2019 Program Guide

2

Johnson County has partnered with Bravo, a company that works with employers like

yours to administer engaging wellness programs that produce real results.

Participation in the program is voluntary, but by taking part you will have the

opportunity to earn significant incentives while making strides towards a healthier you.

You have the power to improve your healthcare costs.A healthier you means more time to do what you love.

pg. 2

Table of Contents

How You Save pg. 4

Alternatives pg. 5

Appeals pg. 6–7

How It Works pg. 10

Registration pg. 11

Health Numbers pg. 15

Tools & Resources pg. 16–17

Bravo | 20445 Emerald Parkway Dr. SW, Suite 400 | Cleveland, Ohio 44135 | 844.275.4731

How you save.The County’s wellness program is voluntary. However, if you enroll in the medical plan but choose not to participate, you will miss out on the chance to earn significant financial incentives. If your or your spouse’s medical effective date is May 2, 2019 or later, you are exempt from these activities and will automatically earn the appropriate incentive(s) the current and next year.

Wellness Incentive:To qualify for the wellness incentive(s), the employee and/or spouse must complete one of the two options listed below no later than September 3, 2019. Spouses can only participate if they are on the employees medical plan.

1. Attend an on-site health screening or

physician exam and submit a provider

screening form using the Bravo portal.

2. Complete the Bravo health risk assessment or Voya financial assessment. Spouses are exempt from this activity.

3. Achieve the desired range for at least four of five biometrics in the following categories:

Body Mass Index ≤ 27.5 Waist measurement automatically corrects elevated body mass index (BMI) due to lean muscle mass, even if you fail the BMI goal. (Female ≤ 35 inches, Male ≤ 40 inches)

Blood Pressure ≤ 130/85

HDL Cholesterol ≥ 50 Female; ≥ 40 Male

Triglycerides ≤ 150

Fasting Glucose ≤ 100

Attend an on-site health screening or physician exam and submit a provider screening form using the Bravo portal.

Complete the Bravo health risk assessment or Voya financial assessment. Spouses are exempt from this activity.

Complete 1 group challenge (max out at 2 challenges). Two group challenges to choose from

Complete 2 personal challenges (max out at 16 challenges, two personal challenges = one option).Over 40 options to choose from

Complete 1 Online Health University course (max out at 7 courses).Seven courses to choose from

Complete 675,000 steps (an average of 7,500 steps per day) between April 1 and June 30, 2019

Not sure if you can meet one or more of the goals?

We can work with you and your doctor to find an alternative way to qualify for the full reward. Read more about alternatives and appeals later in this guide. Contact Bravo at 844.275.4731 or visit www.bravowell.com/johnsoncountyks to view your participant portal.

Complete the options below to earn the incentive:

Earn the incentive by completing 8 options through any combination of the below: Example: Attend an on-site screening orphysical exam; complete 2 group challenges;complete 5 Online Health University courses.

TOBACCO INCENTIVE: Employee and spouse can each earn $40/month.

OR

Step 1: Declare whether you, and your covered spouse, use or do not use tobacco through Oracle Employee SSHR.

Step 2: If a tobacco user, that person must complete the S.T.O.P. cessation program administered by Tria Health.

• To ensure timely recording of completion, you must start the program by June 1, 2019.

OUTCOMES PROGRAM:

Employee: $70/month

Spouse: $40/month

OPTION 1

PARTICIPATION PROGRAM:

Employee: $70/month

Spouse: $40/month

OPTION 2

pg. 4

The wellness strategy promotes improved health over time and acknowledges improvement.

If you need help meeting or improving biometric categories, consider the self-proposed

reasonable alternative or medical appeal!

Earn with alternative options. APPLIES TO OPTION 1 ONLY

Online Health University Courses for BiometricsIf you fail a biometric measurement, complete the appropriate course below by the September 30, 2019

deadline to receive credit for that biometric.

BMI/Waist Circumference

Criteria Course

LivingLean*

Blood Pressure LivingEasy

HDL Cholesterol LivingFit

Triglycerides LivingLean*

Glucose LivingWell

*Completion of LivingLean would count for both BMI/WC and triglycerides credit.

Items to Note

• Reasonable alternatives are provided under the Affordable Care Act. Always consult your

medical doctor before starting any new exercise or nutrition program.

• Participants must be actively employed, still enrolled in the medical plan and have completed

the screening or physician exam in order to earn credit for meeting the alternative goal.

• A Reasonable Alternative or Medical Appeal may be submitted until September 30, 2019. 

Please note that your screening must be completed on or before September 3, 2019 before a

reasonable alternative or medical appeal will be processed and credited.

Bravo offers a medical appeal process (see next page) if you believe your results are incorrect or think you may qualify for a medical exception. Please contact Bravo by September 30, 2019 at 844.275.4731.

Self-Proposed Reasonable AlternativesSelf-proposed reasonable alternatives can be used to satisfy all unmet biometric values.

Complete and submit one of the following:

• Complete a self-proposed form by creating 3 healthy goals and tracking your

progress for one month.

• If one of the goals is to take medication that your doctor prescribed, proof of

the prescription must be attached.

• Take part in Walk Kansas and submit your Walk Kansas Certificate.

Bravo does not share personal health information with the County and works directly with the employee to achieve a personal goal.

pg. 5

Medical Appeals Available to Option 1 participants only.

Type 1:

You’re disputing the accuracy

of your results.

Type 3:

You’re submitting lab documentation

verifying that the previous year’s

wellness strategy desired ranges are

now met. Upon Bravo Appeal review,

you may qualify for the wellness

incentive mid-year.

Type 4:

You’re appealing due to an

ADAAA-recognized disability or

FMLA leave.

Type 2:

Your healthcare provider feels it

is unreasonably difficult to meet

the desired range value due to a

medical condition, or it’s medically

inadvisable for you to meet the

goals or alternative.

1. Visit www.bravowell.com/ johnsoncountyks to download your appeals form.

2. Visit your doctor and bring the appeals form.

3. File your appeal (via fax, mail or email) by the deadline listed on your results letter.

pg. 6

FAQ: Appeals

What if I don’t meet my program goal? Is there an alternative?

Since your program requires the achievement of goals, there may be alternative ways

to qualify. You will be provided the information you need to request an alternative

goal in your results letter. Alternatives are typically based on improvement from prior

results or on completion of a program that is related to health improvement within a

certain biometric. Contact Bravo and we will work with you (and, if you wish, with your

physician).

Where do I obtain an appeals form?

You can find and download an appeals form by visiting your participant portal at

www.bravowell.com/johnsoncountyks or by calling Bravo toll-free at 844.275.4731 to

receive it via email or mail.

How soon should I file an appeal?

You should begin working with your physician to complete the appeal form and provide

any additional documentation needed as soon as you know you did not meet the desired

range for 4 of 5 lab values. Medical appeals must be filed by September 30, 2019. Submit

your appeal and supporting documentation via fax, by mail or by email.

Who pays for the retesting when an appeal is submitted?

Any retesting will be at your expense.

What if my results are not consistent with recent tests?

In the event that screening results differ significantly from recent medical results, a Type 1

(dispute of accuracy) appeal may be submitted with supporting documentation before

the September 30, 2019 deadline.

What if I have a medical condition and I cannot meet the goal or the alternative

goal (if applicable)?

If the County’s goal(s) or reasonable alternative goal(s) are considered unreasonably

difficult due to a medical condition or medically inadvisable (Type 2 appeal), Bravo

manages appeals and coordinates personalized alternatives for these goals. Contact us

for more information.

Want to know more about our appeals process? Visit your personal dashboard on the

Bravo portal.

pg. 7

Don’t forget.Keep these important dates and deadlines in mind. The 2019 program kicks-off on January 3, 2019!

Register for Your Wellness Program:

January 3 – September 3, 2019

Declare your tobacco status on Oracle portal:

January 2 – September 3, 2019

Complete an Assessment Option:

January 3 – September 3, 2019Spouses are exempt from this activity.

Complete On-Site Health Screening:

February 2019 – July 2019

Submit Your Physician Screening Form:

January 3 – September 3, 2019

Register for Tobacco Cessation Program:

January 3 – June 1, 2019

Reasonable Alternatives & Appeals Window:

January 3 – September 30, 2019

Receive Your Incentive:

January 1, 2020 – December 31, 2020pg. 8

pg. 9

Here’s how it works. Visit www.bravowell.com/johnsoncountyks to get started.

1. Create a Bravo Account & Register for the Bravo Program

Visit the URL above and follow the step-by-step instructions to create an account,

or log in if you have accessed the site in the past. Complete the registration step

by providing Bravo with your updated information, ensuring your results are

delivered quickly and accurately. You will be able to view and track your incentive

status through this account.

2. Complete Your Screening One of Two Ways:

A. Schedule an On-Site Screening Appointment

Follow the step-by-step instructions to schedule your screening

appointment.  The County is offering limited on-site screenings at

pre-determined locations county-wide. 

B. Screen with Your Provider (preferred by the County)

You can also opt to download the provider screening form to visit your own

provider or an approved clinic.

3. Complete Bravo’s Health Risk Assessment or Voya’s Financial Assessment

(Employees Only • Spouses are exempt from this activity)

Bravo’s Health Risk Assessment (HRA) blends your responses to health-habit

questions with biometric data from your screening. (PLEASE NOTE: In order for

this step to be considered complete and to receive a comprehensive report,

full participation in the biometric screening is required. These results and your

questionnaire answers generate a personalized, private report that highlights

information regarding your current health status, areas of risk, and suggestions on

how to improve your overall health.

Voya’s Financial Assessment is an interactive educational experience to help

guide you to a healthier financial life. The Financial Wellness Experience offers

you a comprehensive understanding of where you are financially and what you

can do about it. The experience begins with an assessment of six financial wellness

pillars: 1) debt management, 2) emergency savings, 3) protection, 4) retirement, 5)

spending and 6) saving. Visit voyaretirementplans.com to access.

Once the assessment is completed, you can see a personalized dashboard with

a summary of areas for improvement and the best next steps to take meaningful

action for a stronger sense of control and well-being. This allows you to live for

today, while preparing financially for tomorrow.

pg. 10

FAQ: Program Overview

Does everyone have to participate?

No, participation in this program is voluntary. However, if you choose not to

participate and you’re enrolled in the health plan, you will miss out on the

chance for significant financial rewards, in the form of discounts to your

insurance premium. Employees under age 18 are not eligible to participate.

How will I receive my results?

Visit www.bravowell.com/johnsoncountyks to view your results on your

secure account. You will receive an email notification to alert you when they

are available. Bravo will also mail a results letter to your home, unless you

choose to receive an electronic copy only when you register. If you have not

received your results letter within three weeks of completing your screening,

contact Bravo immediately.

Will my employer see my results?

No, Bravo will not share your individual results with the County. They will be

given a summary of the number of wellness dollars each employee received

as a result of the health screening, but will not know specifics regarding

categories or laboratory results. The County may request that your results be

sent to an approved third party for coaching or to be included in your health

risk assessment.

Do spouses need to be screened?

Since studies show that engaging spouses can help improve the health of

the employee, the County is encouraging spouses to be screened and is

rewarding them for meeting goals.

Is this program legal? Can my employer really base my premium on my

health results?

Bravo administers programs in compliance with the Affordable Care Act’s

(ACA) Incentives for Non-Discriminatory Wellness Programs in Group

Health Plans. This allows employers to adjust healthcare cost for those on

the health plan who meet certain health goals. At Bravo, we also adhere to

the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and

Protected Health Information (PHI) protocols. This ensures that your personal

information, including your results, will not be shared with any unauthorized

parties, including the County.

pg. 11

I recently had a preventive health screening. Can I submit those results?

Bravo will accept results from health screenings that include all required biometrics

and took place on or after January 1, 2019 and before September 3, 2019. To submit

recent screening results, your physician needs to complete a provider form and you

need to submit it to Bravo.

What type of appointment am I scheduling?

When calling your healthcare provider’s office to schedule your appointment,

tell them you would like to schedule a “preventive screening visit” or an “annual

wellness visit.” These are the frequently used industry terms and your provider’s

office should be able to easily accommodate your request. The County’s medical

plan covers one annual exam/ visit per calendar year.

If a blood test is required, what type should I request?

Your doctor’s office should perform a standard lipid panel blood test for you. For

the most accurate results, fasting 9 to 12 hours prior to your health screening

is recommended.

What should I bring with me to the appointment?

Do not forget to bring your provider screening form. Visit www.bravowell.com/

johnsoncountyks to download and print it. Your healthcare provider is required to

fill it out and sign it. The County’ Benefits Department cannot download this form.

Who is permitted to sign the form or complete the screening?

Your provider must be an M.D., N.P., P.A. or D.O. to sign the form. Please remember

that a participant signature is also required to process the form. If you are filing an

appeal due to pregnancy, a certified nurse midwife (CNM) is also considered an

approved provider.

Once completed and signed, can my healthcare provider submit my form?

Your healthcare provider can fax the form and lab work results to Bravo on your

behalf. However, as the participant, it is ultimately your responsibility to ensure the

completed form is sent to Bravo on or before September 3, 2019. Bravo recommends

that you submit your results personally and retain a record of your submission.

FAQ: Provider Screenings

pg. 12

How do I submit my provider form to Bravo?

1. Scan your completed provider form onto your computer.

2. Log on to your participant portal.

3. Click on the “Upload Document” button.

4. Upload documents and click “Submit.”

You also have the option to fax your completed form to Bravo. The fax number is listed on your provider form.

pg. 13

Have a smooth screening. Follow these steps to ensure a successful screening experience:

Arrive 5 minutes early with your ID. This is required to properly verify your identity.

Fast for 9-12 hours prior to your screening for accurate cholesterol and glucose results. You may have water and black coffee/tea. Take all medications as prescribed.

For an accurate blood pressure result, do not consume tobacco or caffeine 30-60 minutes prior to screening.

For an accurate blood pressure result, no strenuous activity 30 minutes prior to screening and try to be as relaxed as possible at least 5 minutes before.

Drinking 6-8 oz. of water before your screening and making sure you aren’t cold helps make your blood draw easier.

Bring a Photo ID

Fast From Food

Avoid Tobacco & Caffeine

Avoid Exercise & Stress

Stay Hydrated & Warm

DON’T FORGET!

Carefully read and sign your screening form.

Additional screening information.Remove your shoes and empty your pockets. The

health professional will want to make sure your

height and weight are accurately captured. Height

will be recorded to the nearest 1/4 inch. Weight will

not be rounded.

The waist measurement will be taken at the navel

using a 360 degree spin method, rounding to the

nearest 1/4 inch.

Your pulse will be recorded for 60 seconds.

The blood draw will take place after your blood

pressure reading has been recorded. No more than

three attempts at the blood draw should be made.

Both the second and third attempts require your

approval.

If you can, wear a shirt that allows you to have the blood pressure cuff directly on your skin.

Dress Appropriately

A second blood pressure reading will be taken only if

your first reading is greater than or equal to 120/80.

pg. 14

Understand the story behind the numbers.

BMI: your body’s check engine light

Your weight to height distribution, or

BMI, gives you a glimpse of your overall

health. It’s not a perfect measure, but if

your BMI is out of the healthy range and

you’re not a bodybuilder, your weight

may be putting you at risk for a number

of health problems.

Blood pressure: the traffic

in your arteries

Like on a highway, too much traffic in

your arteries causes accidents. When

your blood pressure is high, the tubes

that transport your blood get blocked or

break easily from the force of the blood

pushing against them.

Cholesterol: the trash truck

Processed foods are often full of bad

cholesterol that can clog your arteries.

But good cholesterol in beans, grains

and fruits scoops up the bad cholesterol

and dumps it into your liver so it can be

removed from your body.

Glucose: brain food

When you eat more carbs than your

body needs, the leftovers get turned

into glucose. Your brain and many

other cells need glucose for energy,

but too much can lead to diabetes and

other serious diseases.

Triglycerides: battery packs

Our bodies are built to store up

energy for later in fatty blobs called

triglycerides. Most of the time, we

don’t need the extra energy, so extra

triglycerides, stored in fat cells, get in

the way by blocking our arteries if we

don’t burn them through exercise.

Want to know more?

Take advantage of the tools and

resources available to you on your

participant portal.

Cholesterol: the trash truck.

Glucose:brain food.

Blood pressure: the traffic in your

arteries.

BMI: your body’s check engine light.

Triglycerides: battery packs

pg. 15

Stay strong.Visit your portal to take

advantage of free tools

and resources to improve

your health.

pg. 16

Discover a healthier you.

WELLNESSCHALLENGES

EXERCISE VIDEOS

TRACK DAILY FOOD &

ACTIVITIES

MEAL PLANS & RECIPES

ONLINECOURSES

To access the tools…

Simply visit www.bravowell.com/johnsoncountyks to log on to your health

engagement portal and scroll down to “Wellness Tools and Resources.” Under “Access

Your Healthy Resources,” click “Get Started.”

Purpose: Find your 4 P’s – purpose, passion,

potential and people.

Financial: Get real with your current finances

and look at your financial life holistically.

Physical: Increase physical activity with

suggestions for different exercises.

Brainy: Exercise and activate your brain

with trivia.

Peer-to-Peer: Find ideas and activities to

complete with a friend, coworker, neighbor, etc.

Balance: Create and maintain work/life balance.

Nutrition: Practice healthy nutrition/eating

habit ideas.

Community: Get involved in your local

community.

Reported lower stress levels

(with LivingEasy)47%

Reduced levels of alcohol

consumption (with LivingSmart)52%

Quit smoking tobacco

(with LivingFree)33%

Increased physical activity

(with LivingFit)77%

Reduced BMI more than

5 percent (with LivingLean)53%

The Online Health University

You can choose from various video-

based courses with topics such as weight

reduction, nutrition, stress management,

sleep management, diabetes management

and exercise.

Individual Challenges

Individual challenges will get you thinking

of fresh ways to engage in different areas

of focus.

pg. 17

EEOC Privacy Notice

Federal law requires employers that offer wellness programs that collect employee health information to provide a notice to employees

informing them what information will be collected, how it will be used, who will receive it, and what will be done to keep it confidential. The

notice below fulfills these requirements.

Notice Regarding Wellness Program

Johnson County has contracted with Bravo Wellness, LLC to administer all or part of its voluntary employee wellness program. The

program is administered according to federal rules permitting employer-sponsored wellness programs that seek to improve employee

health or prevent disease, including the Americans with Disabilities Act (ADA) of 1990, the Genetic Information Nondiscrimination Act

(GINA) of 2008, the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA), as applicable, among

others. If you choose to participate in the wellness program you may be asked to complete a voluntary health risk assessment or “HRA”

that asks a series of questions about your health-related activities and behaviors and whether you have or had certain medical conditions

(e.g., cancer, diabetes, or heart disease). You may also be asked to complete a biometric screening or other examinations, which may

include a blood test for cholesterol levels (Total, HDL, LDL), triglycerides, serum cotinine (nicotine) and glucose as well as a blood pressure

reading(s), height, weight, waist measurements and your pulse. When possible, your blood specimen will be confidentially processed by a

laboratory that provides a panel of common preventive wellness measures provided solely for your information.

The information from your HRA and the results from your biometric screening will be used to provide you with information to help you

understand your current health and potential risks, and may also be used to offer you services through the wellness program, such

as targeted health education, online and telephonic health coaching and health challenges. You also are encouraged to share your

results or concerns with your own provider. You are not required to complete the HRA or to participate in the screening or other medical

examinations.

However, if you choose to participate in the wellness program you may receive an incentive for participating. More specific details

regarding the wellness program, including how incentives are earned can be found in the Program Guide.

As noted in the Program Guide, a portion of the incentives available may be linked to certain health-related activities or to the

achievement of certain health outcomes. If you are unable to participate in any of the health-related activities or achieve any of the

health outcomes required to earn an incentive, you may be entitled to a reasonable accommodation. You may request a reasonable

accommodation or an alternative standard by contacting Bravo Wellness at 844-275-4731. See the Program Guide for more details

concerning reasonable alternatives. Additional information will be provided to you in your results summary as well.

Protections from Disclosure of Medical Information

We are required by law to maintain the privacy and security of your protected health information (PHI). Although the wellness program

and the County may use aggregate information collected to design a program based on identified health risks in the workplace, Bravo

Wellness and its contracted partners will never disclose any of your personal medical information either publicly or to the employer,

except as necessary to respond to a request from you for a reasonable accommodation needed to participate in the wellness program,

as necessary to support health plan or wellness program administration or as permitted by law. In no event will medical information that

personally identifies you that is provided in connection with the wellness program be used to make decisions regarding your employment.

Your health information will not be sold, exchanged, transferred, or otherwise disclosed except to the extent permitted by law to carry

out specific activities related to the wellness program, and you will not be asked or required to waive the confidentiality of your health

information as a condition of participating in the wellness program or receiving an incentive. Anyone who receives your information for

purposes of providing you services as part of the wellness program will abide by the same confidentiality requirements.

In addition, all medical information obtained through the wellness program is required to be maintained separate from your personnel

records, information stored electronically will be encrypted, and no information you provide as part of the wellness program may be used

in making any employment decision. Appropriate precautions will be taken to avoid any data breach, and in the event a data breach

occurs involving information you provide in connection with the wellness program, we will notify you immediately. You can ask to see or

get a copy of the health information we have about you. We may charge a reasonable cost-based fee.

You may not be discriminated against in employment because of the medical information you provide as part of participating in the

wellness program, nor may you be subjected to retaliation if you choose not to participate.

If you are a member of the County-sponsored health plan, the provisions of the health plan privacy notice may also apply. Please contact

your health plan administrator for a copy of the notice. If you have questions or concerns regarding this notice, or about protections

against discrimination and retaliation, or if you would like a paper copy of this notice or a copy of Bravo’s Privacy Statement mailed to

you, please contact Bravo Participant Services at 844-275-4731. Bravo’s Privacy Statement is also located on the

Bravo website at http://www.bravowell.com/privacy-statement/.

WE LOOK FORWARD TO HEARING FROM YOU

Toll-Free 844.275.4731

Support/Help support@bravowell.com

www.bravowell.com