Rivier Employee Wellness Program
Mission: To improve the overall physical, emotional and financial health of our employees through
active participation in the Rivier Employee Wellness Program. Participation is voluntary, although it
will allow employees and their spouses to become more aware of their health while taking steps to
live healthier lifestyles. Studies show that living healthy lifestyles can improve the overall quality of life
for an individual while decreasing the risk of heart disease, stroke, diabetes and other health issues.
Employee Financial Savings: Employees who participate in this program will receive a
bi-weekly credit in the amount of $25 for single plans ($650 annually) and $50 for employees with
spouses on the plan ($1,300 annually). This savings is reflected in the Wellness Rates on
applicable forms.
Vision: Employees engaging in various wellness resources to expand, improve, or create a healthy
lifestyle. Rivier University, along with its wellness partners including Harvard Pilgrim Health Care, The
Wellness Project, Citizens Bank, New England Workplace Therapy Chair Massage and many other
select local resources, is committed to providing employees the tools needed to achieve their
wellness goals, including physical, emotional and financial health.
Overview of Program: Rivier University believes in your future and wants to invest in your
overall wellness to help you succeed not only at work, but outside of the workplace by giving you
practical tools that will be useful in everyday life. All Rivier employees, regardless of physical status,
are welcome to participate in the Wellness Program, however, Benefit-Eligible employees who enroll
in Rivier’s group health insurance and actively participate in the program will pay the Wellness Rate
on their insurance premium. This program does not have any “physical standards” that must be met
in order to receive the incentive rate, nor does your physical state determine how much you
participate in the program. You will receive the credit as long as you regularly participate in the
Wellness Program. Participation details are outlined below.
How do I earn and maintain my wellness credit for savings
on my health insurance?
Submission of points will be audited quarterly to maintain wellness rate.
Employees must earn 20 or more points quarterly (80 points annually)
Spouses must earn 20 or more points every six months (40 points annually)
Scorecards with points must be submitted on or during the week of the dates listed below.
Important: Scorecards will be accepted during the week prior to the due dates listed below.
Quarter 1: March 31, 2017 (20 points due for employees)
Quarter 2: June 30, 2017 (20 points due for employees and 20 points due for spouses)
Quarter 3: September 30, 2017 (20 points due for employees)
Quarter 4: December 31, 2017 (20 points due for employees and 20 points due for spouses)
Jillian M. Dodds, November 2016
Earning Points
Each Quarter the Benefits Manager will announce what activities, workshops, screenings, etc.
will be available to earn points. You will always have 5 or more options. These are open to
spouses unless indicated otherwise.
1. Health Screenings
20 Points – Paid for by Rivier. Screenings are offered to Employees and Spouses. Results are
confidential; only YOU and a healthcare professional will see them. Rivier will only know if you
participated. Screenings may include: Blood Pressure, Glucose and Cholesterol. Dates to be determined.
Offered to employees with Rivier’s Insurance only
2. Individual Nutritional Session with Registered Dietitian
20 Points per session – Billed through your insurance; offered to employees with Rivier’s Insurance only
Copay may apply; receipt of session must be submitted to earn points. Available through each Harvard
Pilgrim Health Plan, may require referral through PCP. Available year-round.
3. Wellness Workshops
20 Points per workshop - Classes will be held at least once a month (to help accommodate schedules)
on various topics from local companies to cover financial, physical and emotional wellness. Full
workshop schedule to be announced; workshops will be 30-60 minutes long and be held during lunch
time (feel free to bring your lunch). We recognize this timeframe may not work for everyone; that is why
we offer several options to earn your points. Classes are free and sign-ups will be required.
4. Fitbit or Other Tracker Reports
20 Points per Sufficient Report – Walk at least an average of 3 miles (6,000 steps) per day/20 miles
(40,000 steps) per week/ 240 miles (480,000 steps) per quarter. Numbers don’t have to be exact, but
close to this range. You can print your Fitbit/tracker reports as needed and submit them at the end of
each quarter.
5. Regular Gym/Class Attendance (Yoga, Zumba, Dance, Meditation, Pilates)
20 Points for Regular Attendance – Attend a gym (YMCA, Best Fitness, Plant Fitness, Rivier’s gym,
etc.) an average of 3 times per week for 30 minutes. Most gyms will be able to print a report indicating
what days you checked in. If you submit this report/receipt in order to earn your points, we trust you
are exercising for at least 30 minutes. If you take a fitness class (Zumba, Pilates, Yoga, Dance,
Meditation, etc.) at least once a week on average, this will also count toward your quarterly points.
Receipts for each class must be kept and submitted (copies are sufficient) at the end of the quarter.
6. Chair Massage
20 Points per Session – Massage helps you relax which can be hard these days. Life gets
stressful! We had great feedback about New England Workplace Therapies who provided chair
massages to our winners during open enrollment. They will be coming on-site quarterly to
offer chair massages in 15 minute increments. Sign-ups will be required and payment is due at
time of service. This is paid for by the employee. Cost: $20 for 15 minutes; additional options
may be available for those who want longer massages. Receipt will be required to earn your
points. Dates to be announced.
7. Other Wellness Initiatives
20 Points per Initiative – Other wellness options may be offered throughout the year
depending on suggestions we receive, etc. These special initiatives will be communicated at the
appropriate time and may be offered to both employees and spouses depending on initiative.
Jillian M. Dodds, November 2016
Rivier Employee Wellness Program
Registration
Please check a box below that represents your initial election on the BLUE form (if you elected the Wellness Rate for the
Elevate Health Plan or HMO LP Plan) and desire to take part in the Rivier Employee Wellness Program for 2017.
Wellness enrollment is only available when you are able to change your insurance for a qualifying event, etc. with the
exception of a mid-year enrollment (July 2017) for those who decide they would like to enroll in the wellness program
for the remainder of the year.
You are able to enroll in this program due to the following event (please check one):
 Open Enrollment 2017  New Employee  Qualifying Life Event  Mid-Year Wellness Enrollment – July 2017
Employee Name: __________________________Spouse Name (if applicable) ____________________
Department: _____________________________ Check One:  Single Plan  Employee & Spouse on Plan
By signing below I/my spouse agree to participate in the Rivier Employee Wellness Program and will complete the
scorecard(s) on time with accuracy and honesty. By signing this I fully understand that falsification of information could
be grounds for termination of insurance premium credit. I also understand that Rivier will never ask for any of my/my
spouse’s personal health information and that proof of participation will require reports and receipts without your
personal health information unless you voluntarily provide it to us, in which it will then remain in your confidential
benefits file.
Submission of quarterly/6 month scorecards with points are due on the following dates and due to recordkeeping, we
can only accept submission of such points prior to a week before the deadline. All point submissions MUST be sent to
[email protected]. Please scan and email all receipts, etc. If a receipt is not required because you attended a
workshop/screening on site, please note that on the scorecard.
Rivier encourages notifying your health care provider before starting any type of fitness regime.
Signature: _______________________________
Date: ____________
HR Received: Initial: ______
Important: Scorecards will be accepted during the week prior to the due dates or on the due
dates listed below.
Quarter 1: March 31, 2017 (20 points due for employees)
Quarter 2: June 30, 2017 (20 points due for employees and 20 points due for spouses)
Quarter 3: September 30, 2017 (20 points due for employees)
Quarter 4: December 31, 2017 (20 points due for employees and 20 points due for spouses)
Jillian M. Dodds, November 2016
Rivier Employee Wellness Program Employee Scorecard
Fill out Quarterly and pass it in with applicable receipts, reports, etc. via [email protected]
Employee Name: __________________________Department: _____________________________
Current Coverage Level: Check One:
 Single Plan  Employee & Spouse on Plan
Employee:
Quarter (please circle one): QTR 1 Jan.-March / QTR 2 April – June / QTR 3 July-Sept. / QTR 4 Oct.-Dec.
Due Quarterly: 20 Points
How did you earn your points for this quarter? Check one below:
 Health screening at Rivier
 Nutrition Session with Nutritionist
 Wellness Workshop
 Fit Bit Report (240 miles/QTR)
 Regular Gym/Class Attendance
 Chair Massage
 Special Initiative
Date of Screening: ________
Receipt Attached: 
Date of Workshop: ________
Report Attached: 
Receipt/Report Attached: 
Receipt Attached: 
Receipt/Report Attached: 
By signing below I/my spouse agree that I completed my quarterly scorecard with accuracy and honesty. By signing this
I fully understand that falsification of information could be grounds for termination of insurance premium credit.
Signature: _______________________________ Date: ____________
Received by HR:  Initial: ______
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Rivier Employee Wellness Program Spouse Scorecard
Fill out every 6 months and pass it in with applicable receipts, reports, etc.: [email protected]
Name: _____________________________________ Your Spouse’s Name (works at Rivier) ____________________
Spouse: Please participate by earning 20 points every 6 months for a total of 40 points annually
Please circle:
January-June (20 points)
July-December (20 points)
How did you earn your points? Check one below:
 Health screening at Rivier
 Nutrition Session with Nutritionist
 Wellness Workshop
 Fit Bit Report (240 miles/QTR)
 Regular Gym/Class Attendance
 Chair Massage
 Special Initiative
Date of Screening: ________
Receipt Attached: 
Date of Workshop: ________
Report Attached: 
Receipt/Report Attached: 
Receipt Attached: 
Receipt/Report Attached: 
By signing below I/my spouse agree that I completed my quarterly scorecard with accuracy and honesty. By signing this
I fully understand that falsification of information could be grounds for termination of insurance premium credit.
Signature: _______________________________ Date: ____________
Jillian M. Dodds, November 2016
Received by HR:  Initial: ______