Out-of-Pocket Expense Levels
Under the Healthy IncentivesSM program, there are three out-of-pocket expense levels in the KingCareSM and Group Health plans:
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gold—the lowest out-of-pocket expense level;
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silver—the middle out-of-pocket expense level; and
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bronze—the highest out-of-pocket expense level.
If you take the wellness assessment in January of a given year and complete an individual action plan by June 30 of that same year, you'll receive the gold out-of-pocket expense level for the following year.
If you only take the wellness assessment by June 30 in a given year, you'll receive the silver out-of-pocket expense level for the following year.
If you don't participate in the Healthy IncentivesSM program at all in a given year, you'll receive the bronze out-of-pocket expense level for the following year.
The out-of-pocket expense level for your family is based on the lowest level of participation by both you and your spouse/domestic partner, if applicable—for example, if you earn the gold out-of-pocket expense level and your spouse/domestic partner earns the silver out-of-pocket expense level, your family out-of-pocket expense level for the following year will be silver.
New employees and their spouse/domestic partners are given 14 days to take the wellness assessment after attending their new employee orientation to earn the gold out-of-pocket expense level for the current year and the following year. If a new employee or his/her spouse/domestic partner doesn't take the wellness assessment within 14 days, he/she will receive the bronze expense level for the current year and the following year.
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