I work as a consultant to employers regarding their group health plan. So yes I've seen it, done it as an employee and recommended it to my clients First let me give you some assurances - legally - and what's really done in practice.
The information really does go in to a central database with your identitiy removed. It does track what percentage of lifestyle risk is on the employer's plan. But NOBODY at ABC Insurance company knows that you, Sally Smith has a waist of 38" or drinks like a fish or has high blood pressure. Your information goes in as person # ###-###-#### on your husband's employer plan. The outside company that collects & assesses the data (often times University of Michigan school of blahblahblahblah - some health sciences division) has your name in their data base but only to prepare and send you a report of how you're doing health-wise and to provide recommendations.
It helps in many ways - first of all it helps insurance companies know what to expect in claims for their entire universe of insured people in the years to come. Statistically, health data can predict the likelihood of a person to have health problems in the future. It helps the insurance company know what kind of reserves to set in order to have enough money to pay future claims.
Legally - this information cannot be used against you - and it is not. I get the health insurance renewals from all the insurance companies and I go through the calculations with a fine tooth comb and negotiate them. NEVER is a person's name provided or mentioned. When a person's name is known in connection to a medical issue it is only when the individual person already told their Benefits person or HR person about it. I've worked with hundreds, and all kinds of companies, huge, small, cheap, generous, over more than 30 years and to date maybe one or two has ever even asked about a particular person. And in those isntances it was always out of concern and never about negative things.
Now tlet me explain why these wellness initiatives are becoming so common - health costs are extraordinarily high. There's a disconnect for us between what things cost, our health and what we want. We want "the best" healthcare. We want every test, every pill, every procedure and we want to go to the best doctor, the best hospital, etc. We usually only pay a small portion of the cost of health insurance, and the cost of our claims so we have NO idea of what things really cost. Do you know that the cost of coverage for a typical family (the total amount paid by your employer and you) is at the very lowest cost $1700 monthly and up to $2700 monthly. A really good plan cost about $30,000 a year for family coverage. Why? Medical costs are really high.
A premature baby now can survive and live a wonderful life. But the cost for a baby to stay in the neonatal unit for 2-3 months cost about $500,000 - $750,000.
Humira - the drug you see on commercials - makes life amazingly improved for people with serious types of joint disease. The cost is about $1,000 monthly. Just for the drug.
How much does it cost for an MRI? At the hospital it might cost $2500. At the free-standing facility maybe it's $850. An xray might be $250.
Lung cancer? Medical costs for a typical cancer patient easily exceeds $500,000 these days.
Organ transplants? $500,000 - $1,000,000.
Injuries from a motorcycle accident - $500,000 - $1,000,000.
OK - so I've got your attention. We can't stop premature babies, hemophylliacs, Multiple Sclerosis, cystic fibrosis, etc. But we can change lifestyle illness & disease - medical conditions connect to lifestyl can be changed. What we know is that if you have certain emerging medical statistics that haven't yet manifested in disease, you are highly likely to have medical problems in a few years UNLESS you make changes. The statistics can predict - with a high degree of certainly when you'll have those problems. So you you currently have a certain weight, height, lifestle, blood pressure number. etc. - the statistics can say that you have a 95% chance of diabetes or heart problems, or a stroke within X years. The numbers are uncannily accurate
But if plan members dont know they ahve these pre-conditions for serious illness how are they supposesd to know to change? Why should the health-conscious person pay the same rate as the overweight person who drinks, smokes and is 50 pounds overweight when they are the ones who will cost the plan much more - statistically.
So wellness inititatives basically are designed to encourage you to find out what your health status is (you'll get a report telling you where you're doing well and where you need to make changes) and then encourage you to make the changes. Most people won't go out of their way to do the health risk assessment unless there's an incentive. The $80 a month is a pretty good incentive.
By next year the employer may provide a further incentive to now go out and make the changes recommended. They'll offer smoking cessation classes, discounts to weight watchers or Jenny Craig, online or telephonic health coaches, etc.
If it makes you feel any better - in every company that I've seen do this every execituve, from the Chairman & president - to middle manager are also held to the same rules. I've seen chubby company presidents go through the process and end up losing 50 pounds. I've also seen chubby accounting managers who have already had a heart attack not go through the process and pay the extrra money each month...
Ultimately, you can do what you want. You can't be forced to complete the assessment, or go to the doctor or have a blood test. But they can charge you more if you don't go.
finally - the insurance companies will often give a discount and help pay for the process - that's how much they know it will help improve health.
I'm sorry for such a long answer - but I hope this helps you to understand and not be suspicious of your husband's employer. Most people area skeptical at first - but most people end up being pleased by the process in the end.
PS - this really has NOTHING to do with healthcare reform. I'm not a big fan of Obamacare - it's not doing waht it's supposed to be doing. But we can't blame this on new laws. This type of thing began years ago - before anyone even heard of Barak Obama. And don't think for a minute any of this would go away with a single payer governemtn plan. Trust me - in England (a few friends who grew up there and have family still there) and in Canada(I have clients there) they don't have access to the newest medical technology. They don't get MRI's - they get xrays. After a certain age curative care is no longer offered (chemo, heart surgery, hip replacement, etc.) only palliative (pain relief).