Note: This blog is based on data from 2014-15 but it was reviewed and updated in 2024 and still pertinent in helping you begin a wellness program.

When you begin a wellness program, your role as a broker or consultant, has probably grown in recent years. Your clients want wellness and you want to provide them with what they want. However, you may not know the answers to many of the toughest wellness questions.

Begin a Wellness Program: Questions Brokers Need to Know Before Hand

Begin a Wellness Program By Answering These Questions

We have the answers! WellSteps works with clients (brokers, consultants, and wellness experts) all over the world and many are asking the same questions. When you begin a wellness program, here are the answers to tough wellness questions you need to know. We have compiled answers to 10 of the most frequently asked questions.

1. What is the difference between a health contingent program and an outcomes-based program?

“Outcomes-based” is the term that preceded “Health contingent.” Brokers and consultants commonly say “outcomes-based” so this is the term we use at WellSteps. But the truth is that they basically mean same thing and are used interchangeably.

RELATED: Outcomes-based Wellness Programs: An Example from the Real World in 2024

2. How do I help employers decide whether or not to begin a wellness program?

Every worksite is different. Each has their own work culture and leadership style.  The decision to implement a wellness program should be based on whether or not a wellness program makes sense as a business strategy for that client. You need to understand the pros and cons of having a wellness program and the research that heavily supports them.

You can also dig deeper by asking these four questions about the workplace in question.

  • Are they concerned with the cost of employee health care?
  • Do they need to improve employee morale?
  • Do they have leadership that will support wellness?  
  • Does the C.F.O. understand the pros and cons of having a wellness program?
How do I help employers decide whether or not to begin a wellness program

If the answer to all four of these questions is “yes,” that is a green light to begin a wellness program!

3. If an employee qualifies for a wellness incentive during the prior year, but the employee opts out of insurance coverage for the upcoming year – is the company legally bound to honor the incentive?

The key phase in this question is “legally bound.” Is the company legally bound? No. However, the point of laws such as the Affordable Care Act, HIPAA, ERISA, etc. is to legislate “fairness,” which is another way of saying “be nice to your employees.” Although the company may not be legally bound, offering another incentive, such as paid time off or something similar, can go a long way in recognizing employee wellness efforts and boosting morale–even if they are no longer using company benefits.

There are a lot of wellness benefits beyond health care cost reduction.  If an employee opts out of health care coverage, but still participates in the wellness program, the company could still see improvements in productivity, absenteeism, recruitment, and turnover.  Beginning or engaging in a wellness program can also provide a powerful boost to employee morale.

This question is best answered by a report entitled “Capturing the Value of Health and Productivity Programs.” This report found that tobacco use was being used as an outcome to track in 54% of worksites in 2014 and that it was projected to increase to 71%.

This report also found that biometric driven outcomes-based programs were used 26% of the time in 2014, but were projected to increase to around 68% in 2015/16. Put another way, the use of biometric outcomes as a reward criteria is projected to increase 2.5x.

begin a wellness program

Outcome-based incentive programs are more popular than ever. Done right, they can help employees improve health. Done wrong, they will destroy employee morale.

WellSteps PLUS is a tool that helps track outcome-based and helps organizations do it right. Therapeutic Lifestyle Change (TLC) is the best disease management program we have ever seen!

RELATED: WellSteps PLUS is a Simple But Powerful Way to Manage Population Health

5. If a company has never done wellness, should they begin with an outcome-based wellness program?

The success of a wellness program hinges greatly on the organizational culture, which is a direct reflection of leadership. Generally, diving straight into an outcome-based wellness program isn’t advisable from the get-go. While outcome-based programs have their importance, they often come with a slew of rules that can complicate matters and detract from the enjoyment.

An employee’s initial encounter with wellness initiatives shouldn’t feel like deciphering complex legal jargon. It’s essential to ease into it. Consider implementing at least a year of preparatory wellness programming before introducing an outcomes-based approach. This allows for a smoother transition and sets a strong foundation for future success.

RELATED: 8 Workplace Health Promotion Program Examples That Work

6. Should weight/body size/BMI/body fat be used as an outcome-based standard?

There is substantial emotional baggage associated with body size. I cannot more emphatically state that I wish no measure of body size would ever be used as an outcomes-based standard. Wellness programs that use body size upset good people by telling them they are fat when they already know it. That is not what they need to hear and it does not really help.

Should weight/body size/BMI/body fat be used as an outcome-based standard

7. As a broker, why should you bother with a good employee wellness program for your clients?

There are 3 good reasons why wellness is a strategy that should be used by every broker that wants to grow his or her book of business by beginning a wellness program.

Companies with effective wellness strategies have superior financial performance. Michael O’Donnell said “Employers who develop excellent wellness programs also understand how to manage core business such that revenues and profits grow.” Having a wellness program does not cause better financial performance but the association is pretty strong. Companies that have effective wellness programs outperform the S&P 500.

Brokers who offer wellness to their clients strengthen client relationships and grow their book of business at the same time. A senior executive in a very large brokerage firm stated that brokers at his firm who do the best job of helping their clients adopt wellness strategies have nearly doubled their new business sales.

Carriers offer lower rates to companies with a well-designed wellness strategy. Many brokers have seen insurance carriers charging lower rates for those employers that offer a comprehensive wellness strategy. These lowered claims come from reduced administrative fees charged by carriers because they know there will be less work and cost with a healthy employee population.

RELATED: 10 Questions to Ask Before You Start a Wellness Program in 2024

8. As a broker, should you encourage a carrier-based wellness program? What are the pros and cons?

Insurance carrier wellness programs are generally just marketing strategies, although there are a few exceptions.  One of the pros of beginning a carrier-based wellness program is that it is often bundled with other services. This makes it easier for the broker.

Insurance carrier wellness programs are generally just marketing strategies, although there are a few exceptions.

It is important to note that the cost of carrier wellness programs is baked into the premium so it is invisible, but it is not free. In fact, your clients are likely already being charged for the program whether they use it or not.

 you encourage a carrier-based wellness program

The biggest con of all is that when a client changes insurance carriers, the wellness program and all data associated with it are lost.  There is also not one published study documenting the effectiveness of a carrier-based employee wellness program. Some publications may be coming but published evidence is pretty sparse at this point.

At the end of the day, most insurance carriers are solely focused on processing claims. If they do offer wellness services, they are more likely to be marketing efforts than they are viable population health management strategies.  If insurance carrier wellness programs were truly effective, there would be no need for wellness vendors like WellSteps.

RELATED: White Label Wellness Programs (Private Label Wellness): Pros and Cons

9. How can you cut through the wellness marketing fluff and make an informed wellness vendor decision?

There are 3 questions you can ask that can help you make an informed wellness vendor decision.

  1. Do they have an app? If a vendor does not have an app, there is a good chance the rest of their IT infrastructure is behind as well.
  2. Is their solution supported by published, peer-reviewed evidence? A white paper does not count because it can be dressed up as scientific looking propaganda.
  3. Have they worked with brokers in the past? Brokers work hard to keep their clients in their book of business and they will only partner with a wellness vendor if they are confident the vendor will help their employer groups experience success.  If a wellness vendor is not working with brokers, it’s a good sign their employer groups are not happy.

10. How can you identify the clients most ready to begin a wellness program?

Look for the companies with the most involved and active senior leaders. A company with an engaged and committed leader is more likely to have engaged and committed employees. To build a foundation of trust with their employees, leaders should model behaviors they want from employees.

A project WellSteps completed with Kaiser Permanente proves the point. There was a noticeable impact of leadership support on participation. In workplaces with strong leadership support, participation rates exceeded 70% of all employees. 

leadership results

But those with weak leadership support only averaged 45% participation. In the workplaces with strong leadership support, more employees reported that they improved at least one health behavior (98% vs 65%).  If a client has strong leadership support, they are more likely to be ready for wellness.

What’s Next With How to Begin a Wellness Program

Before you begin a wellness program knowing the answers to tough wellness questions can help you become a more successful broker.  As a trusted adviser, your clients are expecting you to provide them with an effective employee wellness program. Stay informed, keep asking questions, and you will be able to do just that! We can help you get started with a free demo right here.

gin a Wellness Program

Frequently Asked Questions

How do I start a wellness program?

One of the most important indicators for success is senior leader support. The first step is to make sure you have a senior leader on board that will actively participate in the wellness program. We also recommend creating a wellness committee to give employees a voice and help make decisions. Next, you will need to assess the worksite health culture and employee behaviors. Use this information to create wellness goals and know your focus areas. You can do this with the help of a vendor, like WellSteps, or on your own. For a full breakdown and guide visit our post on ‘How to Design Wellness Programs That Are Successful in 2024′.

What are the key elements of a successful wellness program?

A corporate wellness program is designed to create a workplace culture centered around holistic well-being. In order to achieve this there are important steps to follow. Here are a few key elements in constructing a successful program:

1. Gain Support from Management
2. Assemble a Wellness Committee
3. Designate a Coordinator
4. Hold Wellness Committee Meetings
5. Appoint or Recruit Team Leaders
6. Assess the Worksite Health Culture
7. Assess Employee Behaviors

After these elements are established, good employee wellness program includes activities designed to support better employee health. Some of these key elements often include:

  • medical screenings
  • incentives for healthy behaviors
  • behavior change interventions
  • health coaching
  • fitness
  • nutrition
  • weight loss programs
  • social support
  • gamified wellness challenges and much more

About The Author

Dr. Steve Aldana

Dr. Aldana is the CEO of Wellsteps, a worksite wellness solution that leads the nation in wellness program deployment and engagement. Dr. Aldana authored over 75 scientific papers and 7 books on health risk management, healthy living, and health promotion programs. He has given over 350 keynote speeches across the U.S. on the ability of good nutrition and regular exercise to prevent, arrest, and reverse many chronic diseases.


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