You can download the PDF here.

Fill it in on your computer or print it out to complete and sign. Then:

  • Deliver to Jared Morgan in our Centerville office, or
  • Email to jmorgan@hoganconstruction.com. Please copy lorchard@hoganconstruction.com.

OR

Fill in the form to the right (or below on narrow screens) and submit.

I have received and reviewed Hogan & Associates Construction’s Wellness Program and understand it is available for my review in the LIBRARY section of Hogan University.

I understand hourly Field Employees are eligible for health benefits starting the first day of the first month after they complete 60 days with Hogan, and hourly Office Employees and salaried Employees are eligible on the first day of the month following their start date.

In my New-hire Orientation I was given a thorough explanation of benefits, including effective dates and obligations I have to meet prior to the effective dates.

I understand my spouse and I need to participate in the wellness program for Hogan Construction to pay 100% of the medical premium. Children do not need to participate in the wellness program.

I understand I must contact Orriant (888-346-0990) and set up my health assessment prior to my effective date with benefits.

I understand that after my health assessment, I must set up my account (orriant.com) with my password of choice and complete the snapshot within 30 days.

I understand I must complete my health promotion on orriant.com by the last day of each quarter. All wellness participants must complete 30 health promotions activity points listed in each of the following quarters in order to receive their participation incentive:

• Quarter One (Jan – Mar) • Quarter Three (Jul – Sep)
• Quarter Two (Apr – Jun) • Quarter Four (Oct – Dec)

I understand Hogan & Associates Construction pays 80% of the medical premium. If I complete all of the steps above, Hogan & Associates Construction will pay 100% of the medical premium for the employee and family. Final monthly 2022 costs are:

AETNA STANDARD PLAN
AETNA "BUY-UP" PLAN
WELLNESS PROGRAM PARTICIPANTSWELLNESS PROGRAM NON-PARTICIPANTSWELLNESS PROGRAM PARTICIPANTSWELLNESS PROGRAM NON-PARTICIPANTS
SINGLE PERSON-0-$119.65$62.52$126.31
TWO-PERSON-0-$251.28$131.30$265.25
FAMILY-0-$358.97$187.57$378.93

My signature, below, indicates I have read, understand, and agree to these requirements and provisions.

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