Manatee County set a new course with their self funded health plan, the Your Choice Health Plan, which incorporates extensive health management and wellness initiatives through its accountable benefit design. Each adult member is enrolled in an individual plan based upon their completion of “Qualifying Events”. These qualifying events are evidenced-based preventative screenings and exams (Wellness Exam, Health Risk Assessment, comprehensive lab draw, Diabetes Care screenings, tobacco cessation programming, mammograms and colonoscopies) that are required for the highest reimbursing plan level. The plan design directly puts accountability on the employee and covered dependents for taking advantage of the preventative screenings and rewards them with a generous benefit plan.