Health Risk Assessments (HRA)

Bellin Health will be conducting the City’s Health Risk Assessments (HRA) beginning in March 2019. By completing the HRA and requirements, eligible participating employees will earn points to be used to reduce employee health insurance premium contributions, earn Personal Benefit Account (PBA) dollars, and other incentives.

For Police Officers, Fire Fighters, and Bus Drivers - completion of the HRA and requirements by employee and spouse, if applicable, will provide PBA dollars and a reduced employee health insurance premium contribution as low as 12.5%. Health|1265 participants can reduce their premium to 11.5%.

Deadline to complete HRA and requirements is September 25, 2020.

HRA Requirements & Incentives

*If Employee or Spouse is over age 40 by January 1, 2020, the MD Sign Off Form and the HRA must be completed. Spouses may complete their HRA through their own employer, but must submit the Spouse HRA Sign Off Form.
  Single Coverage
 Family Coverage
Under Age 40
 Employee completion of HRA. Employee and Spouse (if applicable) completion of HRA.*
Over Age 40
 Employee completion of HRA and MD Sign Off Form. Employee and Spouse (if applicable) completion of HRA and MD Sign Off Form.*
PBA Dollars (HRA and MD Sign Off)
 $100 earned upon completion of all requirements. $200 earned upon completion of all requirements.
PBA Dollars (Dental)
 $50 per dental cleaning (max of 2) for employee. $50 per dental cleaning (max of 2) for employee.
$50 per dental cleaning (max of 2) for Spouse/covered family member.

Important Forms

  1. Dental Cleaning Form (PDF)
  2. MD Sign Off Form (PDF)
  1. Spouse HRA Sign Off Form (PDF)