Employees Earn Wellness Pay 2025

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When employees who chose not to participate in a wellness program were asked why, the top reasons they gave were that they: Can make changes on their own (70 percent). Lack time (56 percent). Believe they are already healthy (53 percent).
What is an employee wellness stipend? Like a health stipend, a wellness stipend is a taxable benefit paid to employees to help them cover their wellness expenses.
Small business owners with fewer than 50 full-time employees are not required to offer health care coverage to their employees. However, you should know that if a small business with fewer than 50 full-time employees does offer coverage, then that coverage must comply with the requirements of the ACA.
The ADA makes no distinction between wellness programs that are part of, or outside of, a group health plan but, rather, requires all wellness programs that obtain medical information from employees to be voluntary.
A wellness stipend, also known as a wellness spending account or wellness allowance, allows employees to pay for mental or physical health needs. Employers should understand that this is a taxable benefit.
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A health wellness stipend is a taxable benefit paid to employees for them to cover their wellness expenses, from running sneakers and free weights to gym memberships and mental health apps. As more companies turn to health and wellness stipends to better suit their employees health journey, more questions arise.
The Fair Labor Standards Act (FLSA) does not require an employer to provide wellness programs or employee assistance programs. These benefits are generally a matter of agreement between an employer and an employee (or the employees representative).
EEOC Wellness Program Regulations Limit wellness program incentives (like discounts or gym memberships) to 30% of the employees individual health insurance premium (total cost of self-only coverage employees pay each month). The percentage increases to 50% if the employee participates in a smoking cessation program.

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