2016 Wellness Program

2016 WELLNESS PROGRAM

ACT NOW! GET HEALTHY... STAY HEALTHY...SAVE $1,750 MJHS 2016-2017 Comprehensive Wellness Program

The Path to a Healthier You

If you have any questions or want to sign up by phone, contact your CHC Wellness representative at:

TABLE OF CONTENTS

866.373.4242

Act Now!.................................................................... 2

Or, for self-service resources go to:

Step 1: Health Risk Appraisal.................................... 3

www.chcw.com

Step 2: Biometric Screening...................................... 4 Step 3: Wellness Activity Points................................. 5 The More You Know................................................... 6 Tobacco Surcharge.................................................... 7 Tobacco Cessation..................................................... 8 Frequently Asked Questions...................................... 9 Additional Screenings.............................................. 10

ACT NOW! Health care costs are rising. Faster than income. Faster than inflation. And that trend shows no sign of changing in the years ahead. For an organization like MJHS, which offers one of the most competitive and generous employee benefits packages, those costs mean a lot to the bottom line.

We want to continue providing the best possible benefits we can. To make this happen, we are asking you to be proactive about your health. The healthier we are, the less the cost of coverage. That’s where the MJHS Positive Steps wellness program comes in. By working together to be as healthy as possible, we can control costs. So let’s act now get healthier and save! It’s a win-win!

If you choose to participate in the Wellness Incentive Program you can avoid the $1,750 surcharge scheduled for 2017. Here’s how it works: TO AVOID THE $1,750 SURCHARGE HIRED BY DATE

WELLNESS POINTS NEEDED

From May 31, 2015

Earn 100 points

June 1, 2015 April 30, 2016

Earn 50 points (40 points for biometric screening and HRA + 10 points for other wellness activity)

May - October 1, 2016

Earn 0 points

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Earning Wellness Activity Points is easier then you may think and there is no right or wrong way to earn all the points you need.

You can earn points for many activities you may already be doing like getting a flu shot, having a gym membership, and getting a preventive exam. Review the Wellness Activity Chart on page 5 and see how you can pile up the points!

The Path to a Healthier You

The CHC Wellness health risk appraisal (HRA) is a voluntary questionnaire that helps provide a bigger picture of your overall health.

We Respect Your Privacy

Your answers to the HRA and the results of your biometric screening are completely confidential.

No one at MJHS will ever see your personal health information. You are also protected by HIPAA. CHC Wellness provides reports to MJHS only showing results on a combined system-wide basis.

If you have any questions or want to sign up by phone, contact your CHC Wellness representative at:

866.373.4242 Or, for self-service resources go to:

www.chcw.com

STEP 1: Biometric Screening Registration and Health Risk Appraisal (HRA) REGISTRATION AND HRA BEGINS MAY 2, 2016 To get started:

Go to: www.chcw.com, or Call: 1.866.373.4242 (from 9:00 a.m. - 6:30 p.m. EST) IF YOU PARTICIPATED

in the 2015 MJHS Screenings •C lick on Register/Login in the top right corner of the screen • Under Individual Log In, enter your username/password • E nter 2943MJH117 if prompted for the new program code If you do not remember your username/password, click on Forgot Username/Password, or call a CHC Representative at 866.373.4242 (from 9:00 a.m. - 6:30 p.m. EST).

IF YOU DID NOT PARTICIPATE in the 2015 MJHS Screenings

•C lick on Register/Login in the top right corner of the screen • Under New Participants, enter program code: 2943MJH117 (enter all required information)

SELECT YOUR APPOINTMENT DATE AND TIME

and then complete the HRA

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STEP 2: Biometric Screenings Your biometric wellness screening is designed to build awareness and help identify early signs of serious medical conditions. Please note that this is a fasting blood draw and will include nicotine testing.

CHC Wellness representatives will be available at the following MJHS facilities: DATE & TIME

LOCATION

June 13 8:00 a.m. - 11:00 a.m.

3718 Henry Hudson Pkwy, Bronx, NY: Zicklin Residence, Conference Rm

June 13 8:00 a.m. - 11:00 a.m.

2550 Webb Avenue, Bronx, NY: Block Residence, Conference Rm

June 14-16: 8:30 a.m. - 12:30 p.m.

39 Broadway, New York, NY 2nd Floor Main Conference Rm

June 17 7:30 a.m. - 12:30 p.m.

1516 Oriental Blvd, Brooklyn, NY: Auditorium

June 20-24 8:30 a.m. - 1:00 p.m.

6323 7th Avenue Brooklyn, NY: 2nd Floor Cafeteria

If you are unable to attend the onsite biometric wellness screening, you can register for a remote appointment online. Follow the steps shown above, and then at Step 4: Choose Remote (for your screening appointment).

To complete your registration process print out the two forms that you will need to take to a local LabCorp facility. You must visit a local LabCorp facility by July 1, 2016.

Be sure to register for the biometric screening and complete your HRA prior to getting your biometric screening.

IMPORTANT NOTE: Biometric wellness screenings will be performed through a fasting blood draw and you CANNOT eat or drink (except for water and black coffee or tea) 10-12 hours prior to your test. Consult your physician if you are diabetic or hypoglycemic. We cannot accept your biometric wellness screening from your doctor.

NOTE: Blood pressure is not taken at LabCorp. Check with your local pharmacy to see if they offer free blood pressure checks.

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Nicotine The blood draw will test for nicotine and cotinine.

Blood Pressure Your blood pressure will be taken before your blood is drawn at onsite screenings.

If you cannot attend an onsite screening, please be aware that blood pressure is not taken at LabCorp. Check with your local pharmacy to see if it offers free blood pressure checks.

WELCOME

The Path to a Healthier You

STEP 3: Wellness Activity Points Year Round Wellness Activity Points Program

Requirements

Points Per Activity

Maximum Possible Points

E-Learning Courses

Complete an E-Learning course through the CHC Wellness website

5

10

11/1/15 10/31/16

Complete a Health Coaching Engagement with a CHC Wellness Health Coach.

5

15

11/1/15 10/31/16

Preventive Services: Level 1

Receive a physical, dental exam, vision exam, OB/GYN, skin cancer screening or immunizations. Send proof to preventiveservices@chcw.com

10

30

11/1/15 10/31/16

Preventive Services: Level 2

Receive a colonoscopy, mammogram, or prostate exam. Send proof to preventiveservices@chcw.com

15

30

11/1/15 10/31/16

Flu Shot

Submit proof of your flu shot to preventiveservices@chcw.com

5

5

11/1/15 10/31/16

Gym Membership

Submit proof of your gym membership

5

5

11/1/15 10/31/16

Health Coaching

Dates Available

Wellness Screening Points

(Only Available by Completing the 2016 Wellness Screening) Wellness Screening & Health Risk Appraisal

Complete the CHC Wellness Health Risk Appraisal (HRA) and participate in an on-site or remote wellness screening.

40

40

June 2016

Physician Connect

Provide your primary care physician’s information during registration. A copy of your screening results be sent to your primary care physician.

10

10

June 2016

*Healthy Glucose

Glucose <100 or 10% improvement from 2015 wellness screening

5

5

June 2016

*Healthy Triglycerides

Triglycerides <150 or 10% improvement from 2015 wellness screening

5

5

June 2016

*Healthy LDL Cholesterol

HDL >39 (men); HDL >49 (women) or 10% improvement from 2015 wellness screening

5

5

June 2016

*Healthy HDL Cholesterol

HDL >39 (men); HDL >49 (women) or 10% improvement from 2015 wellness screening

5

5

June 2016

*Non-Smoker

Test Negative for nicotine

5

5

June 2016

*REASONABLE ALTERNATIVE: If it is unreasonably difficult due to a medical condition for you to achieve the standards for the reward under this program, call us at 866-373-4242 and we will work with you to develop another way to qualify for the reward.

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THE MORE YOU KNOW What’s included in your biometric wellness screening?

The annual wellness screening is designed to build awareness and help identify early warning signs of the following conditions: ANEMIA, INFECTIONS & CERTAIN CANCERS • I ron •W BC, RBC, MCV, MCHC, RDW •P latelet Count, Hemoglobin, Hematocrit •G lobulin, Total: Albuium Serum •A /G Ratio

HEART DISEASE & STROKE •C holesterol •P ercentile Cholesterol •T riglycerides •H DL and LDL •H DL/Cholesterol-Risk Ratio

NUTRITIONAL & GASTROINTESTINAL DISORDERS •T otal Protein •A lbumin •U ric Acid •C alcium

LIVER AND GALLBLADDER •T otal Direct Bilirubin •A lkaline and Phosphates •A ST, ALT and GGT •A lbumin Total Protein

DIABETES •B lood Glucose (sugar)

KIDNEY DISEASE •B UN/Creatine Ratio •C reatinine •P hosphorus • S odium •P ostassium •C hloride •U rea Nitrogen •C arbon Dioxide

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New This Year: The Hemoglobin A1c test normally offered as an additional screening at the cost of $34.00 will be performed at no cost for those whose glucose level is equal or greater than 100. The Hemoglobin A1c test estimates the average amount of blood sugar over the last 3 months and is used to diagnose prediabetes, type1 and type 2 diabetes.

WELCOME

The Path to a Healthier You

Donâ&#x20AC;&#x2122;t Forget To Register!

If you tested positive for nicotine during the biometric screening, a $750 annual tobacco surcharge will be added to your employee benefits contribution in 2017.

To avoid the surcharge enroll in the CHC Wellness Tobacco Cessation Program by October 31, 2016 and complete the program by March 11, 2017. The program consists of 7 telephonic coaching sessions and a 14-week online program.

If you have any questions or are ready to sign up by phone, contact your CHC Wellness representative at:

847.242.3101 A Tobacco Cessation Specialist will contact you within 1 week.

TOBACCO SURCHARGE Youâ&#x20AC;&#x2122;re part of the MJHS family and we want you to be with us for a long time. We are taking this seriously. Tobacco use harms nearly every organ of the body and can affect your overall health.

It not only impacts your personal health, but also impacts the increased costs to our health insurance plan. It is our hope that if you are a tobacco user, this will be an incentive to embrace healthier lifestyle habits and quit using tobacco products.

How to avoid the Tobacco Surcharge

If you are identified as a tobacco user, complete the CHC Wellness Tobacco Cessation program, or a $750 annual tobacco surcharge will be added to your employee benefits contribution in 2017. The program consists of 7 telephonic coaching sessions and a 14-week online program.

You need to enroll in the 14-week CHC Wellness Tobacco Cessation Program by October 31, 2016 and complete both the online and telephonic coaching sessions by March 11, 2017. to avoid the surcharge.

WHAT COUNTS AS TOBACCO USE?

Tobacco use includes using any form of tobacco, regardless of the number of times or frequency of use, including: cigarettes, electronic cigarettes, cigars, pipes, chewing tobacco and snuff.

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Here’s What We Know

To get started, complete the following steps:

Smoking is the leading cause of preventable death.

MJHS is committed to providing our employees with the opportunity to live long, healthy, tobacco-free lives. Going tobacco-free not only helps keep you, and those around you, healthier, but it also saves you money on future healthcare costs and helps MJHS manage our growing annual healthcare spend.

1. Contact CHC Wellness at 847.242.3101 or lvaladez@chcw.com.

You must provide your name, phone number, email, as well as note that you are an MJHS employee. A Tobacco Cessation Specialist will contact you within 1 week.

Increase Your Chances

TOBACCO CESSATION HERE’S HOW THE PROGRAM WORKS

The CHC Wellness Tobacco Cessation program includes 7 telephonic coaching sessions with a Tobacco Cessation Specialist in addition to completion of a 14-week online program. During each of the 14-weeks, you will receive an email assignment designed to guide you along the path to becoming a nonsmoker. At the end of each assignment, you will be asked to answer questions relating to the week’s topic. Answering the questions correctly allows you to proceed to the next week.

2. To begin the 14-week online program go to www.chcw.com and log in with your username/password. If you are prompted for a program code, please enter: 2943MJH117 • Select MY HEALTHY SOLUTIONS then HEALTH COACHING from the menu at the top • Note your email address and password combination then select CLICK HERE TO LOGIN AND CONTACT A HEALTH COACH • Enter your email address and password to log in to the US Corporate Wellness website; complete registration if necessary • Select the RESOURCES tab at the top, then locate SMOKING CESSATION under the Member Resources heading and click on 14 WEEK GUIDED PROGRAM • S elect your starting date on the Smoking Cessation page and click SUBMIT; you will receive your first e-mail on the date you selected.

Participating in a tobacco cessation program greatly increases your chances of successfully quitting.

Through our prescription drug plan, smoking cessation products are covered up to a $250 lifetime benefit.

To begin the program, contact CHC Wellness at:

847.990.1450 Or, for self-service resources go to:

www.chcw.com 8

WELCOME

The Path to a Healthier You

FAQ Q. How many incentive points do I need to avoid the $1,750 surcharge in 2017?

A. No one at MJHS will ever see your personal health information. CHC Wellness complies with all current HIPAA requirements, ensuring each individual’s confidentiality.

A. If you were hired prior to May 31, 2015 - 100 points; if you were hired between June 1, 2015 and April 30, 2016 - 50 points (40 for the HRA and biometrics and 10 points of your choosing. If you were hired between May 1, 2016 and October 31, 2016 you do not need to earn any points this year to avoid the surcharge.

Q. What will happen if I don’t complete the biometric wellness screening or HRA? A. You will be unable to obtain the 100 incentive points without completing the HRA and biometric screening. If you are hired between June 1, 2015 and April 30, 2016 you only have to earn 50 points to avoid the surcharge; however, 40 points must be earned through the HRA and biometric screening and an additional 10 points for any other wellness activity.

Q. What will happen if I don’t want to participate in the incentive points program?

A. The wellness program is completely voluntary; however, if you do not earn 100 or 50 incentive points, (depending on your date of hire) by October 31, 2016 you will not avoid the $1,750 surcharge in 2017.

Q. How do I get my results?

A. You will have access to your results and other health information online at www.chcw.com within 3-5 days after your screening. Your personalized health summary will also be mailed directly to your home within 2 weeks unless you decide to Go Green.

Q. How many points can I earn just by completing the HRA and biometric screening?

A. Up to 75 points. 40 points for completing the screening and HRA; 10 points for adding your doctor’s name at registration; 5 points for each of the 4 categories you are in range or show a 10% improvement from last year; and 5 points for being a non-smoker.

Q. Can I send a copy of my results to my physician?

A. Yes. If you would like CHC Wellness to send a copy of your lab results to your personal physician please enter the doctor’s name and address when you schedule your screening. You can also bring this information to the onsite screening.

Q. I am not covered by the MJHS medical plan this year, should I earn wellness activity points?

A. No. Per Diem, Fee-for-Service or those employees who have waived medical coverage in 2016 should not earn wellness points.

Q. Can I have my doctor send in my blood work?

Q. What if I am unable to make the onsite screening?

A. No. Your blood must be drawn either onsite at one of our biometric screening stations or at LapCorp using the steps for Remote Access on page 4.

A. If you are not able to attend the onsite screening go to www.chcw.com and follow the steps to complete the screenings remotely at a LabCorp facility by July 1, 2016. Blood Pressure is not taken at LabCorp. Check with your local pharmacy to see if they offer free blood pressure checks.

Q. I just had my annual MJHS annual health assessment, isn’t that enough?

A. No. Your annual assessment through Employee Health is completely separate. This is handled by our wellness partner, CHC Wellness, and is far more detailed.

Q. Will the results of my HRA in any way affect my employment here?

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ADDITIONAL SCREENINGS HEART HEALTH Cardio C: $39 Identifies inflammation of the arteries.

Please Note

NMR: $99 Provides the number of LDL particles.

Homocysteine: $54 Evaluates the levels of Homocysteine.

DIABETES DETECTION Hemoglobin A1c: $34 Estimates the average amount of glucose over the last 3 months.

NUTRITIONAL & VITAMIN Vitamin D: $40 Identifies a risk of Vitamin D deficiency.

B12 and Folate: $42 Identifies a potential imbalance of B12 & Folate levels.

DIGESTIVE HEALTH Gluten Allergy: $29 Determines gluten specific allergy.

CHC Wellness can also process other specific tests suited to your particular health needs. There are additional fees for these tests, which can be paid with check, credit/debit card or FSA debit cards at the time of testing.

If you have any questions or want to sign up by phone, contact your CHC Wellness representative at:

866.373.4242

H. Pylori: $41 Measures the levels of the stomach bacteria H.

Or, for self-service resources go to:

HORMONE Testosterone: $42 Measures the amount of the male hormone Androgen.

TSH (Thyroid): $42

Evaluates thyroid function and/or disorders.

CANCER DETECTION PSA (Prostate): $39 Measures levels of the prostate specific antigen.

BLOOD TYPE Blood Type: $25 Determines your ABO blood type and Rh type.

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www.chcw.com