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FY 2015-16 Wellness Credit Requirements 1st Quarter – July 1, 2015 – September 30, 2015 2nd Quarter – Oct. 1, 2015 – December 31, 2015 3rd Quarter – Jan. 1, 2016 – March 31, 2016 4th Quarter – April 1, 2016 – June 30, 2016 To receive credit for the reduced insurance rates each quarter, you must: For 1st, 2nd, & 4th Quarters, choose ONE of the following Wellness Activity options per quarter: 1. Participate in an Ogden City Wellness Activity/Contest 2. Participate in a Krames-Staywell online health challenge or activity 3. Complete a Krames-Staywell digital coaching program 4. Complete an Ogden City wellness class/program or workshop (i.e. Lunch & Learn class, Weight Loss Program, Smoking Cessation Program) 5. Complete an Ogden City Wellness sponsored event (i.e. hike, bike ride) 6. Physical Exam (or mammogram, pap smear, prostate, colonoscopy) – submit SelectHealth Explanation of Benefit (EOB) or dr.’s note as proof 7. Dental Exam – submit SelectHealth EOB or dr.’s note as proof 8. Eye Exam – submit SelectHealth’s EOB or dr.’s note as proof 9. Flu Shot/Health Fair participation 10. Attend the gym a minimum of 12 times per month per quarter – submit check in report from gym as proof Test results are protected health information and cannot be accepted as proof. To receive credit for the 3rd Quarter, you must complete SelectHealth’s Health Risk Assessment between January 1, 2016 to March 31, 2016. Submit your Wellness proof to Heidi/HR by the last day of the quarter to receive credit for the next quarter. Proof submitted late will receive credit for the next quarter. Call Heidi/HR at [PHONE REDACTED] with any questions.