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How do I fill this out?
To fill out this document, first ensure you have your Go365 ID card handy. Next, you will need to complete either a health assessment or a biometric screening. Follow the instructions provided to ensure successful submission.
How to fill out the Complete Your LivingWell Promise Before July 1?
1
Log in to Go365 and choose your assessment method.
2
Complete the health assessment or schedule a biometric screening.
3
Take your Go365 ID card to your appointment.
4
Fast for at least eight hours prior to your biometric screening.
5
Keep your screening results for proof of completion.
Who needs the Complete Your LivingWell Promise Before July 1?
1
Employees participating in LivingWell plans need this file to understand how to complete their health assessments.
2
Individuals seeking discounted insurance premiums require this file for instructions on completing necessary actions.
3
Human resources personnel need the file to assist employees with the LivingWell Promise.
4
Health assessment providers require the file to understand what will be needed for biometric screenings.
5
Wellness program coordinators need this file to communicate requirements effectively.
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What are the important dates for this form in 2024 and 2025?
Important dates for this form include July 1, 2024, as the deadline for completing health assessments and biometric screenings to receive insurance discounts. Ensure all submissions are made before this date to avoid premium charges in 2025.
What is the purpose of this form?
The purpose of this form is to guide participants in the LivingWell program through necessary steps for health assessments and biometric screenings. By completing these steps, users can earn points and potentially reduce their insurance costs. It serves as an essential resource for maintaining wellness and encouraging proactive health measures.
Tell me about this form and its components and fields line-by-line.
- 1. Full Name: Enter your first and last name.
- 2. Go365 ID: Provide your Go365 ID for identification purposes.
- 3. Screening Date: Select the date of your biometric screening.
- 4. Health Assessment Completed: Indicate whether you have completed the online health assessment.
- 5. Signature: Provide your signature to validate the document.
What happens if I fail to submit this form?
If you fail to submit this form, you will lose the opportunity to receive discounted insurance premiums for the specified period. It is crucial to fulfill the requirements to avoid additional charges.
- Premium Discount Loss: Not completing the health assessment or biometric screening results in a loss of the premium discount.
- Potential Health Risks: Missing screenings may lead to unaddressed health issues.
- Increased Insurance Costs: You may face higher insurance premiums without the necessary submissions.
How do I know when to use this form?
- 1. Participating in LivingWell Program: Individuals enrolled in the program need to fill out this form to meet requirements.
- 2. Annual Health Screenings: Use this form to document participation in annual health screenings.
- 3. Insurance Discounts: Complete this form to qualify for insurance premium discounts.
Frequently Asked Questions
What is the LivingWell Promise?
The LivingWell Promise is a requirement for participants to complete either a health assessment or biometric screening.
How can I access my Go365 ID?
You can obtain your Go365 ID online on the Go365 App or via the Go365 website.
What rewards do I receive?
Participants can earn up to 4,000 Go365 Points for completing the health assessment and biometric screening.
What happens if I miss the deadline?
Failure to complete the requirements will result in ineligibility for discounted insurance premiums.
When can I schedule my biometric screening?
Screenings are available at multiple convenient locations on select dates.
What should I do on the day of my screening?
Make sure to fast for at least eight hours and bring your Go365 ID card.
How can I contact customer service?
You can reach Go365 customer service at 855.478.1623 during business hours.
Are there any costs involved?
No, biometric screenings are offered at no cost at various locations.
Can I complete the health assessment before the screening?
Yes, you can complete the health assessment before scheduling your biometric screening.
Where do I get more information?
Visit LivingWell.ky.gov for more wellness benefits and program updates.
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