session are available on the school district’s website under
“Employee Wellness”.
I prefer having a health screening performed by my doctor. What do I need to submit to PEHP
Healthy Utah so that I can complete the PEHP Healthy Utah Health Risk Assessment?
First you will need to sign a copy of the Waiver of Biometric Screening by PEHP Form and return
it to Cathy Bilbey at the district office. Forms are available on the school district website under
“Employee Wellness”. Next, take the PEHP Healthy Utah First Steps & Good for You Form with
you to your doctor’s appointment. Copies of the form are available on the district website
under “Employee Wellness”. Your physician will need to perform the standard biometric tests
on you, i.e. BMI, Height, Weight, Cholesterol, etc. and sign the First Steps & Good for You Form.
Submit the form, along with your lab results, to PEHP Healthy Utah by fax to 801-328-7300 or
mail to PEHP Healthy Utah, 560 East 200 South, Salt Lake City, UT 84102. Allow approximately 2
weeks for PEHP Healthy Utah to enter your information in their system. After the 2 weeks are
up, log on to PEHP’s website by going to www.pehp.org and complete the Health Risk
Assessment. Instructions for completing the assessment are available on the school district’s
website under “Employee Wellness”.
I had a PEHP Healthy Utah Health Screening this past April, completed the PEHP Healthy Utah
Risk Assessment and earned 800 points. Will I get this year’s premium discount?
Yes, as long as the district has record that you completed both the PEHP Healthy Utah Health
Screening and Health Risk Assessment, and submitted all required documentation and earned
the necessary 800 wellness points by the August 31st deadline.
I am on a district insurance plan that has no premium cost to me. Should I still participate in
the Wellness Program?
Yes. If insurance rates go up in the future, there may be a premium cost for you, the employee,
attached to the plan you are currently on. If you have not completed all of the required
elements of the Wellness Program during a given school year, you will not receive a possible
future reduction in your medical insurance premium.
I chose to waive the district medical insurance. Should I participate in the Wellness Program
even though there is no insurance cost to me?
It is recommended that you do so. In the future, if you elect to take the district’s medical
insurance and you have not earned 800 points during the prior school year and provide proof of
a screening performed by your doctor, you will not receive the reduction in your medical
insurance premium. Participation in the PEHP Healthy Utah Health Risk Assessment is not
required for those who waive their insurance.
Wellness Year 2015/2016