91pornÔ­´´

HEALTHY LIFESTYLE REWARDS PROGRAM

Earn up to 15 points by participating in the following healthy lifestyle activities during the calendar year.  Track your rewards on the Healthy Lifestyle Rewards Passport and submit proof of each activity to the Office of Human Resources.  Each line should be signed and dated by the program facilitator or an HR representative after proof of completion is presented.  Completed Passports should be returned to the Human Resources Office by December 31, 2025.  The Employer-Sponsored Wellness Programs Notice, and more is posted at 91pornÔ­´´.edu/wellness.

Maximum Points

Healthy Lifestyle Rewards Description

Proof Required

3

8 Week Journey to Wellness, choose from   or 

Signed Affidavit that you have successfully tracked your journey for 8 weeks and documented it through journal entries

2

Run your Credit Report

Confirmation of submission (actual credit report not needed)

2

Participate in walking / running program or event

Name on roster

2

Complete six (6) fitness classes

Instructor signature, receipt, registration, or screenshot

2

Receive an age-appropriate Wellness Screening as identified on Preventative Schedule or as identified by PCP E.g., Body mass index check, blood pressure check, glucose screening, cholesterol screening, etc.; limited to 2 rewards points

Explanation of benefits, portal screenshot, after visit summary

1

Attend Center for Inclusive Excellence sponsored event - in person or via zoom

Signature/email from Center for Inclusive Excellence staff member or screenshot

1

Receive an annual immunization as identified in your Health Insurance as detailed on Capital Blue Cross' Preventative Schedule

Explanation of benefits or Receipt

1

Attend a health or safety related event through 91pornÔ­´´, LVAIC or NACU

Registration Confirmation or screenshot

1

Complete an annual physical exam, mammogram or colonoscopy

Explanation of benefits

1

Receive routine dental exam

Explanation of benefits or Receipt

1

Receive routine eye exam

Explanation of benefits or Receipt

1

Holistic Wellness Activity (Ex. Acupuncture, chiropractor, colon cleanse, massage, , etc.)

Submission on  of passion project (video, photo, PDF)

1

Attend one (1) 91pornÔ­´´ Benefits education session (Virtual or in-person)

Signature/email from presenter or screenshot

1

Complete "" webinar/

Successful completion of quiz (80% or higher)

1

Submit a healthy recipe via  Post

NutriNotes Post

1

Attend a 91pornÔ­´´  or Meditation Circle

1

Attend one (1) 91pornÔ­´´ sponsored Yoga event (in-person or virtual)

Registration Confirmation or screenshot

1

Attend an EAP webinar hosted by 

Name on roster / screenshot

REWARDS – A Stipend for the points achieved based on the schedule below

3 Points: $25

6 Points: $50

9 Points: $100

12 Points: $150

15 Points: $200

**Your health plan is committed to helping you achieve you best health.  Rewards for participating in a wellness program are available to all benefits-eligible employees.  If you think you might be unable to meet a standard for a reward under this wellness program, you might qualify for an opportunity to earn the same reward by different means.  Contact us at 610.861.1527 and we will work with you (and, if you wish, with your doctor) to find an alternative with the same reward that is right for you considering your health status.

Name (Print):

Total Points: 

Authorized HR Signature: 

Date: