Comprehensive Wellness Initiative -- Tobacco Cessation Component

Tobacco Cessation Component Begins July 1, 2010

Members are eligible to enroll in the 80/20 Standard Plan if the subscriber declares on the Attestation Form that they and their covered dependents do not use tobacco products, or that they qualify for exemption due to participation in a tobacco cessation program. Subscribers who enroll in the 80/20 Standard Plan may be randomly selected to participate in a tobacco use verification test. Subscribers who attest to qualifying for exemption must obtain a completed Physician Certification Form confirming their participation in a tobacco cessation program. (See “Exemptions” below for details.)

Verification of Tobacco Use Status

  1. Subscribers who attest that they and their covered dependents meet the tobacco use requirements for the 80/20 Standard Plan will also be attesting that they understand they may be chosen for tobacco use testing any time during the Plan year. Testing will be conducted in a private, designated area at the member’s worksite. Health Benefits Representatives will notify members who are chosen on the day of the test.
  2. At the time of testing, members will be asked if they are participating in a tobacco cessation program. If so, they must provide a Physician Certification form as outlined in “Exemptions” below.
  3. Members who refuse testing or who do not pass the tobacco use test will be notified of the consequences, outlined in the “Consequences and Appeal Rights” section below.

Tobacco Cessation Support

Exemptions

Consequences and Appeal Rights