Wellness Incentives/Forms 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).