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occurred in the same calendar year in which the request for payment is made. All claims shall be <br />submitted to Human Resources via a Sick Leave for Wellness Request Form accompanied by <br />proper documentation for each activity. <br />Approved Medical and Dental Expenses <br />Sick leave may be used to pay employees for the employee's medical and dental <br />expenses not covered by the City's insurance plans. Accumulated sick leave used for this <br />purpose will be paid according to the City's sick leave severance schedule based <br />on the employee's years of service and wage at the time the request for payment is <br />made. To receive the payment, the employee will fill out a Sick Leave for Wellness Request Form .— - - Formatted: Tab stops: 0.5", Left + 1.2", Left + Not at <br />and submit proof of the expense to Human Resources. <br />- - Formatted: Tab stops: 0.5", Left + Not at 1.7" <br />Approved Wellness -Related Activities <br />- - Formatted: List Paragraph, Indent: Left: 0", First line: 0" <br />Approved wollnost ncti` itiIa include tho following: <br />a. Individual employee memberships in approved health clubs and/or a sum equal to - - -f Formatted: Indent: Left: 0.75" <br />an individual membership for those employees holding family memberships which <br />include the employee. An approved health club would be one that provides <br />facilities for aerobic and strength training activities. <br />b. Programs designed to improve health such as classes on weight loss, smoking <br />cessation or stress management are also allowed. This includes jazzercise, exercise <br />classes, learning to eat, and weight watchers. <br />c. Regular (meaning at least once a week) fitness activities resulting in a moderate to <br />high aerobic benefit and their fees and memberships will also be eligible for <br />payment. This includes activities such as singles tennis, racquetball, handball, court <br />fees associated with these sports, basketball, exercise classes, hockey, soccer, <br />martial arts training, skating, cross country skiing and gymnastics. <br />d. Fitness/exercise equipment (e.g., stationary bikes, treadmill, stair stepper, rowing <br />machine, ice/inline skates, skis) <br />The following activities are not eligible for payment: <br />- - 1 Formatted: Indent: Left: 0.06" <br />a. Activities and equipment with a relatively low aerobic benefit, such as bowling, — - - -t Formatted: Indent: Left: 0.75" <br />golf, dancing, horseback riding, archery, and baseball/softball. Also excluded are <br />whirlpools, saunas, and massage therapy. <br />b. Any clothing costs, competitive registration fees or costs for food will not qualify <br />for payment. <br />c. Membership fees for clubs that are primarily social in nature (i.e., country clubs, <br />golf/tennis clubs) ) <br />d. Accessory items (e.g., book holders, water bottles/holders, bike racks), assembly <br />charges, shipping fees and maintenance contracts. <br />Employees are advised to have a physical examination by their physician if they are beginning a <br />new program of physical activity. <br />22Pago <br />Formatted: Font: 12 pt <br />Formatted: Footer, Line spacing: single <br />