New federal wellness program rules scheduled for 2014 will require companies to come up with alternate ways employees can win wellness incentives or rewards if their medical conditions make it difficult for them to meet health-related goals. Benefit Commerce Group president Chris Hogan said about 10% of the companies his firm works with have health-contingent programs that link insurance premiums to health requirements but that could hit 50% next year as employers see how the initiatives can help the bottom line.

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