2018-19 Wellness Program

PAGE 2 • Introduction• Add up the savings

PAGE 3 • Three steps to completion

PAGE 4-5 • Wellness engagement options

PAGE 6 • Troubleshooting

PAGE 7• Timeline

PMS 1788 CMYK = 0, 100, 90, 0 RGB = 255, 10, 40

PMS 541 CMYK = 0, 100, 90, 0 RGB = 255, 10, 40

PMS 367 CMYK = 40, 80, 0, 40 RGB = 163, 207, 97

PMS 660 CMYK = 75, 45, 0, 0 RGB = 68, 127, 193

PMS 7548 CMYK = 0, 20, 90, 0 RGB = 255, 205, 50

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Creating a healthy lifestyle can be like playing a board game. Go to the gym — advance two spaces forward. Pack a healthy lunch — move forward three. Forget to take your blood pressure

medication — take two steps back.

TheHealthandWellnessteamisheretohelpyousucceed.Weofferactivitiesandoptionstoeducateandmotivateyoutomove forward in life and make the best health choices. So get on board and Win for Life.

Employees who complete an online health assessment and one wellness engagement option save $600 on their medical plan rates.

Make Wellness a Family AffairSpouseshavethepotentialtobeapowerfulinfluenceoneachother’shealth.Setahealthyexampleforyourfamilybyshowing your covered spouse how to complete the health assessment and one wellness engagement option. You will earn anextra$300discountonyourmedicalrateforspousalparticipation—makingagrandtotalof$900insavingsifyouparticipate as well!

Add up the savingsYou and your covered spouse can watch the savings grow.

*Amounts are based on current Limited Network Plan rates and are for illustrative purposes only. Discounts will be applied to rates effective May 2019.

Employee + spouse (non-tobacco users) Limited Network biweekly rate = $162*

Spouse completes health assessment and one option = $150

Employee completes health assessment and one option = $137

Employee & spouse complete health assessment and one option = $125

SAVE$300ANNUAL SAVINGS SAVE

$600SAVE$900

Employee + family (non-tobacco users) Limited Network biweekly rate = $225*

ANNUAL SAVINGS

Spouse completes health assessment

and one option $212health assessment health assessment

and one option $212and one option $212

Employee completes health assessment and

one option $200

Employee completes Employee completes health assessment and health assessment and

Both complete health assessment

and one option $187

SAVE$300

SAVE$600

SAVE$900

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STEP 1 - Biometric numbers You must complete this step before you can move on.

Employees and covered spouses: Obtain your biometric measurements from your annual preventive exam.Employeesmayparticipateinoneofthelimitedbiometricscreeningeventsacrossthecity.Coveredspousesmustgotothedoctor.YourbiometricmeasurementsmustbefromFebruary3,2018,orlater.

You need up-to-date measurements for your:

• Blood pressure• Total and HDL cholesterol• Height• Weight • Waist circumference

STEP 2 - Online health assessment You must complete this step before you can move on.

Employees and covered spouses: Use your up-to-date measurements to complete the online health assessmentatmycigna.combyNovember30,2018.

Note: Spouses must complete the health assessment on their own mycigna.com account; if they do not haveamycigna.comaccount,theywillneedtocreateone.

TIP:BesuretousebiometricsfromFebruary3,2018,orlater.Don’tchooseanswerslike“Idon’tknow”foryour biometrics; answer all the questions.

STEP 3 - Wellness engagement Youmustcompletethisfinalsteptoearnadiscountonyour2019medicalplanrate.

Employeesandcoveredspouses:CompleteawellnessengagementoptionbetweenMay1,2018andMarch8,2019.

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Wellness engagement Options Employees and covered spouses: Choose one and complete the tasks outlined

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Average required completion time: Variable Available:February3,2018–January31,2019 Actions: Complete at least two preventive care activities. You will earncreditforactivitiesbetweenFebruary3,2018,andJanuary31,2019.Allmedicalservicesmustbereportedthroughaclaimssubmission,exceptwherenotedasselfreported.

• Annualpreventiveexam• AnnualOB/GYNexam• Cervical cancer screening• Mammogram • Colon cancer screening • Prostate cancer screening• Flu shot • AnnualdentalORvisionexam(selfreported)• EAPCoachingvisit(selfreported,startsMay1)• IntroductoryOnsiteNutritionCoachingvisit(selfreported,

startsMay1)• HepatitisA&Bvaccination(selfreported)• Pneumoniavaccination(selfreported)• Tetanusvaccination(selfreported)• Varicellavaccination(selfreported)• Zoster(shingles)vaccination(selfreported)

Option A: preventive careDEADLINE: JANUARY 31, 2019

Option B: telephonic coachingDEADLINE: MARCH 8, 2019

Average required completion time: 4-6 weeks Available:March11,2018–March8,2019Actions: Work your way toward a health goal by speaking with a health coach over the phone. Coaches can counsel you in weightloss,smokingcessation,medicationadherence,diseasemanagement and many other health concerns. This option is not complete until the health coach approves your goal achievement. Call800-997-1406tostartthisoptiontoday.Don’twaituntilthelastminute,coachingappointmentsfillupfast!

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Option D: fitness trackerDEADLINE: MARCH 8, 2019

Averagerequiredcompletiontime:3-4months Available:May1,2018–March8,2019 Actions:Trackphysicalactivity,dietandhealthgoalsusingafitnesstrackerdevicesuchasaFitbitorUpbyJawbone,orappsuchasMyFitnessPal,MapMyFitness,RunKeeperandmore.Apps and devices from an approved list can be integrated with Cigna’sApps&Activitiesportaltocompletevariousgoalsandchallengessuchastrackingyoursleep,taking10,000stepsor testing your blood glucose. Each goal and challenge earns varyingamountsofstarsdependingonthelevelofdifficulty.Youmust earn a total of 20 stars.

Average required completion time: 6 weeks Available:May1,2018–March8,2019 Actions: Attend or participate in a City of Houston facilitated onsite or online program. Programs may include monthly awarenessevents,multi-weeklifestylemanagementprograms,Fitbitchallenges,physicalfitnesstestandpeer-to-peertrainingfor emotional response.

Option C: lifestyle programsDEADLINE: MARCH 8, 2019

STEP 1: Biometric numbers November30,2018 You must complete this step before you can move on. You need up-to-date measurements from February 2018 through November 30,2018for:bloodpressure,totalandHDLcholesterol,height,weightand waist circumference.

STEP 2: Online health assessment November30,2018 You must complete this step before you can move on. Complete the onlinehealthassessmentatmycigna.combyNovember30,2018.

STEP3:Wellnessengagement March8,2019 Youmustcompletethisfinalstepbydeadlinenotedbelowtoearnadiscount on your 2019 medical plan rate.

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TroubleshootingWho is eligible to earn the discount? Active employees and their covered spouses are eligible for the incentives. Retirees and dependents may participate in the program but are not eligible to earn the medical rate discounts.

How do I earn the discount? Earningthediscountforactiveemployeesiseasy.Justcorrectly complete your online health assessment by November 30,2018.Thencompleteoneoffourwellnessengagementoptionsbythecorrespondingduedate,andyoucanearnthe$600 medical rate discount for active employees.

How does my spouse earn a discount? Toearnthe$300discount,yourcoveredspousemustcomplete the online health assessment on their own mycigna.comaccount(nottheemployee’smycigna.comaccount)byNovember30,2018,aswellascompleteoneofthefouravailablewellnessoptionsbyMarch8,2019.

WhatisthemaximumdiscountIcanearn? Employees in the employee only or employee + children tier can earn a $600 annual medical rate discount. Employees earn anadditional$300discountiftheircoveredspousecompletesthe health assessment and one wellness option. Employees in the employee + spouse or employee + family tier can earn up to a $900 annual medical rate discount.

WhydoesOptionAhaveadifferentendingdate? Preventivecareactivitiestakelongertoreport,sothoseactivitiesneedtobecompletedbyJanuary31,2019tobeincluded.

IfIdon’ttaketheonlinehealthassessment,canIstillparticipate in the Wellness program and earn my discount? No. The online health assessment is a prerequisite to Wellness participation. If you do not complete the health assessment by November30,2018,youarenoteligibletoearnamedicalratediscount.

I just started working at the City of Houston. Am I required to take the health assessment? EmployeeswithbenefitseffectiveonorafterSeptember1,2018,areexemptfromtakingtheonlinehealthassessment,and will be eligible for the annual discounted rates.

I’mdueforanotherannualphysicalafterthehealthassessmentperiodendsNovember30,2018.HowshouldIget my biometric measurements? Asinpreviousyears,free,confidentialbiometricscreeningswillbeavailableatworksitesthroughoutthecity,butappointmentswill be limited this year. Be sure to make an appointment as soon as they become available. You can also make an appointment with your doctor and pay a copay or coinsurance to get your measurements.

How do I know when I have completed the requirements to earn a discount? WhenyoulogintoMyCigna.com,youandyourcoveredspouse will see a percentage completed toward your goal. Earn100percentbycompletingthehealthassessment(10percent)andwellnessengagementoptions(90percent)bythedeadlines to earn up to a $900 discount on your 2018 medical plan rate. Employees with a covered spouse on their plan willneedtoearn200percent(100percentforyou,theactiveemployee,and100percentforyourspouse).Allowatleast60-90 days for preventive care activities to be auto-reported. You mustself-reportdentalorvisionexams,Vaccinations(Shingles,Tetanus,Varicella,HepatitisAandB,and/orPneumonia),Introductory Onsite Nutrition Coaching visit and EAP Coaching visit.

Whoisexemptfromparticipationinwellnessprogram?• Employees on FMLA

(August1-November30,2018)• EmployeesoutonWorkers’Compensation(August1-

November30,2018)• Employees out on Military Leave

(August1–November30,2018)• Employees on Phase Down• Spouseswhoareidentifiedasbeingpregnant

(InformationprovidedbyCigna)• Employeeswhosemedicalbenefitsbeginonorafter

September1,2018

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Timeline Dates to remember

Questions?Forresourcesandmore,visithoustonwellnessconnection.org.ForquestionsabouttheoverallWellnessProgram,callWellnessat832-393-6000,orsendanemailtowconnection@houstontx.gov.Forquestionsaboutthehealthassessment,callCignatollfreeat800-284-8346.

STEP1:(Activeemployeesandspouses) February3,2018-November30,2018Get your biometric measurements from your doctor.

STEP2:(Activeemployeesandspouses) May1,2018-November30,2018Complete the online health assessment at mycigna.com.

STEP3:(Activeemployeesandspouses) May1,2018-March8,2019Complete one wellness engagement option:• OptionA:PreventiveCare• OptionB:TelephonicCoaching• OptionC:LifestylePrograms• OptionD:FitnessTracker(CignaAppsandActivities)Note:OptionAmustbecompletedbetweenFebruary3,2018andJanuary31,2019.

NOV

30

MAR

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PMS 1788 CMYK = 0, 100, 90, 0 RGB = 255, 10, 40

PMS 541 CMYK = 0, 100, 90, 0 RGB = 255, 10, 40

PMS 367 CMYK = 40, 80, 0, 40 RGB = 163, 207, 97

PMS 660 CMYK = 75, 45, 0, 0 RGB = 68, 127, 193

PMS 7548 CMYK = 0, 20, 90, 0 RGB = 255, 205, 50

City of HoustonWellness ConnectionHuman ResourcesP.O.Box248Houston,TX77002

See how your savings can add up to $900

Employees in the employee only or employee + children tier can earn a $600 annual medical rate discount. Employees earn an additional $300 discount if their covered spouse completes the health assessment and one wellness option. Employees in the employee + spouse or employee + family tier can earn up to a $900 annual medical rate discount.

IMPORTANT INFORMATION INSIDE.

ContactsFor the City of Houston Wellness Program:Houstonwellnessconnection.org wconnection@houstontx.gov832-393-6000

For Cigna health assessment:mycigna.com800-284-8346

FortheCityofHoustonBenefits:cityofhoustonbenefits.org benefits@houstontx.gov832-393-6000

PMS 1788 CMYK = 0, 100, 90, 0 RGB = 255, 10, 40

PMS 541 CMYK = 0, 100, 90, 0 RGB = 255, 10, 40

PMS 367 CMYK = 40, 80, 0, 40 RGB = 163, 207, 97

PMS 660 CMYK = 75, 45, 0, 0 RGB = 68, 127, 193

PMS 7548 CMYK = 0, 20, 90, 0 RGB = 255, 205, 50

PMS 1788 CMYK = 0, 100, 90, 0 RGB = 255, 10, 40

PMS 541 CMYK = 0, 100, 90, 0 RGB = 255, 10, 40

PMS 367 CMYK = 40, 80, 0, 40 RGB = 163, 207, 97

PMS 660 CMYK = 75, 45, 0, 0 RGB = 68, 127, 193

PMS 7548 CMYK = 0, 20, 90, 0 RGB = 255, 205, 50