Tobacco-Free Incentive
We offer a tobacco-free incentive that could save you money on your 2021 medical benefits premiums. The incentive is $50 per pay period.
To receive the incentive:
- If you and everyone you cover on your medical plan are tobacco-free, confirm your tobacco-free status when you complete your benefits enrollment.
- If someone on your medical plan uses tobacco, you may still be eligible for the incentive if the tobacco user takes one of these steps:
- Enrolls in the Quit for Life program, which is a tobacco-cessation program that is offered at no cost to Carilion employees and their family members.
- Enrolls in another type of tobacco-cessation program that you pay for.
- Provides a doctor's note stating that it is medically inadvisable or unreasonably difficult to be tobacco-free.
- If you choose an alternative method to receive the tobacco-free incentive, you must submit two forms to Human Resources:
- The Tobacco Use Certification and
- The Qualifying Alternative for the Tobacco-Free Incentive Form
- Both forms and doctor's note, if applicable, need to be submitted to Human Resources by email at HRServiceCenter@carilionclinic.org or fax at 540-857-5209.
During the year, fill out and return both the Tobacco Use Certification and the Qualifying Alternative for the Tobacco-Free Incentive Form to Human Resources by the 15th of the month to begin receiving the incentive the following month.
Resources
Downloads
Name
Tobacco Use Certification Form
Description
Complete form to indicate tobacco-status
Name
Qualifying Alternative Tobacco Use Certification Form
Description
Complete form to qualify for the tobacco incentive
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