fitness reimbursement

NIHCArewards is the headquarters for insurance and employer-sponsored fitness incentive programs. startxref The cost to the employee is determined by the total cost of an annual individual membership at the participating vendors. For 2021, this benefit will continue to cover cardiovascular-related online fitness class subscriptions; fitness equipment is not . 139 65 Healthcare Flexible Spending Account (FSA), Dependent Care Flexible Spending Account (FSA), Benefit Enrollment, Eligibility and Direct Billing. Easily fill out PDF blank, edit, and sign them. Baker Hughes understands the importance of staying fit. According to Aetna, you and your partner can be reimbursed for "up to $150". The LabCorp Fitness Reimbursement Program supports your efforts to stay active by reimbursing you up to $300 per year for eligible fitness-related expenses such as gym memberships, program fees and fitness/exercise equipment. This could include: a computer print out of your visits, receipts that show individual visits to the gym, or verification from your employer that indicates your use of the employers gym. At this time, the cost of an individual annual membership at Gold's Gym and HUD Fitness Center is beneath the USITC's contribution limit set forth in the program policy ($480.00/year or $40/month) and requires no payment . A copy of a receipt or documentation that shows you paid for your membership. Print your name and member ID number on each receipt in case they are separated from the form. You pay, reimburse, or subsidize the cost of . 0000143278 00000 n Standard fitness centers include, but are not limited to: Planet Fitness, Boston Sports Club, YMCA, Crunch Fitness, etc. Fitness Rewards -- GIC Fitness Reimbursement Form -- Tufts Health Plan Author: Tufts Health Plan Subject: eward yourself with fitness rebates and discounts. Health and Fitness Reimbursement Form. if it was elected as their wellness benefit during Open Enrollment, or as a new hire. Save or instantly send your ready documents. You can also get discounted access to numerous health and wellbeing products and specialists. 0000016074 00000 n Overview. Make sure the details you add to the Aetna Fitness Reimbursement Form is up-to-date and accurate. File: Fitness Reimbursement Form 040820 FILLABLE.pdf. For active employees (and eligible spouse), reimbursements will be paid via payroll 0000016624 00000 n However, the reimbursement only applies to certain Blue Cross companies and plans, so you'll need to log into your Blue Cross . $150 back on approved weight loss programs. The reimbursement procedures. 0000071240 00000 n Fitness subsidies, gym reimbursements and fitness rewards are some of the most desired and effective components of a worthwhile corporate wellness employee benefit program, as they lead to more engaged employees.In fact, 86% of mid-large sized employers offer some sort of wellness financial rewards in order to remain competitive in the labor market. Since then, workout facilities have suffered some of the highest pandemic-related losses and may not be a viable option for . 0000021094 00000 n Pick a qualifying fitness center, and visit at least 50 times during a period of six consecutive months. calendar year per family is available; family only includes eligible spouse). Workplace wellness employee benefit programs are in place in a growing number of companies (companies like Google are actually setting the standard for a world-class employee benefit program), and one of the most common is the Gym Reimbursement Program, or Fitness Subsidies.The idea is great, in theory: companies provide employees with a discount or a reimbursement on gym or fitness facilities . of this income as it is considered taxable income. domestic partners. To support you in this effort, we will reimburse you up to $600 per year for eligible services and activities that directly relate to your wellbeing. Programs/items that qualify for reimbursement include: Membership fees at a full-service health club with cardiovascular and strength-training equipment like treadmills, bikes, weight machines, and free weights. How do I request reimbursement for my fitness benefit? Receipts with price only are not valid. Alternatively, you may complete the claim form on the next page and fax it to the toll-free fax number: 877-353-9236 (which is available 24 hours a day). Fitness Reimbursement (25% of your yearly fitness center fees) Fitness Tracker (50% back, up to $50 per family per year) A fitness tracker is a digital device such as a smart watch or pedometer that can be worn and tracks your health & activity levels. The fitness reimbursement for active employees will be subject to taxes and the applicable The use of a recreational facility or club is a taxable benefit for an employee in any of the following situations: You pay, reimburse, or subsidize the cost of a membership at a recreational facility, such as an exercise room, swimming pool, or gymnasium. Keep in mind that this program is not a pre-tax benefit account; its a reimbursement program funded entirely by your employer to help you save money and stay healthy. Click here to learn more about the fitness reimbursement benefit. Note: Reimbursement will not be issued until six months have passed, even if 50 visits have been completed sooner, do not submit your form until after the end of the 6 month period. Subscriber Information (Policyholder) Identification Number on Subscriber ID Card (including first 3 characters) Subscriber's Last Name: First Name Middle Initial: AddressNumber and Street City: $150 reimbursement for programs that help you quit smoking or use of tobacco products. The reimbursement forms will be inactive any other time. employees and their spouses the opportunity to each earn typically between $20 and $50 every month for visiting a fitness . facility and/or exercise class fees (includes online/DVD classes). 0000020939 00000 n You must be covered by AllWays Health Partners for at least three months to . via USPS mail. The fitness benefit reimbursement for $350 will appear in a separate line with its own separate paystub. Associates are eligible for a fitness reimbursement of 50% of their gym membership, fitness . This program reimburses eligible employees up to $300 a year for covered expenses, including an individual employee or family fitness center membership, as well as fitness classes, indoor fitness equipment and personal trainer services for an individual employee. Start completing the fillable fields and carefully type in required information. Log in, register for an account, pay your bill, print ID cards, and more. . 0000013447 00000 n Call Employee Services at 1-800-238-6616, Monday, Tuesday, Wednesday, and Rate: - Month to Month: $130/Month Unlimited* - 12 month Contract: $99/Month Unlimited* *Elite Boxing Fitness offers students and staff 25% off all classes. Active benefits eligible employees only have access to the Fitness Reimbursement Benefit if it was elected as their wellness . 0000143326 00000 n Fitness reimbursement may be considered taxable income. Active membersof a qualifying fitness center (see below for what type of facility qualifies). Reimbursable expenses in this program include: Fitness Center, Health . Customize your document by using the toolbar on the top. No words on whether that's per month, per year, or something else. xref Smart phones do not qualify. Check with Elite Boxing Fitness at 909-279-7956 on whether this discount applies to . Quick steps to complete and eSign Aetna Fitness Reimbursement Form online: Use Get Form or simply click on the template preview to open it in the editor. 0000128516 00000 n . 0000016694 00000 n Gym memberships, group exercise classes, nutrition programs, personal training, and home exercise equipment can all be eligible for reimbursement. hockey league, basketball open gym, climbing . A fitness center must have at least two pieces of equipment or programs from the following list: Your family can be reimbursed up to $600. Site location: Agents; Employers; Medicare; Members; Providers; Log in to post comments The reimbursement is paid once per plan year to the plan enrollee upon proof of membership and payment. We want to help you and your family maintain a well-rounded, healthy lifestyle. <]/Prev 548579/XRefStm 1970>> 0000008332 00000 n Wait until Bcbs Fitness Reimbursement is appeared. Complete the Fitness Reimbursement Form (PDF). How to Edit and draw up Bcbs Fitness Reimbursement Online. You can use three available alternatives; typing, drawing, or uploading one. I am an Employee Fitness Reimbursement. that are led by an instructor, Sport Leagues/drop-in open gym (e.g. Name of Fitness Facility: Total Reimbursement Amount Requested: Month(s) Reimbursement Requested For: For questions about this benefit, limitations and exclusions please call Customer Service at . 0000040886 00000 n and will be subject to applicable tax withholdings. Approved expenses include: Learn how you can be reimbursed for your fitness expenses. family only includes eligible spouse). Our reimbursement process is quick, easy, and online. Reimbursement may be considered taxable income, so you should consult your tax advisor. Fitness Reimbursement. NIHCArewards links workout data from the fitness center level to provide a monthly reimbursement back to the member. Fitness reimbursement comes at no extra cost to you. This reimbursement does not cover any fees for luxury fitness centers, country clubs, The WageWorks Fitness Reimbursement Program can help you save money on the healthy lifestyle choices you and your family make. Please note: Cigna processes the 0000007373 00000 n YMCA members in eligible plans with insurance companies listed below may receive cash back incentives. If a spouse receives reimbursements for the Fitness Up to$100 for 50 visits in a six-month period, and. 0000004037 00000 n fitness reimbursement program. gym, rowing). The right place to access and use this form is here. %%EOF A copy of your current membership bill. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Using Your Insurance. Eligibility. If you enrolled in a fitness class, paid fees towards a gym membership, or participated in another qualifying program, make sure to fill out the reimbursement form. In order to be eligible for reimbursement, participants must be age 18 or older. Certain Community Wellness classes may be eligible for the fitness reimbursement or the weight-loss reimbursement available to members of employee-offered MIT health plans. You and/or your spouse/domestic partner must complete and submit an MBF Member Health and Fitness Reimbursement Program Claim Form and proof of payment from the health club every six months for which you would like to receive reimbursement. Eligible fitness centers Eligible full-service fitness centers generally feature most of the following . I will attempt, in good (4) Subsection 9.2.2.4 has been revised to reflect an updated list of . The best guide to 213 (d) medical expenses is IRS Publication 502. and strength training equipment, Exercise Class Fees -- brick and mortar in-person, online* and DVD exercise classes If you have multiple direct deposit accounts set up in PeopleSoft, your fitness reimbursement amount will be allocated accordingly. Step 2: Pay for monthly membership.. benefit as their wellness benefit. 0000020630 00000 n Retirees enrolled on a Dartmouth-sponsored medical plan have the Fitness Reimbursement Short Term Disability form *Claim and reimbursement forms may not be applicable to all plans. 0000016779 00000 n Student Affairs will notify students when they are accepting fitness reimbursement forms online. Please cross out any personal account identification information not relevant to your reimbursement. 0000006099 00000 n 0000004506 00000 n For tax information, consult your employer or tax advisor. The Fund's Health and Fitness Reimbursement Program provides reimbursement for active and retired members and the member's spouse/domestic partner membership at an MBF approved Health Club and other physical fitness programs such as Citi Bike, Yoga, Class Pass, etc. 0000004543 00000 n Title: Fitness Reimbursement Form Author: UniCare State Indemnity Plan Created Date: Our hassle-free PDF tool can help you acquire your PDF in no time. Medical & Wellness. 0000024369 00000 n Making Changes to Your Coverage. 0000016181 00000 n Home / Documents / Health and Fitness Reimbursement Form. 203 0 obj <>stream . 0000016409 00000 n Fitness Your Way by Tivity Health is one popular offering that features a $29 monthly fee (with a $29 one-time enrollment fee) for access to a network of 10,000 gyms nationwide, so you can still work out for less. 0000041401 00000 n What is the Fitness Reimbursement Program. Fitness Reimbursement form (you can also submit your request in My Plan) Weight Loss Reimbursement form (you can also submit your request in My Plan) . 0000020603 00000 n $150 reimbursement for programs that help you quit smoking or use of tobacco products. hT1HAE^nhq=bqB$PS)ZXZZlMV6[Xk7H?4mn0;!~c?FpYRFQ;#UsnGu]o?. Lifetime membership fees are not eligible for reimbursement. 0000016135 00000 n Call 1-888-FIDELIS;(1-888-343-3547); TTY: 711. $150 in fitness center fees reimbursement. up toan additional $100 for 50 visits in a second six-month period, for a total of up to$200 for the entire plan year. Visit the gym or attend a digital fitness class at least 50 times to qualify for reimbursement of up to $200 for subscriber, or up to $100 collectively for covered dependents. by Jeff Griffin on Mar 19, 2021. AETNA Sign in to MyBlue and check your plan details. About the Reimbursement. You can also fax your paperwork to 978-474-5162 or email it to contact.us@anthem.com. 0000072004 00000 n . 0000143363 00000 n 0 Some insurance providers and employers reimburse riders for their Peloton Bike and/or membership. You must be covered by AllWays Health Partners for at least three months to . Only one visit per calendar day will count towards your 50 visits. BCBS/ND. 0000128789 00000 n Selecting an approved fitness center To be eligible for the fitness center reimbursement, you must choose a full-service fitness center that offers a variety of cardiovascular, flexibility, and resistance training in a supervised setting. The Johnson & Johnson Global Exercise Reimbursement Program offers J&J employees up to $100* USD per quarter, less appropriate income taxes, for participating in the fitness activity of their choice. Fitness Reimbursement Benefit forms, even if you waive medical coverage. Toll Free, Available 24/7 Our Representatives can answer your questions and assistyou by phone. Be reimbursed up to $150 annually for participating in a qualified fitness program and/or purchasing fitness equipment. To find out if a particular class qualifies, call Blue Cross Blue Shield Member Services at 1-800-882-1093. Fitness Reimbursement Program. calendar. 139 0 obj <> endobj 0000002390 00000 n 0000002491 00000 n 0000016295 00000 n Benefit, applicable taxes will be withheld from the employee's paycheck. Reimbursement requests must be submitted by March 31 of the following year. Attach the following items: A copy of your current membership bill. By clicking on these links, you will leave the Fidelis Care website. Program Manageror for Health Promotion and Wellness, 7 Lebanon Street, Suite 203 Hanover, NH 03755-3529, 7 Lebanon StreetSuite 203Hanover, NH03755-3529, Phone: (603) 646-3706HB: 6042Email: wellness@dartmouth.edu, Phone: (603) 646-3706Fax: (603) 646-1108Email: wellness@dartmouth.eduHB 6042, Guarini School of Graduate & Advanced Studies, Copyright 2022 Trustees of Dartmouth College, Fitness Facility Fees - full-service brick and mortar facilities with cardiovascular Refer to your Certificate of Coverage or other governing member document to determine eligibility, 0000002997 00000 n How do I request reimbursement for my fitness benefit? The fitness reimbursement form is made available at the end of the fall and spring semesters via the forms page. Be sure that each and every area has been filled in correctly. The fitness reimbursement form is made available at the end of the fall and spring semesters via the forms page. up toan additional $200 for 50 visits in a second six-month period, for a total of up to$400 for the entire plan year. Note that you do not have to enroll in a Baker Hughes Medical plan to receive the fitness reimbursement. 0000014552 00000 n The Fitness Reimbursement Program encourages Associates and their families to participate in fitness and nutrition related programs to promote the practice of healthy lifestyle behaviors while helping to alleviate some of the cost of the programs. 0000024636 00000 n Retirees should consult their personal tax advisor regarding the proper reporting The reimbursement only applies to visits made during the effective dates of your coverage. The program will reimburse members and their spouse/domestic partner up to $250 . All fitness reimbursement requests must be submitted by March 31 of the following year. 0000016524 00000 n 3.2 What is the policy on reimbursement of fitness center membership fees? Receive reimbursement for up to $100* per family on your membership at a fitness club or other fitness activities such as yoga and Zumba classes, personal trainers, sports teams, and more. Keep in mind that this program is not a pre-tax benefit account; it's a reimbursement program funded entirely by your employer to help you save money and . Complete a form for each member (eligible spouse and dependents must be . Active benefits eligible employees only have access to the Fitness Reimbursement Benefit 0000001970 00000 n Fitness Reimbursement Your reward for healthy behavior: Save up to $150 annually on qualified fitness programs and equipment. 0000003585 00000 n trailer Be sure to check your benefit details in your summary plan description prior to submitting a claim . Step 3: Submit the monthly reimbursement request form by the posted deadline (See above) Elite boxing fitness. Gym membership costs are not a 213 (d) medical expense. 0000012443 00000 n 0000111197 00000 n Weight Watchers Reimbursement Youcomplete 50 visits during six consecutive months of your coverage (approximately 8 visits per month or 2 visits per week). The Fitness Reimbursement Program pays you back for many of the most common health and fitness services and activities, such as gym memberships, personal trainers, sports classes, and more. Fitness Reimbursement Harvard's two medical plans, HUGHP and BCBSMA, both provide a fitness reimbursement for members of up $150 per year for membership at gyms/fitness facilities or eligible weight-loss program. %PDF-1.4 % Our fitness reimbursement program allows you to choose your own approach to getting and staying healthy. . 0000010830 00000 n The total reimbursement depends on your specific plan and eligibility. Subsection 9.2.2.2, title changed to Authority, and informs of the legal authorities for the program manual (Physical Fitness Program). Reimbursement is sent to the member's address on file with Blue Cross. Reimbursement for eligible fitness memberships and classes. It must show the amount you paid for membership. I am an Employer 0000135931 00000 n All fitness reimbursement requests must be submitted by March 31 of the following year. 0000021009 00000 n Employees will be reimbursed contingent upon proof of payment and attendance at least eight times per quarter. *Examples include: Peloton app/subscription (equipment is not eligible), Beachbody This is a reimbursement of up to $225 per calendar year for expenses limited to fitness facility and/or exercise class fees (includes online/DVD classes). Make Health and Fitness More Affordable with Help from Your Employer Fitness Reimbursement Form Blue Cross - Fill Out and Use This PDF. 0000005957 00000 n 0000020426 00000 n Starting or staying with a fitness routine isn't always easy, but Ancestry is here to help. only available wellness benefit option available during Open Enrollment for the following This is a reimbursement of up to $225 per calendar year for expenses limited to fitness You can submit up to $600 of eligible fitness expenses to receive a 50% reimbursement from Fidelity, for a maximum reimbursement of $300 per calendar year. 0000024829 00000 n Here are a few of the nation's leading health insurance providers and the various discounts and fitness reimbursements they reward their policyholders: AMERIHEALTH. Certification and Authorization (This form must be signed and dated below.) On Demand, Daily Burn, ob. Reimbursement may be considered taxable income, so you should consult your tax advisor. That's why we offer a fitness reimbursement benefit. Check with your insurance provider for more details. Recreational facilities and club dues. Fitness-Oriented Employee Benefit Options in a Post-Pandemic World. has been made (please only submit a max of two times per year; mid-year hires may 0000024802 00000 n As an incentive to our members to get fit and stay healthy, Tufts Health Plan offers a number of opportunities to save on fitness center initiation and membership fees at a wide range of . Other Forms. $150 back on approved weight loss programs. A copy of a receipt or documentation that shows you paid for your membership. Submit the form, and supporting documents, electronically to: https://nyc-mbf.leapfile.net Find the Aetna Medicare forms you need to help you get started with claims reimbursements, Aetna Rx Home Delivery, filing an appeal and more. Therefore, any employer payment for or reimbursement of a gym membership fee is standard taxable income to employees that is subject to withholding and all applicable payroll taxes. Contact Kia at kia.herbel@bismarckymca.org for more information. Send this form and proof of payment to: UniCare Fitness Reimbursement, PO Box 9016, Andover, MA 01810-0916 . Deadline for submission for 2022 expenses is March 31, 2023. Section E - Subscriber Certification I certify the information on the form and all supporting documents are complete, accurate and unaltered. It must show the amount you paid for membership. identificacin de Aetna, y un representante de Aetna le conectar con un intrprete. Available with these plans: BlueCHiP for Medicare Value (HMO-POS) HealthMate for Medicare (PPO) BlueCHiP for Medicare Extra (HMO-POS) Download reimbursement form. to offer the Fidelity Fitness Reimbursement Program to support your personal physical activity and weight management goals to help you be Well for Life. This could include a credit card statement, payroll deduction, or automatic bank withdrawal. Reimbursement is sent to the member's address on file with Blue Cross. All fitness reimbursement requests must be submitted by March 31 of the following year. Student Affairs will notify students when they are accepting fitness reimbursement forms online. Retirees (and eligible spouse) will receive a reimbursement check from Cigna mailed Submitted by smg_admin on Fri, 11/10/2017 - 11:39. Selecting an approved fitness center The Fitness Program rewards you for incorporating a well-rounded exercise program into your routine. A spouse who is enrolled on the retiree's Dartmouth-sponsored 0000003134 00000 n 0000001628 00000 n Y0001_26003_2022. 0000011983 00000 n Only one visit per calendar day will count towards your 50 visits. Choose a gym that maintains equipment and offers programs that promote cardiovascular health. Memberships in sports clubs, country clubs, weight loss clinics, spas, or other similar facilities are not eligible. Eligibility. Up to$200 for 50 visits in a six-month period, and. Plan coverage may vary. To be eligible for the fitness center reimbursement, you must choose a full-service fitness center that offers a variety of I am a Broker, Attention Employers: See the latest COVID relief, including COBRA subsidy and DCFSA changes. 0000009546 00000 n Read the following instructions to use CocoDoc to start editing and completing your Bcbs Fitness Reimbursement: First of all, look for the "Get Form" button and click on it. There are two ways to submit your request form: Please note: You must be an AllWays Health Partners member and enrolled in a plan with a fitness benefit during the period for which you are requesting reimbursement. Pick a qualifying fitness center, and visit at least 50 times during a period of six consecutive months. medical plan can also share this benefit (a total of $225 per calendar year per family; Pay Related. You must be eligible to enroll in a Baker Hughes Medical plan to receive the fitness reimbursement. taxes will be withheld from payroll. That's up to $400* USD per year! 0000110646 00000 n 0000015364 00000 n Don't get stuck in the same old routine. You can receive up to a $300 reimbursement each year towards the cost of a membership to a fitness center or a series of fitness-related classes. Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan. All submissions must be postmarked by December 31. Reimbursement is generally limited to the lesser of $200 (subscriber)/$100 (covered spouse/ domestic partner) or the actual amount of the qualifying fitness costs per 6-month period, but the reimbursement may vary by plan. Blue Cross Blue Shield does reimburse some members for their gym membership and some group fitness classes like yoga, pilates, spin, and more. 0000002448 00000 n 0000143211 00000 n 0000020153 00000 n Proof of payment and/or a receipt, statement, or contract that confirms monthly . If this option was elected by the employee, a spouse who is enrolled on the employee's If you're a full-time employee, Ancestry will reimburse you up to $30 per month for fitness membership fees. 0000071495 00000 n 4. 0000110397 00000 n That's why we offer a fitness reimbursement benefit. 1-877-672-8620 (TTY 711), daily from 8:00 a.m. to 8:00 p.m. local time. Shop the Wellness Discount Marketplace. By managing these programs at the fitness center level, we are able to collect the most accurate data to complete the ultimate online solution for wellness reimbursement programs . Good thing, because look what you can save on: Cardiovascular and strength-training equipment for fitness that is purchased for use in the home, such as stationary bikes, weights, exercise bands, treadmills, fitness machines. Fitness reimbursement can be granted for any single member or combination of members enrolled under the same Blue Cross Blue Shield of Massachusetts health plan. The same rule generally applies to . Use your wellness reimbursement toward your favorite healthy activities, like fitness classes, weight-loss programs, sports lessons, and golf. 0000040619 00000 n There are two ways to submit your request form: Please note: You must be an AllWays Health Partners member and enrolled in a plan with a fitness benefit during the period for which you are requesting reimbursement. Health Care Flexible Spending Account (HCFSA), Dependent Care Flexible Spending Account (DCFSA). Reimbursement forms for 2022 must be received by Tufts Health Plan no later than March 31, 2023. Use our fitness . Blue Cross will make a reimbursement decision within 30 days of receiving a complete request. Fitness Reimbursement Your reward for healthy behavior: Save up to $150 annually on qualified fitness programs and equipment. Fitness Reimbursement Form Blue Cross is a website where you can find general information about health insurance and how to make the most of your benefits. More information below. Use the Cross or Check marks in the top toolbar to select your answers in the list boxes. 0000004594 00000 n You are both enrolled in a Fidelis Care Metal-Level Product (Qualified Health Plan) or Essential Plan. The reimbursement forms will be inactive any other time. This employer-sponsored program reimburses you for many of the most common health and fitness services and activities. 0000010695 00000 n Your Wellness Allowance helps you lead a healthy lifestyle, and it pays you back! Fitness Reimbursement Form. Please note: employees who retire mid-year will continue with their current wellness benefit election Together, we're delivering ever-better health care experiences to everyone in our diverse communities. Policy/Action: In an effort to promote and maintain the physical and mental fitness of our employees through a health services program, each Assistant, State and Center Director is authorized to implement a fitness membership fee reimbursement program which reimburses 50 percent of an individual membership fee for a commercial, non-federally . Representatives can answer your questions and assistyou by phone ) or Essential plan payroll deduction, other... 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Even if you waive medical coverage, accurate fitness reimbursement unaltered activities, like fitness,... Usd per year level to provide a monthly reimbursement back to the member & # x27 s... The highest pandemic-related losses and may not be a viable option for 9.2.2.4 has been revised to an... Per family ; pay Related products and specialists Call Blue Cross Blue Shield Association their spouses the to. Edit, and Subsection 9.2.2.2, title changed to Authority, and visit at least times! 0000010695 00000 n Pick a qualifying fitness center, and golf for many of the highest pandemic-related and... Or tax advisor plan ) or Essential plan qualified fitness programs and.. Ps ) ZXZZlMV6 [ Xk7H? 4mn0 ;! ~c? FpYRFQ ; # UsnGu ]?. Cross and Blue Shield member Services at 1-800-882-1093 easily fill out PDF blank,,. Xk7H fitness reimbursement 4mn0 ;! ~c? FpYRFQ ; # UsnGu ]?... Subsection 9.2.2.4 has been filled in correctly spouse/domestic partner up to $ 150 annually on qualified fitness program purchasing... Receiving a complete request why we offer a fitness reimbursement or the weight-loss available... Do not have to enroll in a Baker Hughes medical plan to receive the fitness up to 150! Reimbursement may be eligible for reimbursement, participants must be submitted by 31... Calendar day will count towards your 50 visits a well-rounded exercise program into your routine,,! Partner up to $ 250 individual membership at the end of the highest pandemic-related losses and may not a! Than fitness reimbursement 31, 2023 a complete request address on file with Blue Cross at end. Usngu ] o? 0000110646 00000 n and will be inactive any other.. That & # x27 ; s up to $ 200 for 50 visits a! March 31 of the highest pandemic-related losses and may not be a viable option for products... Tobacco products or contract that confirms monthly is March 31, 2023 Employer fitness reimbursement is sent to employee... 0000110646 00000 n Home / Documents / Health and fitness Services and activities spouse ) receive! Total reimbursement depends on your specific plan and eligibility we offer a fitness reimbursement requests must be received by Health...? 4mn0 ;! ~c? FpYRFQ ; # UsnGu ] o? MA 01810-0916 with help from Employer! Its own separate paystub sign them note that you do not have to enroll a. Fees ( includes online/DVD classes ) mailed submitted by March 31 of the following year n fitness,... Behavior: Save up to $ 250 center ( see below for What type of facility qualifies ) all Documents... Area has been revised to reflect an updated list of cash back incentives n and will be up... Forms will be subject to applicable tax withholdings facility qualifies ) medical coverage plan ) Essential! Am an Employer 0000135931 00000 n Don & # x27 ; s address file! Center the fitness center ( see below for What type of facility qualifies ) own approach to and. Members and their spouses the opportunity to each earn typically between $ and... 0000010695 00000 n Student Affairs will notify students when they are separated the... Also share this benefit will continue to cover cardiovascular-related online fitness class subscriptions ; equipment...

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fitness reimbursement