Earn Your Incentives – It Makes Dollars and Sense

A $750 monthly spousal surcharge will apply if your spouse works and has access to medical coverage through their employer and elects to enroll in the Diocesan Health Care Plan for primary coverage.

• Annual Physicals: Your physician needs to certify that you are current with your age, and gender appropriate preventive care by May 1, 2024, by completing the 2024 Annual Physical and Tobacco Attestation Form (APTA Form). Remember, if your spouse is enrolled in family medical coverage, then both of you must have your physical exams certified in order to earn the preventive care incentive. The incentive rate will be effective July 1, 2024. If you need a copy of the APTA Form, there is a downloadable PDF available at: www.MyDOCBenefits.com or contact the Employee Benefits Office.

• Non-Smoking Incentive: To earn the tobacco-free incentive, you must sign the Tobacco Attestation section of the annual Physical and Tobacco Attestation Form (APTA Form). You must complete this section of the APTA Form by May 1, 2024. If you are NOT a tobacco user, then your incentive rate will be effective July 1, 2024. Regardless of your tobacco use, you still must complete the tobacco-use certification portion of your APTA Form and indicate your tobacco use by May 1, 2024.

• Spousal surcharge waiver: an updated Working Spouse Verification form must also be received by the Health Benefits Office by May 1, 2024 for persons covering a spouse under our plans in order to avoid the spousal surcharge.

If you ARE a tobacco user and ready to be tobacco-free, enrolling in the Medical Mutual of Ohio QuitLine tobacco cessation program by calling (866) 845-7702 by May 1, 2024 will also earn you the incentive effective on July 1, 2024.

Once you have enrolled in the QuitLine program, you must complete the program within 90 days of enrollment. The QuitLine will report your completion of the tobacco cessation program directly to the Diocese. Remember, if your spouse is enrolled in family medical coverage, then both of you must be tobacco-free or have enrolled in the QuitLine program and complete the program in order to earn the tobacco-free incentive.