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Forms & Incentives

The SLCo Employee Wellness Program provides incentives to reward participants for their engagement in the program.

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Notice Regarding Wellness Programs

Salt Lake County’s (SLCo) Employee Wellness Program and WellSteps is a voluntary wellness program available to all employees and spouses/adult designees. The program is administered according to federal rules permitting employer-sponsored wellness programs that seek to improve employee health or prevent disease, including the Americans with Disabilities Act of 1990, the Genetic Information Nondiscrimination Act of 2008, and the Health Insurance Portability and Accountability Act, as applicable, among others.

In efforts to support the health and wellbeing of our employees and spouses/adult designees, SLCo Employee Wellness asks that all participants complete an annual physical. This exam is required for any participant seeking any monetary incentives through the program. Points will be tracked through WellSteps.

Employees and spouses/adult designees who are benefit eligible or enrolled on the medical plan who choose to participate in the wellness program will be eligible to each receive a cash incentive of up to $250. Note that this and some other financial incentives will be subject to income tax for the employee who receives this benefit/incentive. Employees and spouses/adult designees who are enrolled on the high deductible medical plan and choose to participate in the wellness program will be eligible to each receive up to a $275 HSA contribution.

You may be asked to complete a voluntary Personal Health Assessment or "PHA" that asks a series of questions about your health‐related activities and behaviors. While it is not required, you will have the opportunity to complete a biometric screening/blood test through your physician. Results will be recorded by your provider on the annual physical form, which will include blood pressure, glucose, cholesterol, and HbA1c. The information from your PHA and the results recorded on your physical form may be used to provide you with information to help you understand your current health and potential risks, and may also be used to offer you services through the wellness program, such as wellness activities, seminars, tips for a healthy lifestyle, etc. If you are unable to participate in any of the health‐related activities or achieve any of the health outcomes required to earn an incentive, you may be entitled to a reasonable accommodation or an alternative standard. 

Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with your written authorization. If you authorize us to use or disclose health information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization we will no longer use or disclose health information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your authorization, and that we are required to retain our records of the payment activities that we provided to you.

We are required by law to maintain the privacy and security of your personally identifiable health information. De‐identified population health information will be used by SLCo Employee Wellness and WellSteps to design health programs based on identified risk in the workplace. Neither entity will ever disclose any of your personal information either publicly or to the employer, except as necessary to respond to a request from you for a reasonable accommodation needed to participate in the wellness program, or as expressly permitted by law.

Medical information that personally identifies you that is provided in connection with the wellness program will not be provided to your supervisors or managers and may never be used to make decisions regarding your employment. Your health information will not be sold, exchanged, transferred, or otherwise disclosed, except to the extent permitted by law to carry out specific activities related to the wellness program, and you will not be asked or required to waive the confidentiality of your health information as a condition of participating in the wellness program or receiving an incentive.

Anyone who receives your information for the purpose of providing you with services as part of the wellness program will abide by the same confidentiality requirements. The only individuals who will receive your personally identifiable health information are WellSteps personnel and Employee Wellness team members in order to provide you with services under the wellness program. In addition, all medical information obtained through the wellness program will be maintained separately from your personnel records, information stored electronically will be encrypted, and no information you provide as part of the wellness program will be used in making any employment decision. Appropriate precautions will be taken to avoid any data breach. In the event a data breach involving information you provide in connection with the wellness program occurs, we will notify you immediately.

You may not be discriminated against in employment because of the medical information you provide as part of participating in the wellness program, nor may you be subjected to retaliation if you choose not to participate.

If you have questions or concerns regarding this notice, protections against discrimination and retaliation, or would like to request a reasonable accommodation or alternative standard, please contact SLCo Employee Wellness. 

Salt Lake County Employee Wellness

385-468-4062

2001 S State Street , Ste S2-600
Salt Lake City, Utah 84190

8AM-5PM
Monday - Friday

Medical Forms & Verifications

The SLCo Employee Wellness Program provides points for selected verified medical exams.

Participants can earn points for receiving medical exams and select vaccinations by uploading medical verifications to their personal WellSteps account. Acceptable forms of verification include a practitioner-signed medical form, a doctor's note, or a copy of your explanation of benefits (a statement that your insurance company sends that summarizes the health care services you received). We do NOT accept a screenshot of the appointment reminder or private medical records.

Participants can submit verifications using any of the following methods:

  • Upload verification to personal WellSteps account
  • Email verification to Employee Wellness
  • Courier verification to GC S2-600 with the note "Attn-Employee Wellness"
  • Drop Box outside of S2-500 (Healthy Me Clinic)
WellSteps

SLCo Employee Wellness

Earn an additional 50 points by completing the Annual Physical Form with your healthcare practitioner and upload the completed document on to WellSteps or email to Employee Wellness.

A pair of headphones.

Annual Physical Form English
A pair of headphones.

Annual Physical Form Spanish
WellSteps

SLCo Employee Wellness

SLCo Employee Wellness Incentives

The SLCo Employee Wellness program rewards participants for investing in their health and wellness.

All SLCo employees and spouses/adult designees who are eligible for benefits are eligible for the annual SLCo Employee Wellness $250 annual cash incentive and the $275 Health Savings Account (HSA) incentive. Annual cash and HSA incentive amounts are based on the level of participation in the SLCo Employee Wellness Program. 

Note: You do not need to utilize county benefits to receive the annual cash incentive, participants just need to be eligible for benefits. Participants who are NOT eligible for benefits can still participate in the SLCo Employee Wellness Program and earn prizes.

To receive an annual cash incentive and Health Savings Account (HSA) incentive, participants must complete an annual physical exam with a healthcare practitioner and submit verification to the SLCo Employee Wellness each year.

The SLCo Employee Wellness annual cash incentives are based on a point system. The more points participants accumulate the higher the annual cash and HSA incentives. Participant incentives will be issued on the SLCo employee's paycheck in December of each year while HSA Incentives will be issued into the participant's Fidelity accounts in January. Please note that annual cash incentives to employees' paychecks are taxable due to IRS Memo 201622031.

Points Cash Incentive HSA Incentive
150-449 $50 $50
450-699 $175 $175
700-899 $200 $200
900+ $250 $275
IRS Memo 201622031

Participants begin earning points January 1st and conclude point earnings on October 31st of each year. Incentive amounts are determined by the number of points participants earned between January 1st and October 31st. Participants earn points by completing the following activities:

  • Submit verifications of complete medical exams and vaccinations
  • Engage in Employee Wellness sponsored programs
  • Attend virtual and/or in-person events and workshops
  • Track healthy behaviors in WellSteps
  • Listen to the Employee Wellness Wellcast
  • Participate in Corporate Games
  • Read monthly newsletters and health hub articles
WellSteps

Participants who are enrolled in the SLCo Health Savings Account (HSA) health plan, receive an annual physical from a healthcare practitioner, and is an active SLCo Employee Wellness participant is eligible for an HSA incentive of up to $275 a year.

HSA incentives are deposited into participant's Fidelity accounts in January of each year.

  • Participants switching to a traditional health plan must contact the SLCo Employee Wellness Program by December 1st to receive their HSA incentive before the end of the calendar year.
  • Upcoming retirees must inform the SLCo Employee Wellness program 30 days before their last paycheck to receive HSA incentives based on their current points as long as their previous payment was NOT within the last six months.
  • Employees switching to a non-benefits eligible position or leave the county for reasons other than retirement forfeit their HSA incentive.

Frequently Asked Questions

New participants can join at any time by emailing us. Participants will have from their start date, to October 31st to earn points to go towards their cash and HSA incentives. 

SLCo Employee Wellness

All county employees and their adult designees can participate in the Employee Wellness program. If you are not eligible for benefits, you can earn prizes but are not eligible for the cash and HSA incentives.

Yes, spouses of benefits-eligible employees can join the Employee Wellness Program and earn monetary incentives that are distributed to the employee's paycheck and Health Savings Account (HSA) if they are enrolled county's HSA program.

 An adult designee can be your significant other to whom you are not married or a family member with whom you share a relationship. In order to qualify, you and your designee must meet certain criteria which includes:

  • Adult designee status for an eligible adult (a child must be over the age of 26 and not disabled) who is:
    • Both unmarried and over age 18
    • Proof of joint expenses
  • If you meet the criteria, you must complete an adult designee affidavit and supply the required financial documentation within 31 days. Affidavit found under Adult Designee link on slco.org/human-resources/benefits/ insurance-benefits/
  • The IRS taxes an “imputed income” for this benefit, which will include an additional cost from your paycheck.
  • The definition of imputed income is the taxable amount an employee pays when adding coverage for an adult
    designee or the children of an adult designee to coverage.
  • Your children up to age 26, regardless of student or marital status (except for life insurance).
    • The child will be removed from coverage at the end of the month they turn 26. COBRA coverage will be offered.
    • Your children of any age with a qualifying disability determined by the health plan. 

Employee Wellness participants use WellSteps to log their points. Log in using your EIN as your username or EIN+1 for spouses and adult designees.

All Employee Wellness cash incentives will be administered to the employee's paycheck in December of each year. Health Savings Account (HSA) incentives are issued to employee's Fidelity accounts in January of each year.

According to the IRS Memo 201622031, an employer may not exclude from an employee's gross income payments of cash rewards for participating in a wellness program. 

The Salt Lake County Employee Wellness program offers a variety of online programs, virtual workshops, virtual classes, and in-person events that span from Clark Planetarium to Herriman Library. We recruit Employee Wellness ‘champions' to coordinate wellness events at their worksite. Email us if you are interested in becoming an Employee Wellness champion.