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Tobacco Surcharge

Tobacco products are defined as tobacco or tobacco-like products intended for human consumption, and when used orally or inhaled, produce smoke or smoke-like vapor. This includes but is not limited to: cigarettes, cigars, loose tobacco smoked via pipe or hookah, chewing tobacco, snuff, dip, electronic cigarettes and vaporizers.

If enrolled in an Intermountain Health Peaks region medical plan and a tobacco product user the following applies:

  • One adult covered on the medical plan who currently uses or has used tobacco products within the last six months, you will be charged $50 per month.


  • Two or more adults covered on the medical plan who currently use or have used tobacco products within the last six months, you will be charged $100 per month.

The surcharge will not apply if each covered adult tobacco-user satisfies one of the following:

  • He or she completes the QuitLine Program or an onsite tobacco cessation program within the six-month period ending on the date you submit your tobacco-use status; or
  • His or her personal physician attests that it is medically inadvisable for their patient to attempt to cease tobacco use. Contact Ask HR for a copy of the Physician Affidavit.

Action Required

  • If you are enrolled in or plan to enroll in a medical plan, you must certify if the surcharge applies to you by submitting your tobacco-use status through your enrollment process in Workday.
  • If the tobacco-use status of any adult covered member of your medical plan changes mid-year, you must re-submit your tobacco surcharge status so the surcharge can be adjusted as necessary. To re-attest your tobacco surcharge status, complete the Change Tobacco Status Life Event in Workday. 


  • For more details, refer to the Tobacco Surcharge FAQs or contact Ask HR at 833-442-7547 (toll free) or submit a ticket through The Hub.

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