Wellness for Life 2026

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The document is a qualification form for the 'Wellness for Life' program by Athene Annuity and Life Company, designed to promote healthy living among policyholders. It outlines the requirements for insured individuals to qualify for wellness rewards, including obtaining a routine physical exam every two years and maintaining a specified weight range. The form must be completed by the insured and signed by their healthcare provider, with instructions on submission and details regarding the responsibilities of costs associated with physical exams.

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Click ‘Get Form’ to open the Wellness for Life Program Rewards Qualification Form in the editor.
Begin by filling in the 'Name of Insured' field. Ensure that you print or type all information clearly.
Select the gender of the insured by checking either 'Male' or 'Female'.
Enter the Insured Social Security Number and Birth Date in the specified formats.
Input the Policy Number and Insured’s Address, including City, State, and Zip Code.
Record the Insured’s Weight in pounds. If there are extenuating circumstances affecting this measurement, code it as '9999'.
Indicate any special physical conditions or extenuating circumstances that may affect weight measurements.
Fill in the date of the routine physical exam when these measurements were taken.
Provide the Name and Address of the Doctor who conducted the physical exam.
Ensure that your doctor or authorized representative signs and dates the form before submission.

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Versions	Form popularity	Fillable & printable
2014	4.8 Satisfied (269 Votes)

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What is wellness in life?

Wellness means overall well-being. It incorporates the mental, emotional, physical, occupational, intellectual, and spiritual aspects of a persons life. Each aspect of wellness can affect overall quality of life, so its important to consider all areas.

What are the 4 types of wellness?

The Seven Dimensions of Wellness Physical. Emotional. Intellectual. Social. Spiritual. Environmental. Occupational.

What are 4 examples of wellness?

Wellness Checklist Spiritual Wellness. - Do you set aside time in your day for prayer, meditation, or personal time? Emotional Wellness. - Are you able to make decisions/complete activities with minimum stress/worry? Physical Wellness. - Do you participate regularly (min 3X/week) in an aerobic activity? Social Wellness.

What are the 4 components of total wellness?

Total wellness is based on four dimensions: Spiritual, Social, Psychological, and Physical. Each component works together to maintain and shape total fitness. Wellness integrates each component to move us towards a more proactive, responsible, and healthier existence.

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What is wellness for life class?

Wellness for Life is a high-tech program with a personal touch. Our twelve-week evidence-based* lifestyle change program increases vitality by giving you the tools and support that can help prevent and treat many chronic diseases and letting you lead a healthier, happier life.

Wellness for Life 2026

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