FITLife Wellness Incentive Form

CHECK-IN + REGISTER + COMPLETE

Faculty, Administrative Professional, and other non-classified employees enrolled in an Anthem plan who complete the wellness activities may be eligible to earn a $150 incentive (taxable) in 2022.

  1. PARTICIPATE in the Health Fair blood draw
    • Off-Campus? Visit your health care provider for the blood draw and use this link to download the form to bring to your physician or the LabCorp form to have your blood drawn at a LabCorp facility.
  2. CHECK-IN with a retirement counselor or attend a webinar and complete this form
  3. REGISTER for Anthem Engage
  4. COMPLETE Anthem’s Health Assessment

Need help completing these tasks? Click here for step-by-step instructions.

Retirement Counseling Form

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  • MM slash DD slash YYYY
    Retirement counseling must have been completed between 1/1/2020 and 12/31/2020 to be eligible for the incentive in 2021.
  • By typing my name in the field above, I hereby attest that I have completed a retirement counseling session and that the information above is true and accurate to the best of my knowledge.