Turnberry Associates | Cigna Well- Being Award

A WELLNESS PROGRAM PRESENTED BY TURNBERRY ASSOCIATES

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of 8862349_b 03/15 Offered by: Connecticut General Life Insurance Company or Cigna Health and Life Insurance Company.

To apply, please complete and submit the Cigna Well-Being Award® application by following these three simple steps:

1. Download this application to your desktop and complete. 2. “Save As” your company name. 3. Submit your application to [email protected]. Deadline:

Applications will be reviewed by an internal review committee and the Cigna Well-Being Award will be presented at:

Questions? Please contact your Cigna Sales Team and/or email us at [email protected].

Directions

Name Title Address

City State Zip

Phone number Email address

Contact information of person submitting application

CIGNA WELL-BEING AWARD APPLICATION

This paperclip designates an optional attachment. If you have these supporting documents it is recommended to include them when submitting your award application.

Company information

Company name

Industry

Number of employees

Together, all the way.SM

mailto:[email protected]



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1 Building infrastructure

1.1 How does senior leadership drive or support the wellness program? Please give examples of executive leadership, communication and participation. (250 max word count)

1.2 Discuss how your organization’s wellness program is funded. Please include all funding sources (e.g., internal wellness funds, premium differentials/surcharges, grants). (250 max word count)

1.3 How are operational supervisors and managers involved in the wellness program initiatives? (250 max word count)

1.4 Do you have a strategic plan that includes your vision, mission statement, goals and objectives?

1.5 Does your organization have a Wellness Committee? If so, when was the committee created, how/when does the committee meet and what type of decisions is the committee empowered to make? (250 max word count)

1.6 What parts of your company are represented among your Wellness Committee (e.g., HR, senior management, non-management, field staff, representatives from various departments)? (250 max word count)

1.7 Brand, logo, mascot Do you have a wellness program branding, logo, or mission statement?

CIGNA WELL-BEING AWARD® APPLICATION

Yes If yes, please attach

No


No

2.1 Please indicate which of the following most accurately reflect your current workplace polices. Select one response per category.

2.1.1 Tobacco use policy

2.1.2 Physical activity policy

2.1.3 Cafeteria/food service/ vending policy

2.2 Do worksite regulations allow time for employees to take part in Health Promotion initiatives (biometric screening events, attending health improvement classes, etc.)?

(250 max word count)

2.3 Please indicate below how your physical work environment has been structured to support improvement initiatives in the following areas. Please select all that apply.

2.3.1 Physical activity

2.3.2 Onsite health

2.3.3 Designated rooms

Page 3 of 8

2 Policy/environment


No specific tobacco use policy other than applicable state or local regulations

Written employment policy requiring employees to leave company property in order to smoke during work hours

Written employment policy outlawing employees’ use of all tobacco products during work hours, in company vehicles and while performing company business

No specific policy allowing for flexible work arrangements to participate in physical activity during the workday

Written policy allowing flexible work arrangements for employees to participate in physical activity during the workday. (extended lunch break, flexible work schedule)

Written policy allowing employees to participate in physical activity on paid company time

No specific vending/cafeteria or food service policy

Written policy making healthy food options available for vending, cafeteria and catered meetings

Written policy limiting unhealthy foods in catered meetings, while subsidizing healthy food options in vending machines and cafeterias

Fitness room/onsite gym

Bike racks

Walking path/trail

Dispensary/Pharmacy

Onsite clinic (MD/RN)

First aid station

Relaxation room

Lactation-only room

Break room

Other

Walking/standing work stations

Encourage use of stairs

Other

Health coaching room

Defibrillators

Other

Yes

No

3.1 Please indicate if you currently offer any of the following health improvement programs. Check more than one option if applicable.

3.1.1 Smoking cessation

3.1.2 Physical activity

3.1.3 Nutrition

3.1.4 Stress management

Page 4 of 8

3 Program implementation

2 Policy/environment (cont.)


2.3.4 Onsite nutrition

Online Onsite By phone




Cafeteria with healthy options/labels

Employee kitchen

Vending machine with healthy options/labels

Water cooler

Snack bar with healthy options/labels

Farmers’ market/produce stand

Other

3.1.5 Weight management

3.1.6 Chronic condition support (disease management)

3.1.7 Maternity/lactation support

3.1.8 Behavioral/mental health

3.2 Is your wellness program integrated with disability and absence management?

3.3 Do you partner with any local organizations (e.g., food co-op, local hospital – not including local or third-party wellness vendors)? If yes, please explain. (250 max word count)

3.4 Communication plan Does your organization communicate wellness programs to employees?

Page 5 of 8

3 Program implementation (cont.)



No

Yes

No

Yes

No





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4 Data collection and incentives


4.1 How are the results of the health assessments and biometric screenings used to drive health promotion initiatives? (250 max word count)

4.2 How have you gathered feedback and suggestions to enhance your wellness program (focus groups, surveys, testimonials, etc.)? How have you incorporated these to improve the program? (250 max word count)

4.3 Are these results shared with your employees and/or their families?

4.4 Are any incentives offered to spouses and/or adult dependents for any of the following? Health assessment completion, validated biometric screening results, annual physical exam, preventive screenings or health coaching programs.

Yes

Yes

No

No

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What makes a workplace wellness program succeed can vary from one organization to another. Key ingredients to a successful well-being program include senior management support, a culture that promotes health, a strong wellness committee, strategic incentives and communication to drive engagement, creativity and outcomes that make an impact on an employee population. Discuss how your organization utilizes some or all of these key ingredients in your program. Provide a summary of the accomplishments of your health improvement program (reduction in risk shown through biometric screening, health assessment, claims, workers’ comp, absenteeism, etc.) (1,000 max word count)


5 Cigna-Well-Being Award essay

Application checklist

Optional attachments:1. Strategic wellness plan including vision, mission statement, goals and objectives2. Wellness program logo or mascot artwork 3. Communication plan

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Risk identification Participation Participation % Trend (change from previous year)

Health assessment Employees

Employees plus dependents

Biometric screening Employees


Annual preventitive care exam Employees


Age/gender appropriate screenings (for example: mammogram, cervical, colonoscopy)

Employees


Health coaching programs (engagement) Participation Participation % Trend (change from previous year)

Lifestyle coaching (e.g., smoking cessation, weight management, stress management)

Employees


Chronic condition coaching Employees


Other (e.g., onsite coaching, maternity coaching) Please specify: Employees


Incentive activity Eligible participants Type of incentive Annual value of incentive

Health assessment

Biometric screening

Preventive screening (e.g., annual physical, mammogram, colonoscopy)

Health coaching (telephone, online, onsite)

Biometric outcomes (Meet/improve target for BMI/waist circumference, blood pressure, cholesterol, etc.)

Non-tobacco use

Other (e.g., corporate challenge) Please specify:

Use the table below to provide key metrics on the applicable components of your well-being program for the most recent plan year. Please work with your account team to obtain these metrics.

“Cigna”, the “Tree of Life” logo and “Cigna Well-Being Award” are registered service marks, and “Together, all the way.” is a service mark, of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries, and not by Cigna Corporation. Such operating subsidiaries include Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc.

CIGNA WELL-BEING AWARD® PARTICIPATION AND ENGAGEMENT DATA SHEET

862349_b 03/15 © 2015 Cigna. Some content provided under license.

After you complete, please attach this and all other supporting documents. Good luck!

The Cigna Well-Being Award® is only available to existing Cigna clients. Information submitted in the application and the attachments may be used for purposed outside the application process.

A WELLNESS PROGRAM PRESENTED BY TURNBERRY ASSOCIATES

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www.turnberry.com

Turnberry Associates | Cigna Well- Being Award

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