Final regulations on the ACA wellness programming and incentive rules

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This 35 page document is the PDF of the Federal Regulations for June 3, 2013 on the design of wellness incentives that meet the requirements of the ACA.  These regulations are important in the design of wellness incentive programs. This document contains final regulations, consistent with the Affordable Care Act, regarding nondiscriminatory wellness programs in group health coverage. Specifically, these final regulations increase the maximum permissible reward under a health-contingent wellness program offered in connection with a group health plan (and any related health insurance coverage) from 20 percent to 30 percent of the cost of coverage. The final regulations further increase the maximum permissible reward to 50 percent for wellness programs designed to prevent or reduce tobacco use. These regulations also include other clarifications regarding the reasonable design of health-contingent wellness programs and the reasonable alternatives they must offer in order to avoid prohibited discrimination.  : Effective Date: August 2, 2013.  Published: 2013

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