2025 WMP Year-End Report Submission and 2026 Application

2025 WMP Year-End Report Submission and 2026 Application

FOR MEMBERS OF THE 2025 WMP ONLY
This link is for current members of the 2025 Weight Management Pilot Program (WMP) to submit the required year end report for 2025. Enrollment status will be verified by the email address on file with the Division of State Group Insurance.

If you are not a member of the current 2025 WMP, please exit this application.

The application link for new members applying for the 2026 WMP will be available on our website November 3-17, 2025. Please see our website for details, including eligibility criteria and required forms.

Please enter the email address used to send the 2025 Year End Report/2026 Provider Referral Form.

This email must be entered using all capital letters.
Enter your email. This tool is case sensitive. Please use all capital letters.

This application is only for current members of the 2025 WMP. The email you entered does not match the list of 2025 participants. Please see our website for information about applying for the 2026 WMP.

Please close this browser to exit this application.

Health Data
Please enter the following information from your signed 2025 Year End Report/2026 Provider Referral Form. All data must be entered to submit your application. All data will be verified.
Enter your A1c from your 2026 Provider Referral Form*
Include up to one decimal place (ex: 6.1). If your A1C has not been tested, place a zero (0) in this field and provide your Glucose in the field below.
Glucose*
Numbers Only (ex: 120). Provide your Glucose here if you have not been tested for A1c.
Height*
Weight*
BMI
Systolic Blood Pressure*
TOP NUMBER
Diastolic Blood Pressure*
BOTTOM NUMBER
Total Cholesterol*
LDL*
HDL*
Other Comorbidity
Provider's Name*
Provider's NPI*
Upload Signed Provider Referral Form*

Upload your completed 2025 Provider Referral Form in pdf, doc, docx, jpg, jpeg, png or gif format. Maximum file size: 10MB
Cancelof
Click NEXT to apply for the 2026 WMP.

Weight Management Program(WMP)
Eligibility Criteria

The Weight Management Pilot Program is open to 2,800 enrollees, spouses, and dependents who meet the following criteria:
- BMI of at least 30 or a BMI 27-29 and at least one weight-related comorbid condition (e.g., hypertension, high cholesterol, obstructive sleep apnea).
- Age 18 and over.
- Enrolled in one of the following State Group Insurance Plans: Aetna, Capital Health Plan, Florida Blue or United Healthcare in 2025 and 2026.
- Referred by an in-network licensed provider during the 2025 plan year.
- All participants in the 2025 WMP must have met all 2025 program requirements, including wellness program enrollment/engagement and submitting the required year-end report through the online link by 10/31/2025.
Member Responsibilities
- Each 2026 WMP participant must:
- Be supervised by an in network licensed provider during the 2026 plan year.
- Consent to providing personal and medical information to the Department.
- Enroll in a plan-approved wellness program available to WMP members through their health plan by the deadline provided in the WMP approval email.
- Meet the engagement requirements of the wellness program throughout the 2026 plan year.
- Submit updated health information on the year-end report by October 31, 2026.
Participants who do not meet the above member responsibilities will be disenrolled from the program.

Exclusionary Criteria
- The following excludes enrollees, spouses, dependents from the program:
- BMI less than 27 or a BMI of 27-29 without a comorbid condition.
- Under the age of 18.
- In COBRA.
- Enrolled in a Medicare Advantage and Prescription Drug (MA-PD) Plan.
- Women who are pregnant, plan to become pregnant, or are nursing.
- Did not meet the 2025 WMP requirements, including enrolling in the wellness program and submitting the required year-end report through the online link by 10/31/2025.
Does the Applicant meet the above WMP eligibility criteria?*

YesNo

Applicant Information
Is this application for an Employee/Enrollee or a Spouse/Dependent?*

Employee/EnrolleeSpouse/Dependent
Applicant Name*

First NameLast Name
Employee/Enrollee's People First ID: Enter a 6- or 7-digit ID and then click the "Check ID" button to confirm it is valid. Do not include leading zeros.
Applicant Date of Birth*

MonthDayYear
Must be at least 18 years old
Applicant Phone Number*
Please enter a valid phone number.
Applicant Email Address - This email address can only be used on one application.*

Confirmation EmailBy providing your email address, you’re consenting to receive email communications from the Department of Management Services related to this program.
2025 Health Plan*
2026 Health Plan*
Employee/Enrollee Information

If you are a spouse or dependent, please provide the following information
Employee/Enrollee Name*

First NameLast Name
Employee/Enrollee Date of Birth*

MonthDayYear
Date
Employee/Enrollee Phone Number*
Numbers Only

The People First ID you entered is not valid.

Please close this browser to exit this application.

Consent Statement
Privacy Notice

Aggregate data (your data combined with data of other participants that does not personally identify you), may be classified by age, gender, or other arrangement, shared with the Florida Legislature for reporting purposes, and used for overall program analysis. Please note that any data shared will not personally identify you or other participants. In addition,your individual data will not be shared with other departments or third parties, except as provided in the Department of Management Service’s Privacy Notice, which can be accessed at the link below. By checking the box below and providing your e-signature on this application, you consent to share your personal and medical information with the Department of Management Services to participate in the program.
You must check the Consent box to continue with this application*

I Consent
Members of the 2026 WMP will be required to:
- Enroll in one of the plan-approved wellness programs available to WMP members by the deadline listed in the WMP approval email.
  - The wellness programs vary by health plan. Florida Blue, Aetna, and Capital Health Plan offer wellness programs through Solera. Solera offers seven different wellness programs, and they work with members to find the program that best matches their preferences and goals. Programs include betr, ciba health, habitnu, VP transform, Weight Watchers, wondr, and digbi. United Healthcare offers one plan for all WMP members, Real Appeal.
- Meet engagement requirements of the plan-approved wellness plan.
  - Each wellness program has engagement requirements to maintain membership. These may include weighing in on a digital scale connected to the app once a week, tracking a minimum number of meals in the app each week, reviewing videos, attending virtual meetings, etc.
- Submit updated health information by October 31, 2026.
Members who do not meet the above requirements will be removed from the WMP and access to weight management medications will end.

By checking the box below, you confirm your understanding that these are required for continued participation in the program, and eligibility for any future program years.
You must check the Acknowledge box to continue with this application*

I Acknowledge
Signature*
Type your full name
Date*

MonthDayYear
Date
Please click Submit below.
Should be Empty:

2025 WMP Year-End Report Submission and 2026 Application

Health Data

Weight Management Program(WMP)

Applicant Information

Employee/Enrollee Information

Consent Statement