Wellness programs

are Mandated as an Essential Health Benefit Section I.   Final Regulations will increase the greatest permissible reward under a health-contingent wellness program from 20 percent to 30 percent of the cost of health coverage, and that further increase the largest reward to as much as 50 percent for programs designed to prevent or cut tobacco use. (Fact Sheet)  Health Net Q&A 8.9.2013  Kaiser Health Reform Summary last page   Dubai is paying $40/pound of weight loss CNN

How will Covered California health insurance companies improve quality of care?

Covered California and each health insurance company selected are committed to ensuring high quality of care for all enrollees. Specifically, each health insurance plan must:

  • ensure that each enrollee has had a preventive health and wellness visit during the first year of enrollment
  • identify and proactively manage all “at-risk” enrollees [pre-existing conditions]
  • determine each enrollee’s health status and proactively develop a plan to manage their individual health care needs
  • promote the use of best practice models for continuity of care and care coordination that are proven to improve quality of care
  • be transparent about plan performance at the point of enrollment, specifically regarding standard measures of prevention, access and clinical effectiveness
  • be certified by the National Committee for Quality Assurance or URAC (formerly known as the Utilization Review Accreditation Commission) to meet quality standards Covered CA Tentative Rate & Plan Guide Page 8


Health Care Reform – MANDATES Chain Restaurants to provide calories on the Menu! Page 455 Section 4205 HR 3590  Final Rule    Wellness incentives can only be to encourage participation not penalize if goals are not met bizjournals.com   democrat and chronicle.com

29 CFR  2590.702 Health Factors

California Department of Public Health and the state Health and Human Services Agency selected 23 initiatives aimed at supporting California’s goal to become the healthiest state in the country by 2022, the Half Moon Bay Review reports.  CA Healthline 1.7.2016

I expect to see “mandates”  that one keep healthy.  One of these is bike lanes.  LA Times Article



Instant Complementary Health Insurance Proposals, Quotes, Subsidy Calculation and ONLINE Enrollment

Instructions to appoint us as your broker with Covered CA – no additional charge!


Insure Buy International Medical Coverage

InsuBuy International Medical Coverage – Instant Quotes & Enrollment

View each companies Wellness Program

Nutrition Calculators


Functional Medicine & Neurology – Chiropractor Website

Healthy Living Magazine – by Torrance Hospital IPA  THIPA


 The video  shows what Mexico is doing.

Click here for more information in English.

Technical Resources

Wellness - Final Regulations
Final Regulations

Final Regulations


IRS Regulation 122707-12 Wellness Programs – Proposed
amendments to regulations, regarding nondiscriminatory wellness programs, clarifications regarding the reasonable design of health-contingent wellness programs and the reasonable alternatives they must offer to avoid prohibited discrimination.

CA Law SB 189 (Amended 4.22.2013) pdf might prohibit discounts. Life Health Pro article Has been “defeated” 5.20.2013    sb_189.prohibit.discounts.4.wellness    SB 622 2013 Moning

29 CFR  2590.702 Health Factors

Deport Fat People to keep costs down?

New website on dangers of added sugar http://sugarscience.org/

After Deployment Military Wellness Programs http://afterdeployment.dcoe.mil/home

Avoid the sedentary life style  latimes.com/

Historical Info


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