Our Wellness Journey. A Presentation by: Amanda McMillan Group Employee Benefits Manager, Massy Ltd., June 4, 2015
|
|
|
- Kerry Wilson
- 5 years ago
- Views:
Transcription
1 Our Wellness Journey A Presentation by: Amanda McMillan Group Employee Benefits Manager, Massy Ltd., June 4, 2015
2 The MASSY Group Massy is a diversified regional conglomerate with operations across six different segments throughout the Caribbean basin, as well as Costa Rica, Colombia, and the United States. With over 60 operating companies comprising Massy Holdings, the Group is able to leverage significant synergies and deliver greater growth and value for stakeholders. The Group employs over 11,000 people across all 10 countries in which it currently operates. Massy is a publicly traded company on the Trinidad & Tobago Stock Exchange. Massy is a group that is highly committed to being a force for good in its community and is one of the most socially responsible companies in the Caribbean basin.
3 Regional Footprint MIAMI DISTRIBUTION INSURANCE TECHNOLOGY OTHER JAMAICA ENERGY & INDUSTRIAL GASES DISTRIBUTION TECHNOLOGY INSURANCE RETAIL ANTIGUA DISTRIBUTION TECHNOLOGY OTHER AUTOMOTIVE FINANCE INSURANCE ENERGY & INDUSTRIAL GASES AUTOMOTIVE COLOMBIA ENERGY & INDUSTRIAL GASES DISTRIBUTION TECHNOLOGY OTHER AUTOMOTIVE FINANCE INSURANCE ST LUCIA GUYANA TRINIDAD & TOBAGO BARBADOS ENERGY & INDUSTRIAL GASES DISTRIBUTION TECHNOLOGY OTHER AUTOMOTIVE PROPERTIES RETAIL FINANCE INSURANCE
4 Business to Business Lines of Business Business to Consumer Lines of Business Distribution Industrial Equip Energy & Industrial Gases Technology Other Properties Retail Finance Automotive Insurance Massy Distribution Massy Trading Massy Ι CAT Massy Ι Pres-T-Con Massy Energy Investments Massy Technologies AppliedImaging Massy Security Massy Properties Massy Realty Massy Stores SuperCentre Massy Finance GFC Massy Motors Leasing Massy Ι United Insurance Massy Shipping Services Massy Machinery Engineered Solutions Production Resources Fabric Maintenance InfoCom Transaction Services Massy Communications Supermarket Express Home Pharmacy Credit Plus Remittances Massy Card Credit Non-Credit Parts Service Pre-Owned Automotive Components Supply Chain Solutions Massy Ι Wood Group Massy Gas Products Tobago Best Auto Massy Motors Ι Quikservice Holdings Massy Industries Caribbean Products Petrochemical Services Massy Ι Air Products ManagementServices ASU
5 Our Purpose A Force for Good Creating Value Transforming Life
6 A Company With A Vision Our Vision: A Force for Good: The Most Responsible and Profitable Investment Management/Holding Company in the Caribbean Basin
7 Our Values Honesty & Integrity Growth & Continuous Improvement Love & Care Collaboration Responsibility
8 Love & Care drives Wellness
9 Our Purpose A Force for Good Creating Value Transforming Life Health is a state of body, Wellness is a state of being Massy s wellness philosophies mirror the diverse culture of our companies and employees
10 We formed a Group-wide Wellness Committee Built consensus among committee members to understand and embrace the wellness vision Incorporated employees at all levels, who were passionate and energized about health & wellness Included sub-committees of employees who championed activities in their companies Also incorporated employees who had chronic conditions and wanted to give back and share their stories about prevention to their colleagues Take ownership of the development process for a policy to be created, rolled out and maintained
11 We developed a Wellness Vision A healthy and engaged workforce Decrease in the number of insurance claims Increased health of families, supporting our employees Reduce the burden on the national heath system Massy branded as a company that values its workers and building our reputation First model of its kind in the Caribbean Organizational health index that can be reported at the board level and published
12 1. Research Medical Plans EAP Reports HR Records HSSE Reports Trends showed premium increases with very little initiative and support from insurance companies; We manage 12 medical plans for actives & 6 plans for retirees across the Caribbean High utilisation of the EAP service (Massy has 22 contracted providers who all had major concerns regarding employees coping abilities) High levels of absenteeism and sick leaves. We also asked pertinent questions about wellness in the recruitment process to determine the interest levels of our potential hires Frequency of accidents and other incidents we saw major increases in medical premiums and high utilisation of EAP service & we started having conversations with our insurance agencies and pre-employment doctors.
13 MASSY MEDICAL CLAIM SUMMARY ACTIVES ( 4,312 ) Communicable Diseases Non-Communicable Diseases Blood - 47 Bone / Joint Breast - 55 Chest Ear Eyes Gynecological Mental / Nervous - 11 Miscellaneous Cancer - 24 Diabetes Heart Hypertension - 12 Kidney - 2 Respiratory Non-Communicable Diseases account for 22% of all total claims (actives) April 2014 March 2015 Muscles / Tendon Neck / Back Psychological - 30 Renal Sinus Skin Stomach Throat - 67
14 MASSY MEDICAL CLAIM SUMMARY RETIREES ( 1,412 ) Communicable Diseases Non-Communicable Diseases Blood - 20 Breast - 13 Chest - 66 Ear - 21 Eyes Gynecological - 16 Mental / Nervous - 8 Bone / Joint Cancer - 32 Diabetes Heart - 75 Hypertension Respiratory - 66 Non-Communicable Diseases account for 42% of all total claims (retirees) April 2014 March 2015 Miscellaneous Muscles / Tendon - 47 Neck / Back - 30 Psychological - 24 Renal Sinus - 24 Skin - 85 Stomach - 55 Throat - 5
15 2. Design > Mobilize Wellness committees included employees at all levels
16 2. Design > Customize In diverse businesses, diverse regions, diverse cultures and over 10,000 one size just doesn t fit all so we customized our approach
17 2. Design > Customize In Trinidad at Carnival time everyone gets body conscious so we took the opportunity to introduce certain diet and exercise initiatives to get people engaged
18 2. Design > Incentivize For every initiative, we had to offer a reward and make the effort attractive. E.g. we offered pedometers as prizes, inexpensive trips (to Tobago), fruit baskets and other creative & interesting wellness-related rewards
19 2. Design > Budget Based on the planned initiatives we carefully budgeted how we were going to use our financial resources : Critical for long-term engagement Critical for establishing financial guidelines Be cautious about using the word free. Employees had to understand that wellness is their personal responsibility as well.
20 3. Implement In January 2015 Massy (Trinidad operations) reconnected with over 700 Massy retirees to reinforce the importance of wellness. To date we have successfully hosted 3 events of this kind with the 2015 event showing the largest turn out and participation.
21 3. Implement We have also sponsored the Massy Rainbow Cup Triathlon for the past 4 years to promote employee health and wellness and support the national wellness agenda
22 4. Evaluate > Formally & Informally
23 Stakeholder partnerships support the framework Insurance agencies: Better case management Reductions in premiums Internal Partners: HSSE, in reducing incidents & accidents Massy Pharmacy (formerly Knights) Government Agencies: Share global trends and data Access government support services Improve Case Management: negotiate lower rates & get better care for our employees Local & Foreign Health Care Providers: Better case management & discounted rates NGOs: Build awareness and provide educational material to help support employees and their families External Suppliers: E.g. caterers, gyms, EAP providers
24 Stakeholder partnerships at work
25 With full support from our head
26 Goal: A Draft Health Management Policy
27 The Power of the Policy (Documentation) The implementation of the Health Management Policy will be audited as part of the Group HSSE audit programme. Draft Health Management Policy Roll Out (April 2016) KPIs shall also be developed to measure its impact. These should include percentage of staff completing annual health surveillance, percentage of employees participation in wellness programmes and other factors such as the absenteeism rate as well as the injury and illness rate. Sign off by Company s Leadership Evaluate Collate feedback and recommendations to amend policy accordingly. Policy owned by the Group Wellness Committee Implement Design Research
28 Love & Care = A Healthier Workforce Greater awareness of wellness Improved physical, social & mental well-being Increased employee engagement and job satisfaction Higher productivity levels Lower Absenteeism Reduced health care costs Lower stress levels Less time spent on managing personal challenges e.g. doctor visits
29
MANAGEMENT DISCUSSION & ANALYSIS
MANAGEMENT DISCUSSION & ANALYSIS CHIEF FINANCIAL OFFICER S REPORT Submitted by Paula Rajkumarsingh, Group CFO, Massy Holdings Ltd. MASSY ANNUAL REPORT FINANCIAL REVIEW HIGHLIGHTS Third Party Revenue increased
Financial Results September 2016
Financial Results September Disclaimer FORWARD LOOKING STATEMENTS This presentation does not contain material non-public information as defined in the Trinidad and Tobago Securities Act, 2012. The presentation
Financial Results March 2015
Financial Results March Disclaimer FORWARD LOOKING STATEMENTS This presentation does not contain material non-public information as defined in the Trinidad and Tobago Securities Act, 2012. The presentation
Massy Holdings Ltd. Consolidated Financial Statements. September 30, (Expressed in Thousands of Trinidad and Tobago Dollars)
Consolidated Financial Statements September 30, 2018 Contents Page Statement of Management s Responsibilities 1 Independent Auditor s Report 2-12 Consolidated Statement of Financial Position 13-14 Consolidated
Massy Holdings Ltd. (Formerly Neal & Massy Holdings Limited)
Consolidated Financial Statements (Expressed in Thousands of Trinidad and Tobago Dollars) Contents Page Statement of Management s Responsibility 1 Independent Auditor s Report 2 Consolidated Statement
Massy Holdings Ltd. Consolidated Financial Statements. 30 September (Expressed in Thousands of Trinidad and Tobago Dollars)
Consolidated Financial Statements Contents Page Statement of Management s Responsibility 1 Independent Auditor s Report 2 Consolidated Statement of Financial Position 3-4 Consolidated Income Statement
Financial Results September 2014
Financial Results September Disclaimer This presentation does not contain material non-public information as defined in the Securities Act, 2012. Further, although our statements may reflect our views
Tivity Health + Nutrisystem Expanding our Healthy Lifestyle Brand Portfolio Tivity Health, Inc. All rights reserved.
Tivity Health + Nutrisystem Expanding our Healthy Lifestyle Brand Portfolio 1 2018 Tivity Health, Inc. All rights reserved. Cautionary Note on Forward-Looking Statements Note On Forward Looking Statements
2013/2014 Global Medical Trend Rate Survey Report
Aon Hewitt Global Benefits 2013/2014 Global Medical Trend Rate Survey Report December 2013 2013/2014 Global Medical Trend Rate Survey Report 3 5 8 20 Contents Introduction Key Highlights Call to Action
2013 Conference Risk, Recovery & Real Growth" 23rd Annual CAA Conference Secrets Wild Orchid Montego Bay, Jamaica. 4 th to 6 th December 2013
2013 Conference Risk, Recovery & Real Growth" 23rd Annual CAA Conference Secrets Wild Orchid Montego Bay, Jamaica. 4 th to 6 th December 2013 Health Care in Jamaica Challenges and Possible Solutions Vanette
Winning the war for talent. Carey Adamson ICMA Conference Presenter
Winning the war for talent Carey Adamson ICMA Conference Presenter 1 1 The talent war Public sector vs. private sector For the citizen For the customer 2 2 The talent war Consumerism expectations merged
For CEOs. By Mike Critelli DOSSIA ALL RIGHTS RESERVED
For CEOs By Mike Critelli 2012 DOSSIA ALL RIGHTS RESERVED www.dossia.org You are frustrated by your Company s inability to control healthcare costs. What can you do in an environment in which the federal
SPORTS APPLICATION FORM AND MEDICAL EXAMINER S REPORT
33 Yonge Street, Suite 270 Toronto, ON M5E 1G4 (416) 366-2223 Fax: (416) 366-4608 www.suttonspecialrisk.com SPORTS APPLICATION FORM AND MEDICAL EXAMINER S REPORT PART 1 - APPLICATION FORM. This section
Our commitment is to ensure every claim that should be paid, is paid
Our commitment is to ensure every claim that should be paid, is paid Retail claims in 2015 Life s better with the right partner 2 Claims brochure You can tell a lot about an insurance company by the way
Thank you for downloading this information.
Thank you for downloading this information. For more information, advice or for a free quote, please contact our global head office at the address below who will redirect you to a regional office located
Application for change in coverage or reinstatement
Disability Application for change in coverage or reinstatement Metropolitan Life Insurance Company 200 Park Ave., New York, NY 10166 Attention: SECTION 1: Type of change Change to the elimination period
Health and Wellbeing GSK s Partnership for Prevention Programme
Health and Wellbeing GSK s Partnership for Prevention Programme Erin Pung, RN, BSN, MPH Global Health Advisor GSK Who We Are We are a science-led global healthcare company. Our mission is to improve the
WORKSITE POLICY. Introduction
W H Y M I N N E S O T A N E E D S A WORKSITE WELLNESS POLICY B y J u l i a L a n g, A l l i s o n T h i r i o n, a n d C h e l s i e T o d d P U B L I C H E A L T H N U T R I T I O N Introduction Workplace
PROFESSIONAL ATHLETES APPLICATION
Send completed application and exam to: Petersen International Underwriters 23929 Valencia Boulevard Suite 215, Valencia, CA 91355 Email: piu@piu.org Fax: (661) 254-0604 Telephone (800) 345-8816 Proposed
Acknowledgement of Receipt of Notice of Privacy Practices
Acknowledgement of Receipt of Notice of Privacy Practices **You May Refuse to Sign This Acknowledgement** I,, have received a copy of this office s Notice of Privacy Practices. Signature For Office Use
Toolkit INTRODUCTION. Why have a Worksite Wellness Program
Toolkit INTRODUCTION Why have a Worksite Wellness Program INTRODUCTION Welcome to Worksite Wellness! A way to improve your bottom line and employee morale while decreasing chronic disease. If you are extremely
PROFESSIONAL ATHLETES APPLICATION
Send completed application and exam to: Petersen International Underwriters 23929 Valencia Boulevard Suite 215, Valencia, CA 91355 Email: piu@piu.org Fax: (661) 254-0604 Telephone (800) 345-8816 Proposed
A Force for Good The Most Responsible and Profitable Investment Holding/Management Company in the Caribbean Basin
Annual Report 2017 1 2 1 Vision Statement A Force for Good The Most Responsible and Profitable Investment Holding/Management Company in the Caribbean Basin Table of Contents Regional Footprint 4 Major
GROUP INSURANCE EVIDENCE OF INSURABILITY FORM. SECTION 1: EMPLOYER INFORMATION (to be completed by authorized Plan Administrator):
GROUP INSURANCE EVIDENCE OF INSURABILITY FORM RBC Life Insurance Company 6880 Financial Drive, Tower 1, Eighth Floor Mississauga, Ontario L5N 7Y5 Please answer all applicable questions; all subsequent
There are several reasons why employers sponsor the Healthy Transformations worksite wellness plan:
There are several reasons why employers sponsor the Healthy Transformations worksite wellness plan: 1. Create a healthier and happier worksite culture 2. Reduce absenteeism and turnover 3. Save money by
Guidance for Outcome-Based Wellness Incentive Programs. Diane Andrea, RD,LD Wellness Consultant
Guidance for Outcome-Based Wellness Incentive Programs Diane Andrea, RD,LD Wellness Consultant Facts Health care costs will continue to increase 8% - 9% per year 2011 employers spent more than $8500 per
VF Benefits BUILT AROUND WHAT MATTERS TO VF EMPLOYEES. Powerful Brands Powerful Platforms One VF. For Salaried/Exception Hourly Employees
VF Benefits BUILT AROUND WHAT MATTERS TO VF EMPLOYEES For Salaried/Exception Hourly Employees Powerful Brands Powerful Platforms One VF 1 An Introduction to VF Benefits Meeting the Diverse Needs of Our
Economics of Noncommunicable Diseases
Karl Theodore, Stanley Lalta and Anton Cumberbatch HEU, Centre for Health Economics, UWI Presented at PAHO Regional Workshop Economics of Noncommunicable Diseases Washington.. 24 and 25 August 2015 Review
Barbara Smisko, MS, CSP
Striving to Attain the Healthiest Workforce in Health Care: Kaiser Permanente s Vision and Strategy International Symposium to Advance Total Worker Health Barbara Smisko, MS, CSP Objectives Understand
Proposal Form International Form for Loss of Commercial Flying Licence AND/OR Permanent Inability to Fly (Specified Illness) Insurance
Proposal Form International Form for Loss of Commercial Flying Licence AND/OR Permanent Inability to Fly (Specified Illness) Insurance PART 1 - INSTRUCTIONS AND UNDERTAKINGS: 1. All sections of this proposal
ANNUAL REPORT 2018 MASSY HOLDINGS LTD. ANNUAL REPORT
ANNUAL REPORT 2018 1 The Group s successful entry into Colombia is a springboard into other Latin territories. Executive Reports LETTER FROM THE CHAIRMAN LETTER FROM THE CHIEF EXECUTIVE OFFICER LETTER
Our commitment is to ensure every claim that should be paid, is paid
Our commitment is to ensure every claim that should be paid, is paid FOR ADVISERS March 2015 Life s better with the right partner 2 Claims brochure You can tell a lot about an insurance company by the
St. Petersburg Center for Plastic Surgery JOHN J. O BRIEN, Jr., M.D. Pg. 1
St. Petersburg Center for Plastic Surgery JOHN J. O BRIEN, Jr., M.D. Pg. 1 Social Security # Date Patient s Name (First) (Middle Initial) (Last) Age Date of Birth Married Single Widowed Divorced Separated
UnitedHealthcare Choice Plus Health Savings Account (HSA) Plans User Guide
UnitedHealthcare Choice Plus Health Savings Account (HSA) Plans User Guide Tips for Healthy Saving and Spending CHOOSE HEALTH. SPEND WISELY. We are committed to offering you a comprehensive benefits program
Guidance for Health Contingent Outcome-Based Wellness Incentive Programs. July 30, 2014 Diane Andrea, RD,LD Wellness Consultant
Guidance for Health Contingent Outcome-Based Wellness Incentive Programs July 30, 2014 Diane Andrea, RD,LD Wellness Consultant Facts Health care costs will continue to increase 8% - 9% per year 2011 employers
THE HERO HEALTH AND WELL- BEING BEST PRACTICES SCORECARD IN COLLABORATION WITH MERCER MANUFACTURING PRODUCTS BENCHMARK REPORT JANUARY, 2019
THE HERO HEALTH AND WELL- BEING BEST PRACTICES SCORECARD IN COLLABORATION WITH MERCER MANUFACTURING PRODUCTS BENCHMARK REPORT JANUARY, 2019 A benchmark report from The HERO Health and Well-being Best Practices
There are several reasons why employers sponsor the Healthy Transformations worksite wellness plan:
Healthy Transformations is a participation-based wellness plan, which means the incentives awarded to employees are based on their willingness to participate, not by achieving a particular health or wellness
Fax this Application Form to:
Requirements before submitting this application form: 1. Please complete the Medical Health Declaration section on this Application Form. 2. Please read and sign the Declaration at the bottom of the Application.
Bending the Health Care Cost Curve: The Role of Investments in Prevention
Bending the Health Care Cost Curve: The Role of Investments in Prevention National Coalition on Health Care Richard Hamburg Deputy Director Trust for America s Health July 16, 2015 About TFAH: Who We Are
*POLCHG* Policy Servicing Health Declaration (for Health Products) TYPE OF REQUESTS SECTION A: UNDERWRITING HISTORY
*POLCHG* Policy Servicing Health Declaration (for Health Products) IMPORTANT NOTE: PURSUANT TO THE INSURANCE ACT (CAP. 142), YOU ARE TO DISCLOSE IN THIS FORM FULLY AND FAITHFULLY, ALL FACTS WHICH YOU KNOW
INDIVIDUAL HEALTH INSURANCE APPLICATION
INDIVIDUAL HEALTH INSURANCE APPLICATION The Insurer retains the right to contact the applicant if any question is not explained in detail or if additional information is required. New policy Additional
RD Physical Therapy & Wellness, LLC
RD Physical Therapy & Wellness, LLC Tel: 443-253-4603 Fax: 410-720-2690 Clinic Location : 3450 Ellicott Center Dr., Suite 105 Ellicott City, MD 21043 Patient information: Registration Form Last name: First
Medical Cost Sharing Guide. June 2018 Edition
Medical Cost Sharing Guide June 2018 Edition Medical Cost Sharing Health care that is affordable, accessible, and above all, effective. Keeping yourself and those you love healthy is of paramount importance.
State of Arkansas WebMD Health Services Group, Inc. All rights reserved. 1
State of Arkansas 11.13.14 All rights reserved. 1 Our Conversation Today Introductions and presentation agenda State of Arkansas and U.S. Trends and Challenges General Wellness Trends and Essential Program
Tracy Blum Physical Therapy, Inc NEW PATIENT REGISTRATION FORM PATIENT INFORMATION. Last Name: First Name: Middle Initial: Social Security no.
Tracy Blum Physical Therapy, Inc NEW PATIENT REGISTRATION FORM PATIENT INFORMATION Last Name: First Name: Middle Initial: Date of Birth: / / Age: Sex: M F Social Security #: / / Marital Status (circle
ScotiaLife Health & Dental Insurance Application
ScotiaLife Health & Dental Insurance Application Group Policy Number: 50183 PO Box 215, Stn Waterloo, Waterloo, ON N2J 3Z9 Simply complete, sign and return this Application Form. NO NEED TO SEND MONEY
Other Scan(s): List All Your Medical Diagnosis: Chemotherapy? YES NO If yes, please list treatment regimen:
Patient Name: Today s Date: Preferred Language: Date of Birth: Age: SSN: Race: Ethnicity: Home Phone: Cell Phone: Work Phone: Best contact phone number should we need to reach you about your treatment:
PROFESSIONAL ATHLETES APPLICATION
SHORT FORM Name in Full: FI RST Residence Address: MIDDLE LAST STREET AND NUMBER CITY Personal information: Occupation Details: STATE DATE OF BIRTH ( ZIP HEIGHT DAYTIME PHONE NUMBER WEIGHT SPORT LEAGUE
A BRIEF OF A BILL ENTITLED THE
A BRIEF OF A BILL ENTITLED THE CUSTOMS TARIFF AMENDMENT (NO 2) BILL 2018 Prepared for The Honourable Kim N. Wilson, JP, MP Minister of Health 8 th June 2018 CUSTOMS TARIFF AMENDMENT (No 2) BILL 2018 Overview
LOGO. Copyright Your Company Name
Greater Tompkins County Municipal Health Insurance Consortium (GTCMHIC) Wellness Presentation City of Ithaca, City Administration Committee Wed. August 15, 2018, Council Chambers, City Hall, Ithaca, NY
Joseph A. Khawly, MD FACS Eric R. Holz, MD FACS Arthur W. Willis, MD FACS Hassan T. Rahman, MD FACS Emmanuel Y. Chang, MD PhD FACS Jonathan H.
Joseph A. Khawly, MD FACS PATIENT INFORMATION Patient s name (first and last): Marital Status: Is this your legal name? If not, what is your legal name? Former name: Birth Date: Age: Gender: YES NO M F
Please answer these brief questions. To the best of your knowledge and belief: 1. During the past 5 years, have you had or been treated for (Circle sp
APPLICATION FOR GROUP DISABILITY INSURANCE Underwritten by The United States Life Insurance Company in the City of New York (Herein called the Company) Administrative Office: P.O. Box 10374, Des Moines,
YOUTH EXPEDITION PROJECT MEDICAL & DECLARATION
YOUTH EXPEDITION PROJECT MEDICAL & DECLARATION INFORMATION FOR APPLICANT 1. Medical Examination We are pleased that you have enrolled in the YEP. During the course of the programme, you will have opportunities
Website: Optometry: Ophthalmology: _ George E. White O.D. FAAO George R. Pronesti M.D.
Print Name: DOB: Emergency Contact: Relationship: Phone #: Person(s) we may share private health information with: Relationship: Primary Care Physician: Pharmacy: ******** ALL PAYMENTS ARE DUE AT TIME
Sickness absence in the labour market: February 2014
Article Sickness absence in the labour market: February 2014 Analysis describing sickness absence rates of employees in the labour market. Contact: Jamie Jenkins labour.market@ons.gsi.gov.uk Release date:
HealthEZ doesn t serve clients; we serve people. We are here to take care of you. We are here to serve you!
Benefit Overview Welcome! HealthEZ is proud to serve as your benefits administrator. We help companies all over the US provide custom, personalized benefits to their employees. We re here to make your
Regence HSA Healthplan 2.0 (100%) Plan Highlights For Groups of 51+ 1/1/2015
Plan Features The Regence HSA Healthplan 2.0 is a simple way to pay for life s medical expenses. Comprehensive health plan combined with a separate tax free savings account provides a simple way to pay
Patient Registration Form
Patient Registration Form Appointment Date/Time Appointment Reason First Name & MI Date of Birth Patient Information Last Name Address Social Security # City State Zip Home Phone Work Phone Cell Phone
Please bring the medications you are currently taking. If you had x- rays made, please bring the films with you when you come to the office.
Dear Patient: We would like to take this opportunity to thank you for choosing our office for your urologic care and to welcome you to our office. We are pleased that you have chosen us to provide you
WHAT WOULD YOU DO IF YOUR SALARY STOPPED?
INCOME PROTECTION THE BASICS WHAT WOULD YOU DO IF YOUR SALARY STOPPED? Being unable to work due to long term illness or injury is a frightening prospect. On top of everything else, could you cope financially?
TotalValue Plan it. Own it. Achieve it. The Benefits of Working at Schwab. A package designed to empower your health, wealth, career, and life.
TotalValue Plan it. Own it. Achieve it. The Benefits of Working at Schwab A package designed to empower your health, wealth, career, and life. What s inside... Total Pay 1 Fiancial Future 2 Health and
Please answer these brief questions. To the best of your knowledge and belief: 1. Have you ever been diagnosed with, or been treated for (Circle speci
APPLICATION FOR GROUP DISABILITY INSURANCE Underwritten by The United States Life Insurance Company in the City of New York (Herein called the Company) Administrative Office: P.O. Box 10374, Des Moines,
APPLICATION TO REGISTER A DEPENDANT
APPLICATION TO REGISTER A DEPENDANT SECTION 1 TO BE COMPLETED BY MEMBER Principal member s name: Principal member s address: Postal code: Cell number: Medical aid number: Payroll/persal number: SECTION
PROFESSIONAL SPORTSPERSON'S ACCIDENT & ILLNESS INSURANCE PROPOSAL / MEDICAL APPLICATION FORM
INSURED AT LLOYD'S OF LONDON PROFESSIONAL SPORTSPERSON'S ACCIDENT & ILLNESS INSURANCE PROPOSAL / MEDICAL APPLICATION FORM AGENT CAUNCE O'HARA & CO LTD CITY WHARF NEW BAILEY STREET MANCHESTER M3 5ER TEL:
FUEL. Rewards powered by BHGE.
FUEL Rewards powered by BHGE. Preview of Your Benefits We are proud to offer you an industry-competitive and comprehensive benefits package with high-quality vendors. Your 2019 benefits package was designed
1. Personal details. Important notice. Your duty of disclosure. Title. Surname. Given names. Date of birth. Home address.
1. Personal details Title Surname Given names Date of birth Home address Work phone number Home phone number Mobile phone number Email BOC Super member number See how BOC Super protects your personal information
Support Your Drivers Health and Financial Well-Being
TRANSPORTATION INDUSTRY GUIDE 1: Support Your Drivers Health and Financial Well-Being Two key strategies to help attract the best drivers and keep them healthy and productive Advocacy Tailored Insurance
Portland Cement Association 2016 Health Insurance Open Enrollment. Benefit Plan Year: January 1 st, December 31 st, 2016
Portland Cement Association 2016 Health Insurance Open Enrollment Benefit Plan Year: January 1 st, 2016 - December 31 st, 2016 WHAT IS OPEN ENROLLMENT? Open enrollment is your once a year opportunity to
CONTROLLING RISING HEALTH CARE COSTS
CONTROLLING RISING HEALTH CARE COSTS Kiplinger's estimates that in 2003, health care costs will increase by an average of 18%. Small and midsized companies may be hit with a 25%-30% hike. So PLA tapped
EMPLOYEE S GROUP ENROLLMENT APPLICATION
EMPLOYEE S GROUP ENROLLMENT APPLICATION Instructions: Please complete all applicable areas of this application. Please print using black ink. WPS/Delta Dental of Wisconsin/ Wisconsin Physicians Services
LIFESTYLE PROTECTOR LIVING LIFESTYLE
LIVING LIFESTYLE Top five reasons to have Living Lifestyle 1 Living Lifestyle is a market-leading benefit on the Lifestyle Protector product It provides comprehensive coverage and financial security for
Group Employee and Individual Application and Enrollment Form Employees
Group Employee and Individual Application and Enrollment Form - 1-100 Employees The offering company(ies) listed below, severally or collectively, as the content may require, are referred to in the Small
BOI National Swasthya Bima Proposal Form (For office use only) Agency Code : Issuing office code Development Officer Code
National Insurance Company Limited Regd. Office 3, Middleton Street, Post Box 9229, Kolkata 700 071 BOI National Swasthya Bima Proposal Form (For office use only) Agency Code Issuing office code Development
Aquatic Care Programs, Inc. Patient Information Date:
Patient Information : Name SS# / / DOB: Address City State Zip Home Cell Email Sex Male Female Marital Status Married Single Widowed Divorced Other Employer Work Work Status Full-Time Part-Time Retired
Measuring the Economic Burden of NCDs. Mark McGovern and David Bloom
Measuring the Economic Burden of NCDs Mark McGovern and David Bloom Harvard T. H. Chan School of Public Health Regional Workshop on Economic Aspects of NCDs and Their Risk Factors August 24 th 2015 Outline
Your underwriting choices
Healthcare insurance Your underwriting choices How we deal with medical conditions that you have, or have had in the past. April 2014 Contents About existing conditions Explanation 3 Your options 4 Option
PATIENT HISTORY FORM. DOB: Age: Male Female Marital Status. Address: Preferred Method of Contact: Home Cell Work Text
PATIENT HISTORY FORM Name: SSN: (Last) (First) (MI) DOB: Age: Male Female Marital Status Address: (Street) (City) (State) (Zip) Home Phone: Cell: Work: Email Address: Preferred Method of Contact: Home
San Francisco Health Service System Health Service Board
San Francisco Health Service System Health Service Board Medicare Advantage Marketplace Overview December 13, 2018 Prepared by: Health & Benefits Medicare Advantage Marketplace Overview Agenda Medicare
Increase career awareness Build the pipeline Foster retention and development in the career Improve and strengthen the organization
2 0 1 7 S T R AT E G I C I N I T I AT I V E S INTRODUCTION Over the past few years, we have focused on a long-term strategic plan that was carefully carved out to help us live up to the mission of our
Life Insurance Application Part B
Life Insurance Application Part B American General Life Insurance Company, Houston, TX The United States Life Insurance Company in the City of New York, New York, NY AIG Life Insurance Company, Wilmington,
What it s like to work here
What it s like to work here Making a difference Who are we? We re more than 3,000 people across B.C. dedicated to preventing workplace injury, disease, and death; supporting people who are injured on the
More than a company: It s a CAUSE! TC89272(0316) Cat No 68918(0316)
More than a company: It s a CAUSE! TC89272(0316) Cat No 68918(0316) More than a Company: a CAUSE! We help keep alive the dreams of families, the hopes of small business owners, and the dignity and financial
FUEL. Rewards powered by BHGE.
FUEL Rewards powered by BHGE. Preview of Your Benefits We are proud to offer you an industry-competitive and comprehensive benefits package with high-quality vendors. Your 2019 benefits package was designed
HealthEZ doesn t serve clients; we serve people. We are here to take care of you. We are here to serve you!
Benefit Overview Welcome! HealthEZ is proud to serve as your benefits administrator. We help companies all over the US provide custom, personalized benefits to their employees. We re here to make your
Whatever your Medicare needs, we can help you choose the solution that s right for you.
UnitedHealthcare offers a family of Medicare options to help you get the most from your Medicare coverage, including: Whatever your Medicare needs, we can help you choose the solution that s right for
West Suburban Health Group High Deductible Health Plan with HSA
West Suburban Health Group High Deductible Health Plan with HSA November 30, 2017 Today s Agenda 1. Consumer Driven Health A new way to Receive Your Health Benefits 2. HMO/PPO Plan Design Features 3. Health
Guidance for Health Contingent Outcome-Based Wellness Incentive Programs
Guidance for Health Contingent Outcome-Based Wellness Incentive Programs June 27, 2018 Diane Andrea Health Promotion Program Consultant Facts Health care costs have risen 3% per year for the past several
New Hire Benefits & Services Overview. Coverage for you and your family
New Hire Benefits & Services Overview Coverage for you and your family Roche, the world s largest biotech company, is a global market leader for in vitro diagnostics, cancer, and transplantation drugs.
TO UNDERSTANDING MEDICAL INSURANCE PACKAGES
3 STEPS TO UNDERSTANDING MEDICAL INSURANCE PACKAGES What s Inside Step 1: What What are medical insurance packages? 4 Step 2: How How do medical insurance packages work? STEPS TO UNDERSTANDING MEDICAL
Welcome To Our Office Please Print
1 PATIENT INFORMATION Date Home Phone ( ) E-mail Street City State Zip Marital Status Children? Ages Occupation May we call you at work? Y N Work Hours SPOUSE/DOMESTIC PARTNER INFORMATION (If appropriate)
READ THIS MEMO IN ITS ENTIRETY
To: From: Re: ALL Full-Time Iredell County Government Employees Theresa Patton, HR Benefits Specialist 2016 Section 125 Benefits Enrollment Date: April 12, 2016 READ THIS MEMO IN ITS ENTIRETY Once again
Date of Birth: Age: Social Security #: Address: City: State: Zip Code: Home #: Cell#: Work#: Sex: F or M Marital Status: S M Wid Sep Div
Your Name: Email Address: Date of Birth: Age: Social Security #: Address: _ City: State: Zip Code: Home #: Cell#: Work#: Sex: F or M Marital Status: S M Wid Sep Div Spouse s Name: Emergency Contact: Telephone
ANNUAL PLAN 2018/19. WEL Energy Trust
ANNUAL PLAN 2018/19 WEL Energy Trust This report presents an overview of the Trust s objectives, intentions and expected outcomes over the next 12 months within the framework of the 2017-21 Strategic Plan.
WHAT IS AN ELECTRIC COOPERATIVE, AND WHY IS IT GOOD FOR AMERICA AND YOUR COMMUNITY?
APPLICATION FORM LEADERSHIP QUESTIONNAIRE Applicant Name: WASHINGTON, D.C. YOUTH TOUR JUNE 7 - JUNE 14, 2018 LIST SPECIAL ACTIVITIES THAT YOU PARTICIPATE IN: WHAT ORGANIZATIONAL OFFICES HAVE YOU HELD?
Policy Application Individual & Family
Policy Application Individual & Family Important note about filling in this form: The answers you give to the questions contained in this Application will form the basis of any insurance policy issued,
Application For Disability Insurance
PART I. Producer #: Applicant s Name: Date of Birth: Address: E-mail: Employer s Name: Employer s Address: Occupation: Specialty: Policy Owner: Owner Address: Premium Payor: Payment Mode: Bill To: 1. Are
How To Drive Actionable Intelligence On The Big Data Journey. October 15, 2015
How To Drive Actionable Intelligence On The Big Data Journey October 15, 2015 HOW TO DRIVE ACTIONABLE INTELLIGENCE ON THE BIG DATA JOURNEY Today s Host MAC D. NADEL National Retail/Wholesale, Food & Beverage
Name Relationship Phone #
Patient Name: Preferred Name: Last First Middle Gender: Male Female Other Date of Birth (dd/mm/yyyy): Occupation: Home Address: City: Postal Code: Were you injured at work? Is this an ICBC case? If so,
GENERAL INFORMATION. Scott D. Kazdan, D.O., LLC 601 N. Flamingo Road, Suite 209 Pembroke Pines, FL Phone (954) Fax (954)
Scott D. Kazdan, D.O., LLC 601 N. Flamingo Road, Suite 209 Pembroke Pines, FL 33028 Phone (954)442-7616 Fax (954)442-6234 GENERAL INFORMATION PATIENT NAME: DATE: ADDRESS: CITY: STATE: ZIP: HOME PHONE:
The Next Four Generations of Health Care Consumerism
The Next Four Generations of Health Care Consumerism adam.com 800.755.ADAM Table of Contents Executive Summary... 3 The Future of Health Care... 4 Major Building Blocks of Consumerism... 6 The Four Generations