I, as a voluntary participant in Medical Mutual and its subsidiaries' Wellness Program (the "Wellness Program) (described more fully below), do hereby agree and acknowledge on behalf of myself, my heirs, executors, administrators and assigns, that I assume all risks of illness, injury, and/or occupational disease that may arise from my participation in the Wellness Program. On behalf of myself, my heirs, executors and administrators, I hereby unconditionally release and forever discharge Medical Mutual of Ohio and its affiliates, its current and former officers, directors, agents, representatives and employees and their successors from any and all loses, damages, liabilities, or expenses and any and all liabilities, or the expenses and any and all claims, legal actions or demands that arise out of or in any way related to my participation in the Wellness Program including, but not limited to, the Recreational activities and Fitness programs listed.
Recreational activities/Fitness programs
Participation in the Wellness Program including , but not limited to, Weight Watchers, Walking for Wellness Program, Lunch and Learn Seminars, Education Modules, Work-Life Programs , Cardio Log activities (company or employer created), Disease Management and Lifestyle Coaching Programs, Health Assessment, Health Screenings, Flu Immunizations, Healthy Weight Credit, Smoke-Free Credit, Fitness Evaluation, Corporate Challenge, Health Fairs, Annual Healthy Ohioians One Mile Employee Walk, Quit Line, On-Site Wellness Center Participation, Other Wellness and Company Sponsored Recreational Activities, Blood Pressure Screenings, Community Wellness Center participation, Cardio and Fitness Activity programs that may develop as part of the Wellness Program.
I acknowledge that this program is voluntary and is being provided for the sole purpose of enhancing the health of employees of Medical Mutual of Ohio and its subsidiaries. I further acknowledge that the Wellness Program is a social and/or recreational event, and my participation in the Wellness Program does not arise out of or in the course of my employment. Due to its nature as a social and/or recreational event, I acknowledge and agree that any injuries sustained during participation in the employee Wellness Program are not covered by Workers Compensation. I hereby waive and relinquish all rights to Worker's Compensation benefits for any injury and/or occupational disease incurred while participating in the Wellness Program.
I further acknowledge that I have been advised to consult with a physician, if appropriate, prior to participating in the Wellness Program.
I hereby agree and fully understand that if I leave the company at any time during the Wellness Program for any reason, voluntarily or involuntarily, I forfeit any claim to the financial reimbursement/incentive.
I hereby agree and consent to share my specific program results, for example, the number of pounds I gained, lost or maintained, when applicable.
I further acknowledge that I have read this Release and Consent form, fully understanding its terms and have executed it voluntarily. I understand that this Consent and Release shall be effective for my participation in all Wellness Programs.