lcps employee benefits division wellness works! reward catalog
TRANSCRIPT
2012-2013 School Year
Don’t miss out on your opportunity to be rewarded! Participate in LCPS Worksite Competitions and BenEvents!
LCPS Employee Benefits Division Wellness Works! Reward Catalog
2012-2013 Wellness Works! Reward Catalog
Tier I Rewards Choose any one item below
(Merchandise or Gift Card)
Valeo Jump Rope Speed Adjustable Length, 10 Feet Long, Solid Rubber, Molded Handles, Sealed Ball Bearings (Item 1A)
The Biggest Loser Quick & Easy Cookbook 75 easy recipes with 20 minute prep time or less. (Item 1B)
Valeo Yoga Mat 24x48 lightweight, durable sticky mat. Cushioned, non-slip surface and washable. (Item 1D)
Gift Card Selection
$10 Robeks (Item 1A-GC)
$10 Potomac River Running (Item 1B-GC)
$10 Subway (Item 1C-GC)
$10 Tropical Smoothie Café (Item 1D-GC)
$10 Amazon.com (Item 1E-GC)
The Biggest Loser Workout—At Home Challenge DVD Build your strength, shed pounds and go from begin-ner to winner in 4 weeks. (Item 1E)
Go-Fit Push-Up Bars Pair of push-up stands for building and toning pecs and triceps. (Item 1F)
Yoga - For Beginners DVD 8 customized, targeted routines. 10-60 minutes. (Item 1C)
The IRS considers any monetary incentive or
gift card given to an employee as cash
equivalents which should be included in the
employee's taxable income - regardless of the
amount. If you choose a gift card as your
reward, it will be reported to the Payroll Office
and reflected in your W-2.
Page 2
Resistance Band w/ Door Attachment Perfect for a home gym or on the road. (Item 1G)
Cook This, Not That!: Kitchen Survival Guide Save hundreds, sometimes thousands of calories by recreating America’s most popular restaurant dish-es. (Item 1H)
Dual Exercise Wheel Develop 6-pack abs. Comfortable no-slip handles. Compact and portable. (Item 1K)
Valeo Neoprene Hand Weights Non-slip grip. 2 pound weights. Comes as pair. (Item 1L)
The Men’s Health Big Book of Exercises A body-shaping power tool for both beginners and longtime lifters alike. A 480 page muscle manual. (Item 1M)
Zumba Book w/ Demo DVD Fun, easy-to-follow dance steps with hot Latin beats to help you shed pounds and inches. (Item 1J)
Page 3
2012-2013 Wellness Works! Reward Catalog
If you elect not to choose a prize
from the Tier in which you have
been rewarded, you may select
only one prize from any other
lower Tier. Tiers are valued
lowest to highest with Tier V
being the highest.
Example: Your reward tier is Ti-
er III. You may select only one
prize from Tier I or Tier II or Ti-
er III.
Contact the Employee Benefits
Division for the Reward Order
Form.
571-252-1240
All rewards donated by Cigna.
Tier I Rewards Choose any one item below
(Merchandise or Gift Card)
Omron Digital Pocket Pedometer Dual axis technology. Stores up to 7 days of infor-mation. Six tracking modes (track steps, aerobic steps, time, distance, calories and fat grams burned). (Item 2A)
Jillian Michaels Total Body Kit Instructional DVD, Mesh Carrying Bag, Speed Jump Rope, 4 Resistance Tubes, 1 Resistance Ring, 2 Soft-grip Handles, Exercise Chart (Item 2B)
TKO Fitness Ball Helps tone muscles and improve flexibility. 75 cm ball, workout chart and pump. (Item 2D)
Valeo Medicine Ball Helps develop core strength and improve coordina-tion, balance and endurance. 6 lb Medicine Ball and Exercise Wall Chart (Item 2E)
Reebok Total Body Toning Kit 3 Workout Bands, Anti-burst Fitness Ball, 20 Minutes Core Conditioning Workout DVD, Fitness Ball Air Pump (Item 2C)
Valeo Neoprene Hand Weights Non-slip grip. 8 pound weights. Comes as pair. (Item 2F)
Page 4
2012-2013 Wellness Works! Reward Catalog
The IRS considers any monetary incentive or
gift card given to an employee as cash
equivalents which should be included in the
employee's taxable income - regardless of the
amount. If you choose a gift card as your
reward, it will be reported to the Payroll Office
and reflected in your W-2.
Tier II Rewards Choose any one item below
(Merchandise or Gift Card)
Gift Card Selection
$25 Robeks (Item 2A-GC)
$25 Potomac River Running (Item 2B-GC)
$25 Subway (Item 2C-GC)
$25 Tropical Smoothie Café (Item 2D-GC)
$25 American Express (Item 2E-GC)
$25 Amazon.com (Item 2F-GC)
Valeo Foam Exercise Mat Two mats in one. Ribbed surface on one side and smooth on the other. 2’ wide x 6’ long. Self-grip straps for easy transport. (Item 2G)
My Fitness Coach For Nintendo Wii Personal virtual trainer demonstrates moves, gives advice and provides motivation. Almost 500 exercis-es. Customize your environment. Chart your pro-gress. (Item 2H)
EA Sports Active Nintendo Wii 35 exercises and fitness activities. The 6 week chal-lenge, a total body, structured fitness plan that ac-commodates both experienced and new users of EA Sports Active. (Item 2K)
Dumbbell Set For Nintendo Wii Connects Wii remote and Nunchuk. 1.7lbs each. Compatible with Wii Fit, Jillian Michaels, Gold's Gym Cardio, EA Sports Active and Fitness Ultimatum 2005. (Item 2L)
Total Body Balance Ball Kit 75 cm exercise ball. Exercises abs, back, glutes, hips, arms and other muscles. Comes with 2 DVD’s, infla-tion pump and resistance band. (Item 2M)
You - The Owner’s Manual Dr. Oz and Dr. Roizen Hard Cover - When it comes to your longevity and quality of life, understanding your internal systems gives you the power, authority, and ability to live a healthier, younger, and better life. (Item 2J)
Page 5
2012-2013 Wellness Works! Reward Catalog
Tier II Rewards Choose any one item below
(Merchandise or Gift Card)
If you elect not to choose a prize
from the Tier in which you have
been rewarded, you may select
only one prize from any other
lower Tier. Tiers are valued
lowest to highest with Tier V
being the highest.
Example: Your reward tier is Ti-
er III. You may select only one
prize from Tier I or Tier II or Ti-
er III.
Contact the Employee Benefits
Division for the Reward Order
Form.
571-252-1240
All rewards donated by Cigna.
Stamina InStride Cycle XL Seatless-exercise cycle with electronic progress monitor. Rubber straps hold feet or hands. Adjusta-ble tension knob. 19 x 12.25 x 15.25 inches. (Item 3A)
Altus Athletic 32-Pound Dumbbell Set with Stand Set includes one pair each of 3-pound, 5-pound, and 8-pound dumbbells. Steel dumbbells coated with Neoprene. Includes stand. (Item 3B)
Omron Pocket Pedometer w/ Health Management Software Measures steps, aerobic steps and minutes, calories and distance. 7 day history. Features large display, clock, detachable belt holder and strap. (Item 3D)
Timex Digital Heart Rate Monitor Watch For men and women. Chest strap heart rate moni-tor works with watch. Recovery heart rate timer; displays calories burned. 100-hour chronograph; 27-lap memory; 100-hour countdown timer. Water resistant. (Item 3F)
Apple iPod Shuffle (2GB) 2 GB capacity for about 500 songs. (Item 3C)
Conair Weight Watchers Glass Body Fat Scale Monitors body fat, body water, BMI and bone mass for 4 users. Extra-large LCD display. Holds up to 400 pounds. (Item 3G)
J Fit Premium Vinyl Kettlebell 8 & 10 lb Set Cast iron bell is encased in vinyl. Steel 1” handle.(Item 3E)
Page 6
2012-2013 Wellness Works! Reward Catalog
The IRS considers any monetary incentive or
gift card given to an employee as cash
equivalents which should be included in the
employee's taxable income - regardless of the
amount. If you choose a gift card as your
reward, it will be reported to the Payroll Office
and reflected in your W-2.
Tier III Rewards Choose any one item below
(Merchandise or Gift Card)
Gift Card Selection $50 Robeks (Item 3A-GC)
$50 Potomac River Running (Item 3B-GC)
$50 Subway (Item 3C-GC)
$50 Tropical Smoothie Café (Item 3D-GC)
$50 American Express (Item 3E-GC)
$50 Amazon.com (Item 3F-GC)
If you elect not to choose a prize from the Tier in
which you have been rewarded, you may select
only one prize from any other lower Tier. Tiers
are valued lowest to highest with Tier V being
the highest.
Example: Your reward tier is Tier III. You may
select only one prize from Tier I or Tier II or Tier III.
Contact the Employee Benefits Division for the
Reward Order Form.
571-252-1240 or [email protected]
All rewards donated by Cigna.
Wii Fit Plus for Nintendo Wii Includes game software and Wii Balance Board. Mix and match strength and yoga activities. (Item 4A)
Jabra Sport Bluetooth Stereo Headset Bluetooth headphones. Enjoy wireless music, calls and FM radio. Up to 4.5 hours of talk time and 4 days of standby time. Multiuse connects to 2 devic-es at the same time. Touch headset to adjust vol-ume, pause/resume, answer/end calls. (Item 4B)
Power 90: Tony Horton’s Total Body Transformation 90 Day Bootcamp. Multiple workouts. Includes track-er, calendar, online access, express workout, meal plan, 6-day fat burning plan, success measurement card and tape measure. (Item 4D)
Marcy 50-Pound Kettlebell Weight Set Solid cast- iron design with rubber coating. Set in-cludes 5 lb, 10 lb, 15 lb, 20 lb bells. Exercise chart included. (Item 4E)
Zumba Fitness Total Body Transformation DVD Set 4-DVD, 6-workout fitness set. Comes with maraca-like toning sticks to add muscle to your workouts. Includes basic workout, 20-minute express and sculpt-and-tone workout. (Item 4C)
Kindle 6.5” x 4.5”, 6” E Ink Pearl Display, 2GB for 1,400 books, 5.98 ounces, 5-way controller. WiFi (Item 4F)
Page 7
2012-2013 Wellness Works! Reward Catalog
Tier IV Rewards Choose any one item below
(Merchandise or Gift Card)
The IRS considers any monetary incentive or
gift card given to an employee as cash
equivalents which should be included in the
employee's taxable income - regardless of the
amount. If you choose a gift card as your
reward, it will be reported to the Payroll Office
and reflected in your W-2.
Gift Card Selection $75 Robeks (Item 4A-GC)
$75 Potomac River Running (Item 4B-GC)
$75 Subway (Item 4C-GC)
$75 Tropical Smoothie Café (Item 4D-GC)
$75 American Express (Item 4E-GC)
$75 Amazon.com (Item 4F-GC)
If you elect not to choose a prize from the Tier in
which you have been rewarded, you may select
only one prize from any other lower Tier. Tiers
are valued lowest to highest with Tier V being
the highest.
Example: Your reward tier is Tier III. You may
select only one prize from Tier I or Tier II or Tier III.
Contact the Employee Benefits Division for the
Reward Order Form.
571-252-1240 or [email protected]
All rewards donated by Cigna.
P90X: Tony Horton’s 90-Day Extreme Home Fitness DVD 12 highly diverse and intense DVD workouts. Three-phase nutrition plan, specially designed supplement options. (Item 5A)
Kindle Touch 3G 6.8” x 4.7”, 6” E Ink Pearl Display, 4GB for 3,000 books, 7.8 ounces. Multi-touch. WiFi. (Item 5B)
iPod Nano—6th Generation 16 GB for about 4,000 songs. 24 hours of audio play-back on a single charge. 1.54 inch color TFT display. (Item 5D)
Massage Envy $150 value on any massage or facial. (Item 5E)
Wii w/ Wii Sports Resort Netflix instant streaming. Includes Wii Sports Resort and Wii MotionPlus accessory with Wii Sports and Wii Console (Black). Wii Remote and Nunchuk in-cluded. WiFi access. (Item 5C)
Let’s Dish—In-Store 8 Dish Let’s Dish! Is an affordable and delicious way to pre-pare healthy, homemade dinners in no time. In-Store Session - 8 Dish Session—each dish has six servings. (Item 5F)
Page 8
2012-2013 Wellness Works! Reward Catalog
Tier V Rewards Choose any one item below
(Merchandise or Gift Card)
The IRS considers any monetary incentive or
gift card given to an employee as cash
equivalents which should be included in the
employee's taxable income - regardless of the
amount. If you choose a gift card as your
reward, it will be reported to the Payroll Office
and reflected in your W-2.
Gift Card Selection $100 Robeks (Item 5A-GC)
$100 Potomac River Running (Item 5B-GC)
$100 Subway (Item 5C-GC)
$100 Tropical Smoothie Café (Item 5D-GC)
$100 American Express (Item 5E-GC)
$100 Amazon.com (Item 5F-GC)
If you elect not to choose a prize from the Tier in
which you have been rewarded, you may select
only one prize from any other lower Tier. Tiers
are valued lowest to highest with Tier V being
the highest.
Example: Your reward tier is Tier III. You may
select only one prize from Tier I or Tier II or Tier III.
Contact the Employee Benefits Division for the
Reward Order Form.
571-252-1240 or [email protected]
All rewards donated by Cigna.
9
WORKSITE/SCHOOL NAME:
CONTACT NAME:
CONTACT PHONE/EMAIL:
SIGNATURE:
LOUDOUN COUNTY PUBLIC SCHOOLS
EMPLOYEE BENEFITS DIVISION
21000 EDUCATION COURT ASHBURN, VA 20148 571-252-1240 571-252-1401 (FAX)
PLEASE CONTACT THE EMPLOYEE BENEFITS DIVISION FOR AN OFFICIAL ORDER FORM.
REWARD ORDER FORM The completed order form must be returned to Employee Benefits within 90 working days of the event date.
PRIZES TO BE REWARDED
IF
ADDITIONAL ROWS ARE NEEDED, PLEASE ATTACH A SEPARATE SHEET.
PRIZES SUBJECT TO CHANGE AT ANY MOMENT.
REWARDS MAY BE SOLD OUT OR UNAVAILABLE UPON ORDER REQUEST. REWARD OF EQUAL VALUE WILL BE PROVIDED.
2012-2013 Wellness Works! Reward Catalog Page 9
NAME PRIZE TIER
(Ex: I, II, II) ITEM # ITEM DESCRIPTION
COMPETITION/EVENT NAME:
DATE OF COMPETITION/EVENT:
TOTAL NUMBER OF WINNERS:
RETURN THIS FORM NO LATER THAN: