TO BE SIGNED BY EACH PARTICIPANTColorado • November 18th, 2016
Jurisdiction FiledNovember 18th, 2016The individual executing this document (the “Participant”) is a participant in the Level 3 2017 Wellness Program (the “Program”). The Program includes, but is not limited to, partial reimbursement for gym/fitness expenses, the opportunity to participate in health-related activities and events, and the dissemination of general health-related information. The Program is a sponsored by Level 3 and encourages its employee and their spouses/domestic partners to exercise and become healthier. In exchange for participation in and completion of certain Program requirements, employees and their spouses/domestic partners may also qualify for incentives or rewards.