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Health Conscious? EEOC Is Expanding Incentives For Employees' Spouses

Employee wellness programs are frequently a source of ulcer-causing angst for auto employers, but the Equal Employment Opportunity Commission (EEOC) is making moves to treat some of the underlying issues. In late October, the EEOC issued a proposed rule to amend Title II of the Genetic Information Non-Discrimination Act of 2008 (GINA) that would “allow employers who offer wellness programs as part of group health plans to provide limited financial and other inducements… in exchange for an employee’s spouse providing information about his or her current or past health status.” On its face this may appear to be a minor issue, but in reality, this change helps auto employers with large insured work forces avoid inadvertently violating GINA’s broad employee protections.

GINA seeks to protect workers and job applicants from employment discrimination and bias because of their “genetic information,” which includes information about family medical history and the medical conditions of employees’ spouses. Auto employers cannot use genetic information when making employment decisions, and are prohibited from otherwise collecting, requesting, buying or using genetic information unless they can qualify for one of the law’s narrow exceptions.

Extending Wellness Programs to Employee Spouses

One of those exceptions is employee wellness programs. Employee wellness programs are popular among auto employers, and are used to incentivize employees to lead healthier, happier lives, and ultimately aim to reduce the large costs of an auto employer’s group health coverage. Many such programs offer incentives to employees to participate, which is generally permitted under this GINA exception even where the employee provides certain genetic information as part of a wellness screening. Because many employees choose to cover their spouses under an employer-sponsored group health plan, some auto employers (at the behest of their insurance carriers) seek to extend their wellness programs to employee spouses.

Under the proposed rule, the EEOC will permit employers to offer incentives (in the form of rewards or penalties) to an employee whose spouse, covered by the plan, voluntarily receives health or genetic services provided by the employer as part of the overall employee wellness program. The rule will allow auto employers to be somewhat creative, too, in their incentives, including providing paid time off, prizes, gift cards, and, of course, financial incentives. The only limit is that any incentive cannot exceed 30 percent of the total cost of self-only coverage.

All of these proposed changes appear to be consistent with the EEOC’s April 2015 proposed regulations addressing how the Americans With Disabilities Act (ADA) applies to wellness programs. While employee wellness programs remain popular, and help auto employers keep their health insurance costs down, paying keen attention to this changing area of the law will keep auto employers out of the weeds, and help create a healthier and happier workforce.

© 2020 Foley & Lardner LLP


About this Author

John Litchfield, employment lawyer, labor litigator, Foley Lardner, Chicago Law Firm

John Litchfield is an associate and litigation attorney with Foley & Lardner LLP. His primary practice includes counseling clients on a wide range of employment-related matters, including disability accommodations, family and medical leave issues, wage and hour compliance, and other state and federal employment laws. Mr. Litchfield also counsels clients on the intricacies of the Genetic Information Non-Discrimination Act of 2008. He has represented employers in federal and state litigation matters relating to race and disability discrimination, FMLA claims, and...