Expect Healthy Incentives^SM family color letter in mid-July

During the week of July 18, look for a Healthy Incentives^SM letter from WebMD telling you whether your family will be covered at the gold, silver or bronze level for 2012 medical out-of-pocket expenses.

Your family color level will be based on your participation and that of a covered spouse or domestic partner in this year’s Healthy Incentives^SM program. If you do not cover a spouse or domestic partner, your family color level will be based only on your participation.

• If you and a covered spouse or domestic partner completed the wellness assessment by March 4 and completed an individual action plan by July 1, your family color level will be gold, which is the lowest out-of-pocket expense level.
  
  
• If both of you completed the wellness assessment by March 4 but one or both of you did not complete an individual action plan by July 1, your family color level will be silver, which is the mid-range out-of-pocket expense level.
  
  
• If one or both of you did not complete the wellness assessment by July 1, your family color level will be bronze, which is the highest out-of-pocket expense level.

After receiving your WebMD letter, you may appeal your out-of-pocket expense level if you feel it inaccurately describes your family color level. To appeal, you must follow a two-step process:

1. You must appeal first to WebMD by calling 1-866-584-6813 no later than Aug. 15. If WebMD grants your appeal, you will receive a confirmation letter and do not need to go to step 2.
   
   
2. If WebMD denies your appeal, WebMD will send you a denial letter and a 2011 Healthy Incentives^SM Appeal Request Form. Submit your completed appeal request form to Benefits, Payroll and Retirement Operations no later than Sept. 15. Your appeal will not be considered until after WebMD has made a decision on your appeal.

To support your appeal, provide as much information and documentation as you can. Individual circumstances will be taken into consideration.

If you have questions about the appeal process, contact Benefits, Payroll and Retirement Operations at 206-684-1556 or kc.benefits@kingcounty.gov.