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Get the free SmartHealth Wellness Program Attestation Form - Health Care ... - hrs wsu

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To get the wellness incentive, you must be an eligible WEBB medical coverage ... To see our Privacy Notice, go to www.hca.wa.gov/pebb. ... HCA 50-225 (4/14).
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How to fill out smarthealth wellness program attestation

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How to fill out smarthealth wellness program attestation:

01
Obtain the attestation form: Contact the relevant authority or your employer to request the smarthealth wellness program attestation form. It may be available online or provided in a physical format.
02
Read the instructions: Carefully go through the instructions provided with the attestation form. Understand the purpose of the attestation and the specific requirements you need to fulfill.
03
Provide personal information: Fill in your personal details accurately, including your full name, date of birth, contact information, and any other information requested on the form. Make sure to provide the information exactly as it appears on your official documents.
04
Complete the wellness program details: Provide information about the smarthealth wellness program you are participating in. This may include the program name, duration, and any additional details required by the attestation form.
05
Sign and date the attestation: After completing all the relevant sections of the attestation form, sign and date it as per the instructions. This confirms that the information you have provided is true and accurate to the best of your knowledge.
06
Submit the attestation: Depending on the instructions, you may need to submit the attestation form to your employer, a designated department, or any other specified entity. Ensure that you follow the submission guidelines provided to ensure your attestation is properly processed.

Who needs smarthealth wellness program attestation:

01
Employees: Typically, employees of organizations that offer a smarthealth wellness program may need to complete the attestation. This helps employers track participation and ensure compliance with wellness program requirements.
02
Program participants: Individuals who are actively enrolled or participating in a smarthealth wellness program may also be required to complete the attestation. This helps track program utilization and determine eligibility for associated benefits or incentives.
03
Policyholders: If you have health insurance coverage through a provider that offers a smarthealth wellness program, you may be asked to complete the attestation to validate your participation in the program and potentially access associated benefits or discounts.
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Smarthealth wellness program attestation is a certification process to confirm compliance with the requirements of the program.
Employers offering the smarthealth wellness program are required to file the attestation.
The attestation can be filled out online through the designated portal provided by the program administrators.
The purpose of the attestation is to ensure that employers are following the guidelines and requirements of the smarthealth wellness program.
Employers need to report details of their wellness program activities, participation rates, and outcomes.
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