Wellness Policies and Forms

  • Health Insurance Preventive Exams Incentive Forms For Insured Spouse

    Your covered spouse is eligible for a $50 gift card.  For details see below:

2019 GHT Annual Exam Incentive Request Form (PDF)
2019 GHT Annual Exam Incentive Letter (PDF) 
  • Smoking Cessation Benefit

    Marathon County Health Care Benefit Plan provides a smoking cessation benefit.  For form see below:

Marathon County Smoking Cessation Referral Form (PDF).
  • Departmental On-Site Wellness Policy and Forms

    The on-site Wellness policy (PDF) references instructions for completion of the forms. The required forms are posted below for reference.

Departmental On-Site Wellness Program Form (PDF).
On-Site Wellness Activity Agreement Form (PDF).
Participant Waiver and Release of Liability Form (PDF).