2019 PHA Information
2019 Personal Health Assessment Questionnaire
Patient Information Forms

Personal Health Assessments (PHA)

The window to complete the Personal Health Assessment (PHA) for the 2019-2020 plan year is open.  The clinic will be on open one Saturday a month for employees and covered spouses to complete their PHA.   On the dates listed below the clinic will be open for PHA’s only.   Remember that you must fast eight hours prior to completing the PHA. 

 

Before going to have your PHA completed please, complete the Personal Health Assessment Questionnaire.  If you, your spouse or your covered dependent over the age of 18 have not been to the NISD Health and Wellness Center since September 1, 2018 and will be participating in the PHA you must complete the Patient Information Forms. 

 

Please remember that if you have Employee and Family or Employee and Spouse coverage your Spouse must complete the PHA also to receive the discount.  Any Dependents under the age of 18 do not need to participate.  If you have Dependents over the age of 18, they can have the PHA completed but is not required.

 

The PHA’s will be completed on the following Saturday dates:

February 16, 2019            8:00 a.m. through 11:00 a.m.

March 23, 2019                 8:00 a.m. through 11:00 a.m.

May 11, 2019                     8:00 a.m. through 11:00 a.m.

June 15, 2019                     8:00 a.m. through 11:00 a.m.

 

Medical plan participants can also go to the clinic to have the PHA completed beginning February 16, 2019 through June 28, 2019.  By completing the PHA you will receive a premium credit of $25 per month for employee only coverage and $50 per month for spousal coverage.