How do the Departments’ interim final grandfather regulations affect wellness programs sponsored by group health plans?
Group health plans may continue to provide incentives for wellness by providing premium discounts or additional benefits to reward healthy behaviors by participants or beneficiaries, by rewarding high quality providers, and by incorporating evidence-based treatments into benefit plans. [2] However, penalties (such as cost-sharing surcharges) may implicate the paragraph (g)(1) standards listed above in Q&A-1 and should be examined carefully. In addition, plans should take steps to ensure compliance with applicable nondiscrimination rules (such as the HIPAA [3] nondiscrimination rules for group health plans and group health insurance coverage with respect to an individual based on a health status related factor) and any other applicable Federal or State law.
Related Questions
- How does this decision affect the Services Final Interim Strategy for evaluating future watercraft access projects in Florida that may affect the endangered Florida manatee?
- Since these are only Interim Final Regs, what happens if the Final Regulations apply more restrictive terms and conditions then those already in place?
- What campus wide, major programs are sponsored by The Wellness Center?
