Complete this form to redeem your LiveWell points.
Deadline: November 21st, 2019 at 5PM
Indicates required field
Amount of LiveWell Points
Redeem my Livewell points for:
Select Option from Drop-down Menu
Please note the details of each option below before selecting your choice
to log into the private platform to view your LiveWell point total.
MUST redeem points verified
. If there is a discrepancy, please see if there are any comments on your activities by clicking "Earn Points". If still unsure, reach out to email@example.com for clarification.
See examples below:
– Your award amount will be paid out in your paycheck on 1/15/2020, and treated as taxable income.
– Your award amount will be split across 24 pay periods in 2020, starting 1/15/2020, and applied towards the cost of benefit premiums.
– Your award amount will be paid out in your paycheck of 1/15/2020. By choosing this award, you are electing to make a corresponding pre-tax HSA contribution from your paycheck of 1/15/2020, equal to the amount of your award.