APPENDIX J

HEALTH CARE MANAGEMENT PROGRAM (WELLNESS PROGRAM)

The following elements shall be included in a health care management program (wellness program).

1. A wellness program shall be made available by no later than July 1, 2008. The Pennsylvania State System of Higher Education shall consult with the Health Care Cost Containment Committee regarding the elements and implementation of the program, prior to the issuance of the RFP for the wellness program and prior to the award of the contract.

2. There shall be no pre-existing condition exclusion for participation in the wellness program.

3. The wellness program shall be made available to active faculty members and covered spouses/domestic partners in the PPO and indemnity plans.

4. New faculty members enrolled in the PPO plan and hired (not date of acceptance of contract) less than 30 days prior to the cut off date(s) for completion of the healthcare management program requirements will automatically contribute at the participant level as set forth in Article 21, Section A.3. b, c, and d, and Section A.5.b, c, and d. The faculty member and covered spouse/domestic partner must complete the health care management program requirements by the next cut off date in order to continue to contribute at the participant level for the next fiscal year.

Faculty and covered spouses/domestic partners who elect not to complete the health care management program requirements will be eligible to contribute at the participant level as set forth in Article 21, Section A.3. b, c, and d, and Section A.5.b, c, and d in subsequent fiscal years provided that they complete the requirements by the completion cut off date.

5. Personal health information provided through the wellness program shall be protected by the Health Insurance Portability and Accountability Act (HIPAA).

______________________________ ________________________________

APSCUF Date STATE SYSTEM Date