Incentives for Nondiscriminatory Wellness Programs in Group Health Plans
other · US Department of Labor · Published 2013-06-03 · Effective 2013-08-02 · 78 FR 33158
Document
Document number
2013-12916
Federal Register citation
78 FR 33158
CFR reference
26 CFR 54
Type
Rule
Action
Final rule.
Category
other
Sub-agency
US Department of Labor
Publication date
2013-06-03
Effective date
2013-08-02
DOL docket
TD 9620
Abstract
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.