About the Tobacco Attestation Form

What if I'm a Smoker?

To complete all requirements to obtain the monthly Wellness Premium Incentive, you must participate in a tobacco-cessation program, but quit status at the end of the cessation program is not a requirement. 

As part of the Wellness Program, all faculty and staff with Benelect medical plan coverage through the university, or those who will add coverage for the next calendar year, are encouraged to complete the online Tobacco Attestation Form.

During open enrollment, the form can be found in HCM Main Menu - Self-Service – Benefits – Tobacco Attestation Form; visit case.edu/hcm to get started. Be sure to attest for the 2020 Benefit year.

New hires to the university should complete the paper form included in their orientation packet. Completion of the Tobacco Attestation Form is necessary to obtain the Wellness Premium Incentive in 2020 as a Benelect plan participant.

Tobacco users need to participate in a cessation program prior to receiving the Wellness Premium Incentive.  Following completion of the cessation program, faculty and staff must notify Benefits to initiate their Wellness Premium Incentive.  Participants still may be tobacco users at the end of the cessation program. The Tobacco Cessation page of this website details current cessation options.

A reasonable alternative standard is available for tobacco users; please contact erc10@case.edu with questions.