N.H. Admin. Code § Ins 403.05

Current through Register No. 42, October 17, 2024
Section Ins 403.05 - Wellness Incentive Plan
(a) The standard wellness plan shall include a standard wellness incentive program. In administering the standard wellness incentive program, a carrier may utilize existing programs to the extent practicable.
(b) The standard wellness program shall include the following incentives described herein and set forth in Appendix B:
(1) In year one, a cash payment of $200.00 shall be paid to both the subscriber and the spouse or civil union partner of a subscriber on a plan that covers 2 or more people when the subscriber and spouse or civil union partner:
a. Establish and maintain a relationship with a primary care provider;
b. Complete a health risk questionnaire;
c. Do not smoke or participate in a smoking cessation program;
d. Each have a body mass index measurement lower than 25 and a blood pressure reading lower than 140/90 or participate in a health management program for blood pressure or weight loss; and
e. Each have acceptable blood glucose and cholesterol levels as determined by the health carrier, or participate in a health management program;
(2) In years 2 and 3, the certificateholder who fulfills the requirements of Ins 403.05(b) for year one shall receive a credit in the amount of $1,000 against the deductible for the product;
(3) To receive the amount of $1,000 per adult subscriber against the deductible in subsequent years, on a policy that covers 2 or more persons, the subscriber and spouse or civil union partner shall both be required to fulfill the requirements to obtain any benefit. A maximum credit of $2,000 shall be allowed on any policy that covers 2 or more people; and
(4) In the event that both the subscriber and the spouse or civil union partner covered by the policy fail to fulfill the requirements, there shall be no reduction of the deductible, and there shall be no payment of $200.00 in the first year.

N.H. Admin. Code § Ins 403.05

#9511, eff 7-10-09