Tobacco Benefit Education for Employers – April 17, 2013

The Utah Department of Health and the Utah Tobacco Prevention Task Force is working with Utah employers to promote tobacco free campuses and tobacco cessation. We suggest that in addition to utilizing publicly available resources, every employer work with their health plan to understand what benefits and other tools are available for employees attempting to stop tobacco.

Please fill out the following brief questionnaire explaining your tobacco cessation benefits. Please respond on behalf of the majority of your Utah business. We have left space for other information at the end, and invite you to attach any marketing materials, brochures, flyers, articles, or other items that will help employers understand what you have to offer. We will make this available to employers at the Tobacco Free Workforce Business Summit on May 1, 2013.

1.  Indicate the number of tobacco dependent commercial members identified and participating in cessation activities. Use Utah numbers if available. Do not report general prevalence.

# of Utah members in 2012 / # of members in Utah identified as tobacco dependent in 2012 / # of identified tobacco users participating in Plan’s Utah tobacco cessation program

2.  Identify pharmaceutical coverage available in the tobacco cessation program.

Standard Benefit / Employer Option to Buy / Not Offered
Yes / No / Yes / No
·  NRT
·  Buproprion
·  Zyban
·  Chantix

3.  Identify behavioral change interventions used in the tobacco cessation program.

Standard Benefit / Employer Option to Buy / Not Offered
Yes / No / Yes / No
·  Phone counseling
·  Individual or group in-person counseling

4.  Is your tobacco cessation program managed by a vendor or in-house

In-house ____ Vendor (please identify)______

5.  Other information you wish to provide

6.  Attachments (e.g. marketing flyers, evaluation studies, etc.)