Employees, spouses, and retirees covered by the City health insurance plan who complete the requirements will be eligible to receive the incentive.
2024 Wellness Incentive Form – Active Employee
2024 Wellness Incentive Form – Retiree
Step 2: Submit your completed form and supporting documentation by one of the following ways:
In-Person
Email – Human.Resources@cityofracine.org
Mail:
City of Racine
Attn: Human Resources
730 Washington Avenue Room 204
Racine, WI 53403
Supporting Documentation Forms:
Financial Wellness Consultation Form
See the following schedule for submission deadlines and reimbursement dates:
Submission Deadline | Reimbursement Date |
April 19, 2024 | May 3, 2024 |
May 31, 2024 | June 14, 2024 |
June 28, 2024 | July 12, 2024 |
September 6, 2024 | September 20, 2024 |
October 4, 2024 | October 18, 2024 |
November 1, 2024 | November 15, 2024 |