Is your company ACA compliant with its tobacco cessation program?

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Simply, do you offer financial incentives to employees for not using tobacco including non-user discounts or tobacco use surcharges?

If Yes...

The ACA allows employers to charge employees who are tobacco users more for health care than non-users... but there are restrictions!  The intent is to incentivize healthy behavior, not to punish tobacco users.  Employers can be fined or sued if they apply the rule in a punitive way. 

How it works: 

  • If a smoker can't or does not quit, you MUST offer a “Reasonable Alternative Standard".  
  • This “Reasonable Alternative Standard" is usually to enroll in and/or complete an evidence-based cessation program. 
  • If the employee quits, great! They receive the incentive or discount.
  • Even if they do not quit, if the employee completes the program, they receive the incentive for that year.

Where can I find a program to serve as a "Reasonable Alternative Standard"?

2Morrow offers an evidence based smoking cessation program that meets the requirements for the ACA's “Reasonable Alternative Standard" for tobacco. It includes a reporting dashboard where you can validate enrollment and completion.

Click on the REQUEST INFORMATION button to receive information about our program,  further explanation on the ACA and wellness programs and a case study about implementing our smoking cessation program.     

If No...

If you are not charging tobacco users and non-users different amounts for their health plans, it is likely this ACA rule doesn't apply to you.

Each smoker cost your company an average of $6,000 per year in productivity and health care costs.  You may still want to support tobacco users efforts to quit, even if you are not charging them more. Some suggestions:

  • Go Smoke free - Provide a Smoke Free Campus
  • Do a yearly tobacco campaign.
  • Offer Free Cessation Programs or Services

2Morrow offers an evidenced-based cessation program that provides private, personalized help with quitting. It includes access to a real coach (via messaging) and the smoking application has been shown effective in multiple clinical trials.  You also receive access to a reporting dashboard where you can validate enrollment and see engagement and progress data.

Click on the REQUEST INFORMATION button to receive information about our program,  further explanation on the ACA and wellness programs and a case study about implementing our smoking cessation program.      

I was very excited about the Smartquit program when I read the article sent to me by one of our nurses. As a nonprofit organization, my excitement grew when I learned about the program’s effectiveness and cost when compared to other smoking cessation programs. The ability to monitor staff’s success via the website allowed me to share statistics with executive leadership and the Board. My excitement continues to this day as we offer our new staff the same opportunity.
— Beki, Chief Human Resources Officer