Enjoy the rewards of being healthy

OrthoCarolina2020 Wellness Program Guide

The OrthoCarolina Wellness Program, brought to you in partnership with Health Advocate, can help you take charge of your health and improve your well-being—plus, you can earn rewards by participating in well-being activities.

Read on to learn what you need to do to earn your incentive!

Start date: January 1, 2020

Level 1 deadline: September 30, 2020

Level 2 deadline: November 15, 2020

The OrthoCarolina Wellness Program is designed to support, educate and motivate employees on the journey of living a healthy lifestyle. The program begins on January 1,2020. There are two levels of incentives.

Level 1 - Premium reduction The deadline to complete Level 1 activities is September 30, 2020.Level 2 - HSA contribution The deadline to complete Level 2 activities is November 15, 2020.

Eligibility and RequirementsThe Wellness Program is available to team members enrolled in an OrthoCarolina medical plan. Team members must complete the required steps described in this guide to earn the incentives.

New team members hired between January 1 - August 31, 2020 have 90 days from their date of hire to complete the physician health screening form. All remaining Level 1 items—preventive care (one screening required), Personal Health Profile and Tobacco Affidavit—must be completed by September 30, 2020.

New team members hired between January 1 - August 31, 2020 have until November 15, 2020 to complete Level 2.

New team members hired between September 1 - December 31, 2020 must submit the physician health screening form and complete all remaining

All About Your IncentivesLevel 1 items—preventive care (one screening required), Personal Health Profile and Tobacco Affidavit—by March 31, 2021.

New team members hired between September 1 - December 31, 2020 are not eligible to earn the Level 2 incentive.

Team members that declined the OC health insurance in 2019, but elected it during open enrollment for the 2020 benefit year have 90 days from January 1, 2020 (March 31, 2020) to maintain the reduced wellness rate (Level 1 incentive) in 2020 by completing the following items:

• Submit a physician health screening form (the physician health screening form may be submitted for visits to PCP between January 1, 2019 - January 1, 2020)

• Personal Health Profile• Preventive care screening (only one screening

required) see page 5 for eligible screenings • Tobacco affidavit

Team members who elected benefits in 2019 for 2020 are not eligible to earn the Level 2 incentive.

Team members who have a life event during the year have 90 days from the date of the life event to earn the reduced wellness rate for 2020 by submitting the physician health form. The physician health screening form may be submitted for visits to the primary care provider within 1 year of the life event. Team members who have a life event are not Level 2 eligible.

Get started today!The quicker you get on the path to better health, the sooner you’ll start to enjoy the rewards of being healthy. Remember, we’re here to support you in your journey toward better health and well-being. Just call or log on today for personalized help!

866.799.2691 Email: answers@HealthAdvocate.com Web: HealthAdvocate.com/orthocarolina

Download the app today!

1. Get screened - Complete a health screening through your doctor*If you did not participate in the onsite biometric screenings in the Fall of 2019, you must complete your screening with your physician. Current employees: Your physician will need to complete the physician health screening form and submit to Health Advocate by 4/1/2020. New hires: Please see new hire guidelines on Page 2. *Obtain a physician form by emailing answers@HealthAdvocate.com or wellness@orthocarolina.com

2. Meet healthy outcomes - Based on your screening values, meet all of the recommendations for important health standards or show improvement from last year.

*Note: Waist Circumference (WC) always takes precedence over BMI. HbA1c always takes precedence over Glucose.

Measurement Incentive Criteria 12-Month Improvement StandardMen Women

Blood Pressure <130/80 mm HG N/A

Waist Circumference* <41 in <36 in Decrease BMI by 5 points or moreBody Mass Index (BMI) <30

HbA1c* <5.7%

Decrease HbA1c by 1.45% or moreGlucose Fasting <100 mg/dl

Glucose Non-Fasting <141 mg/dl

Cholesterol Ratio < 5.0 N/A

HDL Cholesterol ≥40 mg/dl ≥ 50 mg/dl Increase HDL by 10% or more

Take steps to earn your reward!

If you do not meet the standards, or did not make improvements in all areas from last year, you must work with a Wellness Coach to qualify for the premium incentive. A Wellness Coach will help to motivate and support you as you strive to reach your health goals. Coaching is unlimited, but qualifying for the incentive entails 6 engagements with a coach over 3 or more months. The gap between engagements cannot be longer than 45 days. Coaching must begin prior to August 1, 2020. Connect with a Wellness Coach over the phone 866.799.2691, email answers@HealthAdvocate.com or secure web messaging through the Health Advocate website or app.

3. See your doctor for your age and gender appropriate screenings. The following screenings qualify and only one preventive exam from this list is needed each year. Call Health Advocate for assistance to determine appropriate screenings and coverage. Points are tracked by completing the Wellness Commitment.

4. Complete your Personal Health Profile (PHP) Complete your PHP to learn more about your current health status and steps you can take to improve it. Click “Take my PHP” from your to-do list on the Health Advocate website or app.

5. Be tobacco-free or complete a tobacco cessation program. Attest to being tobacco-free via the online Tobacco Affidavit on your to-do list or complete the 12-week Health Advocate Tobacco Cessation Program – online or with a Wellness Coach. You’ll create your own Quit Plan, get 1:1 support and learn new tips and strategies to become – and stay – tobacco-free!

Screening Type Frequency and age recommendations

Annual Physical/Well-Woman Exam Every 36 months for adults ages 19−39; every 12 months for those 40 and over

Breast Cancer Screening Every 12−24 months for women ages 50−74

Cervical Cancer Screening Every 36 months for women ages 21− 64

Colon Cancer Screening Ages 50−75; options are a fecal occult blood test every year, a sigmoidoscopy every 5 years or a colonoscopy every 10 years

Preventive Dental Visit Every 6 to 12 months

Osteoporosis Screening Women over age 60 depending on risk factors

Prostate Cancer Screening Men age 40 and older

Skin Cancer Screening Every 12 months (recommended but not required)

Vision Exam Every 12 months

Activities Activity Details Points/Max. Points

PersonalizedWellness CoachingProgram (Lite)

Work with a Wellness Coach to motivate and support you as you strive to reach your health goals. Coaching is unlimited, but earning points entails 3 engagements.

100/100

Wellness ChallengesCompete with coworkers while improving your health. Staytuned for challenge dates and details! Points for completion will be awarded if you track your activity each week of the challenge.

25/50

Wellness Workshops Complete a 6-week self-guided online Wellness Workshop. You may have one workshop in progress at a time. 25/75

Don’t Weight, Makea Change Program

Complete this 12-week online weight loss program and learnlong-term strategies to help you lose weight and keep it off! 50/50

Activity Trackers

Earn points for tracking healthy behaviors. Compatible with nearly 100 fitness devices and apps! The following trackers and corresponding goals will earn points:Sleep: 7-9 hours - 1 pt. dailySteps: 10,000 or more steps - 1 pt. dailyTime Exercised: 150 or more minutes - 5 pts. WeeklyResistance Training: 2 or more days - 5 pts. weeklyResilience Tracker: Performed at least one activity on 5 separate days - 5 pts. weeklyHours of Charity Work: 2 or more hours - 10 pts. monthlyOunces of Water: Drink 64 ounces - 1 pt. dailyFruits and Vegetables: 5 or more servings - 1 pt. dailyGrams of Fiber: 25 grams or more - 1 pt. dailyMilligrams of Sodium: 1,500 or less - 1 pt. dailyDistance Exercised Log participation - 1 pt. dailyWeight Log participation - 1 pt. weeklyThere are many other trackers available on the wellness site for your use that are not eligible for points.

1 to 10 points each/150

Earn an HSA contribution!

Keep reading for more ways to earn points! >>

Complete Level 2 by earning 200 points by completing the wellness activities below to receive an HSA contribution. New employees hired between January 1, 2020 – August 31, 2020 have until November 15, 2020 to complete Level 2. New employees hired between September 1, 2020 - December 31, 2020 are not eligible to earn the Level 2 incentive. To qualify, you must be enrolled on the OrthoCarolina medical plan and have earned the Level 1 premium incentive. The Level 2 deadline is November 15, 2020.

Activities Activity Details Points/Max. Points

Engage with anAdvocate

Utilize our experts to:• Find the right in-network doctor• Resolve claims and billing issues• Answer questions about diagnoses and treatments• Help with financial and legal issues, retirement, identity theft• Access confidential help with personal issues, 24/7• Find local services to make your life easierAnd so much more... This is not for wellness-related questions, troubleshooting etc.

10/10

Quarterly Log In Log into the wellness portal 1 time per quarter 10/40

Workplace Events

Participate in OrthoCarolina wellness activities and earn points for the following:Flu Shots - 5 pointsLunch and Learn/Onsite seminars - 10 pointsHealth Fair -5 pointsBlood Drive Donation - 5 pointsOnsite Classes - 1 point per classGym/Home workout -1 point per workout5K, run, walk or event- 10 pointsHands Only CPR Training - 5 pointsDownload PulsePoint App - 5 pointsWW program - 25 pointsCustom Activity - 10 points

Points vary/250

Earn an HSA contribution!

866.799.2691 Email: answers@HealthAdvocate.com Web: HealthAdvocate.com/orthocarolina

Download the app today!

How Your Wellness Program Can Help

The Health Advocate Wellness Program can help you take charge of your health and improve your well-being. The Wellness Program includes the following features to help you achieve better physical, social, emotional and financial health so you can be your best self.

We’re not an insurance company. Health Advocate is not a direct healthcare provider, and is not affiliated with any insurance company or third party provider.

©2019 Health Advocate HA-WM-1812014-2FLY

Download the app today!866.799.2691 Email: answers@HealthAdvocate.com Web: HealthAdvocate.com/orthocarolina

Wellness Coaching Unlimited access to a Wellness Coach by telephone or secure web messaging to help you lose weight, get fit, quit tobacco, reduce stress and more. Personal Health Profile (PHP) Get a snapshot of your health, your risk for certain diseases and conditions, and personalized tips to help you improve your well-being. Nutrition Support Make eating healthy simple with delicious recipes and meal plans designed to help you reach your wellness goals.Wellness Resources Learn about health and well-being topics through tip sheets, the Health Advocate Blog and Health Information Center.

Interactive Challenges Participate in personal or company-wide challenges to help you get fit, lose weight, eat better, and more.Health Trackers Use the health trackers to track your activity, progress and strive to meet healthy goals. Sync your fitness device or health apps for easy tracking. Wellness Workshops Participate in workshops on a variety of health and wellness topics, like nutrition, fitness, stress management, resilience, financial wellness, and more.Gym Discounts Access discounted memberships to thousands of fitness centers nationwide.

It’s easy to get started! Follow these simple steps to register:

1. Visit HealthAdvocate.com/orthocarolina2. Register for the website and enter the required information, then log in3. Browse the features and program available to help you lose weight, get fit, eat better, quit

tobacco, improve your financial wellness, reduce your stress, and more!

All of your Personal Health Information is protected and kept strictly confidential.