Code of Maryland Regulations
Title 31 - MARYLAND INSURANCE ADMINISTRATION
Subtitle 11 - HEALTH INSURANCE - GROUP
Chapter 31.11.14 - Wellness Benefits under Small Employer Health Benefit Plans
Section 31.11.14.03 - Components of a Wellness Benefit
Universal Citation: MD Code Reg 31.11.14.03
Current through Register Vol. 51, No. 26, December 27, 2024
A. Each wellness benefit shall include:
(1) A health risk assessment that is:
(a) Available at no cost to all employees covered under the small employer's wellness benefit; and
(b) Completed by each employee on a voluntary basis;
(2) Written feedback to each employee who completes the health risk assessment, with recommendations for lowering risks identified in the completed health risk assessment; and
(3) A financial incentive to promote:
(a) Preventive care;
(b) Healthy behavior and lifestyle choices; or
(c) Participation in a disease management program or case management program.
B. The financial incentive described in §A(3) of this regulation may be in the form of:
(1) A direct reward of financial value given to the employee, such as a monetary reward or a gift card; or
(2) A reduction in the employee's copayments, coinsurance, or deductible that would otherwise be payable under the small employer's health benefit plan.
C. A carrier shall be considered to have satisfied the requirement of §A(3) of this regulation, if the wellness benefit offered by the carrier eliminates the deductible for preventive services only.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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