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LiveWell Fit Reimbursement Form

Sound Health & Wellness Trust Sites > Kaiser > Sound Support > LiveWell Fit > LiveWell Fit Reimbursement Form

Sound Support

Registered for an Event?

Let the Trust know at least one week before.

Submit a request for reimbursement online or call us at (800) 225-7620, Option 2, then Option 5.

LiveWell Fit reimbursement is a taxable incentive. The Trust will pay the required FICA (Social Security and Medicare) taxes on your behalf and you will be responsible for any federal income taxes that may be due. Other LiveWell Fit incentives may also be considered taxable. If you received a taxable incentive, the Trust will send you a W-2 (for each taxable incentive) each January that you should include with your annual tax filing.

Take a look at the current LiveWell Fit event list to find an event in your area.

Name of event *PLEASE NOTE THAT ONLY THOSE EVENTS LISTED ON THE TRUST WEBSITE ARE ELIGIBLE FOR REIMBURSEMENT

Event Location *

Event Date *

Event Distance *

Complete this section with the employee's information:

Employee Name *

Last Four Digits Of Employee Social Security Number (xxxx) *

Employee Address *

City *

State *

Zip Code *

Employee Date of Birth *

Who is participating in the event? Complete all fields for each participating family member.

How many participants? *123456

Participant 1

Participant First Name *

Participant Last Name *

Relationship to Employee? (select one)EmployeeSpouseDependent

Participant Phone Number

Participant Email Address *

Participant T-Shirt Size

Participant 2

Participant First Name *

Participant Last Name *

Relationship to Employee? (select one)EmployeeSpouseDependent

Participant Phone Number

Participant Email Address *

Participant T-Shirt Size

Participant 3

Participant First Name *

Participant Last Name *

Relationship to Employee? (select one)EmployeeSpouseDependent

Participant Phone Number

Participant Email Address *

Participant T-Shirt Size

Participant 4

Participant First Name *

Participant Last Name *

Relationship to Employee? (select one)EmployeeSpouseDependent

Participant Phone Number

Participant Email Address *

Participant T-Shirt Size

Participant 5

Participant First Name *

Participant Last Name *

Relationship to Employee? (select one)EmployeeSpouseDependent

Participant Phone Number

Participant Email Address *

Participant T-Shirt Size

Participant 6

Participant First Name *

Participant Last Name *

Relationship to Employee? (select one)EmployeeSpouseDependent

Participant Phone Number

Participant Email Address *

Participant T-Shirt Size

Registered for an Event?

Let the Trust know at least one week before.

Submit a request for reimbursement online or call us at (800) 225-7620, Option 2, then Option 5.

LiveWell Fit reimbursement is a taxable incentive. The Trust will pay the required FICA (Social Security and Medicare) taxes on your behalf and you will be responsible for any federal income taxes that may be due. Other LiveWell Fit incentives may also be considered taxable. If you received a taxable incentive, the Trust will send you a W-2 (for each taxable incentive) each January that you should include with your annual tax filing.

LiveWell Fit Photo Gallery

Current LiveWell Fit Event List

LiveWell Fit FAQ

Download the full list of what counts towards your January 1, 2024 HRA in English or Spanish

Go from the Couch to Your First 5K (PDF)

Sound Support

Email Customer Service & Claims
Email Eligibility & COBRA

(206) 282-4500 or (800) 225-7620
Hours: Monday – Friday, 8:00am to 5:00pm

11724 NE 195th St. Suite 300
Bothell, WA 98011–3145

The Sound Health & Wellness Trust is a Taft-Hartley trust managed jointly by unions and employers and providing benefits to more than 51,000 participants.

Participating unions include: UFCW Local 3000, Teamsters Local 38, and UFCW Local 367.

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