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Documentation you should have to prepare your application:

  • Number of employees
  • % female
  • % male
  • Average age
  • Ethnicity breakdown percentage
  • Number of times per year wellness committee meets
  • Budget for wellness and safety (will be uploaded)
  • Number of safety audits per year
  • Top 3 safety concerns
  • OSHA 300 A log (past two years)
  • For companies with 50+ employees. Last two health risk appraisals aggregate reports (must be no older – 3 years)
  • Top 3 health risks/number and percentage associated with each risk
  • For companies with 5+ employees. Aggregate data from past two biometric/blood screenings. If using physicians – aggregate outcome reports.
  • Top 3 health care costs (broker report) – if available.
  • Gold only – total cost of health insurance premium per person, employee vs employer share.
  • Gold only – top pharma costs by frequency (number of filled scripts) – (ex: hypertension drugs)
  • Gold only – top pharma costs by cost – type of drugs (ex: biologic drugs)
  • Executed annual wellness/safety plan (uploaded)
  • Median training hours for safety and wellness per employee per year
  • % employee engagement in wellness/safety past two years
  • Near miss data – correct within 7 days (percentage)
  • Gold only – presenteeim $, absenteeism $, Disability/FMLA $, Turnover $, Worker Comp $