Incentives for nondiscriminatory wellness programs in group health plans. Final rule

Fed Regist. 2013 Jun 3;78(106):33157-92.


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.

MeSH terms

  • Health Benefit Plans, Employee / legislation & jurisprudence*
  • Health Insurance Exchanges / legislation & jurisprudence
  • Health Insurance Portability and Accountability Act / legislation & jurisprudence*
  • Health Promotion / legislation & jurisprudence*
  • Health Status
  • Humans
  • Insurance Benefits / legislation & jurisprudence
  • Insurance Coverage / legislation & jurisprudence
  • Motivation*
  • Patient Protection and Affordable Care Act / legislation & jurisprudence*
  • Reward*
  • Social Discrimination / legislation & jurisprudence
  • Social Discrimination / prevention & control*
  • United States