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The five criteria are: Plan participants must have an opportunity to qualify for the incentive (i.e., avoid the tobacco surcharge) at least once per year

and pipes, water pipes, or hookahs (1.2 percent)

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Synonym: Lip cushies Pack/Packing (noun or verb): A common term for the act of using a nicotine pouch

instead, they resulted in unintended negative consequences such as employees disenrolling from the health plan, declining workplace culture, negative perception of the employer, dishonest reporting on tobacco affidavits or biometric tests, increased turnover, and reduced engagement in other company programs or initiatives

Eur J Pub Health 19(6):631637 Hammond D, Doxey J, Daniel S et al (2011) Impact of female-oriented cigarette packaging in the United States