[MCOH-EH] Smoking - Employees

Dennis Schultz denjr1324 at gmail.com
Thu Apr 15 19:09:37 PDT 2021


My former employer required both myself and my wife to have blood tests including cotinine as part of their health insurance enrollment.  They used the results to determine insurance premiums.  Prior to doing this, they used annual attestations.  They also provided multiple opportunities to quit tobacco products including fee counseling and medications. 

Dennis Schultz MD MSPH  FACOEM

> On Apr 14, 2021, at 3:37 PM, Savidge, Nancy <NancySavidge at Centura.Org> wrote:
> 
> Our system only hired non smokers for a few years but then went back to an attestation for reduced benefit costs.
>  
> Nancy Savidge
> Occupational Health Coordinator, St. Anthony Summit Medical Center
> Centura Health
>  
> O: 970.668.6981 | F: 303.397.2013
> POB 738, 340 Peak One Dr.  Frisco, CO 80443
>  
> <image002.png>
>  
> I am on a mission to provide our employees with timely services, help facilitate organizational goals,  all while striving to treat my co-workers in a Christ-like manner.
>  
> From: MCOH-EH <mcoh-eh-bounces+nancysavidge=centura.org at mylist.net <mailto:mcoh-eh-bounces+nancysavidge=centura.org at mylist.net>> On Behalf Of Paul Allen via MCOH-EH
> Sent: Tuesday, April 13, 2021 4:26 PM
> To: MCOH-EH <mcoh-eh at mylist.net <mailto:mcoh-eh at mylist.net>>
> Cc: Paul Allen <pauljallen at icloud.com <mailto:pauljallen at icloud.com>>
> Subject: Re: [MCOH-EH] Smoking - Employees
>  
> * External email – Please ensure the safety of links and attachments before opening *
> 
> All our employees have to sign an attestation every year saying they do not smoke, during online open enrollment.
> We do not test. 
> Non smokers pay less each month towards their medical insurance premium 
>  
> Interesting thought making non smoker status a condition of hire
> 
>  
>  
>  Paul Allen MD
> Confluence Health
> OEM Service Line
> Wenatchee WA
>  
> 
> 
> On Apr 13, 2021, at 9:25 AM, Cindy M. Hansen <Chansen at mhg.com> wrote:
> 
>  
> Hey there,
> I am inquiring and seeking info on how folks are implementing their smoking policies, guide to wellness, smoking cessation etc…. 
> Are there insurance implications (i.e., higher premiums for smokers).
> Do you test, If yes, how frequently? And with what testing mechanism Cotinine – POC or other?  If positive do you instantly hike their insurance rate or do you give them opportunity to quit?
> Policy?
> Anything else I haven’t asked that was an important piece during implementation ? 
>  
> We  are no going to have no smoking as a condition of hire, but more of trying to guide, assist, and promote healthier lifestyle. 
>  
> Any comments welcomed.  
>  
> Cindy Hansen, RN, MSN, CCM
> Director, Employee Health 
> Memorial Hospital  | 4500 13th Street  | Gulfport, MS 39502-1810
> Office:  228.867.4174 | Fax:  228.867.4080 | Cell:  228-323-7654
> <image001.png>
>  
> www.gulfportmemorial.com/ <http://www.gulfportmemorial.com/>
> <~WRD000.jpg>
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> The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
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