Your Wellness JourneyContinues Here

Bravo Program Guide

JFK Health teams up with BravoWellness in an exciting opportunity tomanage your health and reduce yourhealthcare costs.

Bravo Wellness is a company that workswith employers to administer compliantwellness programs. As experts in theindustry, Bravo is committed to dataintegrity and will ensure yourinformation is kept private and nevershared with JFK Health.

Remember, although the program isvoluntary, employee participation in aBravo screening is required for 2017Healthy Plus contribution discounts. Nomatter which plan you enroll in, youand your covered spouse can earnadditional discounts for meetinghealthy goals. Your health plan costs willbe significantly higher in 2017 if youchoose not to participate.

This year, we encourage you to embarkor continue on a journey that canimprove your health and the health ofyour organization.

INCLUDED IN THIS PROGRAM GUIDE

GETTING STARTED

2017 INCENTIVE PLAN DESIGN

HEALTH SCREENING TESTS

TOOLS & RESOURCES

FAQ’s

NEED ASSISTANCE? CONTACT BRAVO WELLNESS 877.662.7286

STEPS TO COMPLETE

jfklivewell

Step 1. Go Online to www.bravowell.com/jfklivewell

o If you registered last year, your user name and password have not changed. Use the “forgot user name” or “forgot password” features if you need help remembering your login information.

o If you are new to JFK’s Bravo website, you must first create an account, including your own user name and password.

Step 2. Registration

o Read and answer the required information. You must complete this step in full before you can schedule a screening appointment.

Step 3. Schedule A Screening

o Select a location, date and time most convenient for you and click “Book Appointment.” o If you provided an email address, a confirmation email will be sent to you with the time you

selected, as well as a link to change or cancel your appointment.

Step 4. Preventive Health Action Dates

o Fill in the dates for each preventive exam you have completed between 11/1/15 and 10/31/2016.

o Click “complete” when completed.

This information will be reported to Healthmine to assist in determining your eligibility for the 2017 Healthy Plus contribution discount. Providing your Preventive Health Action dates on the Bravo site is a way to simplify the process for you. You may return to the Bravo site any time through October 31, 2016 to enter your Preventive Health Action dates.

2017 PLAN DESIGNBravo Wellness is pleased to announce JFK’s wellness goals for October 2016 (impacting 2017 incentives). Remember, although the program is voluntary, employee participation in a Bravo screening is required for the 2017 Healthy Plus Contribution Discount. No matter which plan you enroll in, you and your covered spouse can earn additional discounts for meeting healthy goals. Your health plan costs will be significantly higher in 2017 if you choose not to participate.

SAVE ON YOUR

PREMIUM!

JFK HEALTHY PLUS CONTRIBUTION DISCOUNT

Complete a Bravo biometric screening and all age and gender-appropriate preventive exams to earn the

2017 Healthy Plus Contribution Discount.

JFK HEALTH BIOMETRIC SCREENING GOALS1

CRITERIA JFK HEALTH GOALPOINTS EARNED

IF GOAL MET

2BODY MASS INDEX Or waist measurement

(Female: ≤ 33 Inches;

Male: ≤ 35 Inches)

≤ 27.5 2

BLOOD PRESSURE ≤ 125/80 1

LDL CHOLESTEROL or

LDL/HDL RATIO

LDL Goal: ≤ 110Ratio Goal: ≤ 2.8

1

GLUCOSE or

HEMOGLOBIN A1c

Glucose Goal: ≤ 105

A1c Goal: < 5.71

TOBACCO/NICOTINE Negative 1

1 Only the Cholesterol Goal has changed for 2017 Incentives2 Waist measure automatically corrects elevated BMI due to

lean muscle mass, even if the participant does not meet the BMI goal. (Female ≤33 inches, Male ≤35 inches).

Not sure if you can meet one or more of the goals?

We can work with you, and if you wish your doctor, to find an

alternative way for you to qualify for the full reward.

Contact Bravo Wellness at 877.662.7286 or visit your company portal at bravowell.com/jfklivewell

$

Proprietary & ConfidentialProgramGuide_20150715_v1.0

Your covered spouse is also eligible to participateand earn his or her own points.

Bi-WEEKLY HEALTH PLAN CONTRIBUTIONS

In addition to the 2017 Healthy Plus Contribution Discount, you may also earn $1.50 per pay period for each point achieved,

plus a Bonus Buck if ALL goals are met.

Employees and Spouses each earn their own points.

Earn up to $260 per year | $520 if you cover your spouse

BLOOD PRESSURE (mmHg)Employer Goal: ≤ 125/80

Systolic Diastolic

Elevated I 126- 135 81 - 85

Elevated II 136 - 139 86 - 89

Elevated III 140 - 159 90 - 99

Elevated IV 160 or Higher 100 or Higher

Improvement category levels are not intended to identify risk or medical appropriateness. Always consult with your medical doctorbefore starting any new exercise or nutrition program.

If we have results from your last Bravo screening, your improvement will be automatically considered. If Bravo does not have priorresults, you will be provided the information you need to request an alternative goal in your results letter.

There is an appeal process if you think your results are incorrect or you may qualify for a medical exception. Contact Bravo Wellness at 877.662.7286

BODY MASS INDEX (kg/m2)JFK Health Goal: ≤ 27.5

2 Point BMI Reductionsince Last Bravo Screening

LDL CHOLESTEROL (mg/dL)JFK Health Goal: ≤ 110

Elevated I 111 - 120

Elevated II 121 - 139

Elevated III 140 - 159

Elevated IV 160+

GLUCOSE (mg/dL)JFK Health Goal: ≤ 105

Elevated I 106 - 110

Elevated II 111 - 125

Elevated III 126 or Higher

Included in the JFK Health plan design this year are alternative goals. If you failed to meet the JFK Health goal, but madeimprovement in that area from one category level to the next since the last health screening, you can still earn the credit!Participants must be actively employed, still enrolled in the plan and have completed the reasonable alternative to order to earncredit for meeting the alternative goal.

What defines improvement?Moving up one category closer to the goal defines improvement (see chart below). As an example: If your 2016 screening result forLDL is 170 (Elevated IV), you would need to either improve your LDL into the Elevated III range of 140-159 – OR – achieve the JFKHealth goal of ≤ 110 at your 2017 screening.

BODY MASS INDEXBody Mass Index (BMI) is a measurement of your weight distribution compared to your height. Many health conditions,including cholesterol levels and total heart health, are related to your body mass. Elevated BMI can result in healthproblems associated with heart and kidney disease. To improve your BMI, aim to live a more balanced lifestyle byincreasing your physical activity, drinking plenty of water, and choosing a balance diet.

BLOOD PRESSUREBlood pressure is the force of blood against the walls of the arteries. It is recorded in two numbers: the systolic/topnumber (pressure as the heart beats) and diastolic/bottom number (pressure as the heart relaxes between beats). Toimprove your blood pressure, follow a healthy eating pattern by eating foods low in salt and sodium, maintain a healthyweight, and increase physical activity. Smoking can also increase your risk of hypertension (elevated blood pressure).

LDL CHOLESTEROLCholesterol is a waxy substance in the blood stream and the body’s cells which aids in forming some hormones andother body functions. Specifically, LDL cholesterol is labeled as the “bad” cholesterol and if too much is circulating, it canbuild up in the walls of arteries that serve the heart and brain and increase an individual’s risk of heart disease andstroke. To improve your LDL, it’s important to start with a healthy diet that is low in saturated fats, and increase yourphysical activity.

GLUCOSEMost of the food you eat is broken down into glucose, a form of sugar in the blood. Glucose is the main source of fuelfor the body. After digestion, glucose passes into the bloodstream, where it is used by cells for growth and energy.Uncontrolled glucose levels increase risk for diabetes. To improve your glucose, be conscious of your sugar intake andmaintain healthy eating habits.

TOBACCO/NICOTINECigarette smoking is the leading cause of preventable death in the United States, accounting for approximately 1 ofevery 5 deaths in the United States each year. Cigarettes, cigars, e-cigarettes, other tobacco products (such as chewingtobacco and snuff), and tobacco smoke contain nicotine. It is recommended to quit using these products to eliminate thetobacco/nicotine in your system. Different treatments work for different people. The most important thing is to try, try,and try again until you succeed! You can find an effective way to quit.

CONSULT YOUR DOCTORFor more information about these health measures, you are encouraged to talk with your doctor.

Source: http://www.cdc.gov

www.sparkpeople.com• #1 health website - highest average

time spent (more than WebMD).• #1 food website - most minutes per visitor

(more than Food Network).• Over 15 million registered members.• 2012 OMMA award winner for website excellence.• Named One of the Best Diets by U.S. News & World Report.

www.active.com• Sign-up up for local events• Access nutrition information• Read articles & newsletters• Ask questions• Find tips for your mind & body• Learn yoga at home• Train for an upcoming marathon• Access health plans & track workouts

All apps listed below are free and available for iOS and Android:

MyFitnessPal Fitocracy Fooducate

Be sure to check out the free resources available on your web portal. You’ll find access to health challenges, gamification apps, and health related social networking solutions. These free resources can help prepare you for your upcoming health screening.

JFK Health has given you a number of tools and resources to help you achieve your health goals. If you have questions regarding the resources below, contact your Human Resources representative for more information.

JFK HEALTH’S RESOURCES

No-Cost Resources at JFK Health:

• Onsite health screening• Smoking Cessation• Free Q&A Session at JFK Nutrition & Diabetes Center• Wellness Team Sponsored Events

Additional JFK Health Offerings:

• Onsite Fitness Center• Diabetes Management• Weight Management (Individual and Group)

BRAVO’S HEALTH RESOURCES

NEED ASSISTANCE? CONTACT BRAVO WELLNESS AT 877.662.7286

WHAT IF I DON’T MEET MY PROGRAM GOAL?Your program requires the achievement of a goal to earn additional discounts, but there may be alternative ways to qualify. If Bravo hasresults from your last screening, your improvement will be automatically considered. If Bravo does not have prior results, you will beprovided the information you need to request an alternative goal in your results letter. Alternatives are typically based on improvementfrom prior results or on completion of a program that is related to health improvement within a certain biometric. Contact BravoWellness and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right foryou in light of your health status.

WHAT IF MY RESULTS ARE NOT CONSISTENT WITH RECENT TESTS?In the event that the screening results differ significantly from recent medical results, a Type 1 (dispute of accuracy) appeal may besubmitted with supporting documentation within 30 days of the date displayed on your original results letter. Any retesting may be atthe expense of the participant.

WHAT IF I HAVE A MEDICAL CONDITION AND I CANNOT MEET THE GOAL OR THE ALTERNATIVE GOAL (IF APPLICABLE)?If JFK Health goal(s) or reasonable alternative goal(s) are considered unreasonably difficult due to a medical condition or medicallyinadvisable (Type 2 Appeal), Bravo Wellness manages appeals and coordinates personalized alternatives for these goals. Any retestingmay be at the expense of the participant. Contact Bravo Wellness for more information.

IS THIS PROGRAM LEGAL? CAN MY EMPLOYER REALLY BASE MY PREMIUM ON MY HEALTH RESULTS?Bravo administers programs in compliance with the Affordable Care Act’s (ACA) Incentives for Non-Discriminatory Wellness Programs inGroup Health Plans. This allows employers to adjust healthcare cost for those on the health plan who meet certain health goals. AtBravo, we also adhere to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Protected Health Information(PHI) protocols. This ensures that your personal information, including your results, will not be shared with any unauthorized parties,including JFK Health.

DOES EVERYONE HAVE TO PARTICIPATE?No. The program is voluntary; however, employee participation in a Bravo screening is required for the 2017 Healthy Plus contributiondiscount. No matter which plan you enroll in, you and your covered spouse can earn additional discounts for meeting healthy goals. Nomatter which health plan you choose for 2017, non-participation means you may miss out on significant financial impacts, and yourhealth plan costs will be significantly higher in 2017 if you choose not to participate.

HOW WILL I RECEIVE MY RESULTS?Results will be mailed to your home address and posted to your secure account at www.bravowell.com/jfklivewell. You will receive an email notification when they are available. NOTE: You must complete the optional verification process to view your results online.

WILL MY EMPLOYER SEE MY RESULTS?No, Bravo Wellness will not share your individual results with JFK Health. They will be given a summary of the number of wellnesspoints each employee received as a result of the health screening, but will not know which category you passed or failed, nor anyspecific laboratory results. JFK Health may request that your results be sent to an approved third party for wellness coaching or healthimprovement.