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Eve Tahmincioglu

Primary author Eve Tahmincioglu has been covering small business and entrepreneurship for more than a decade. She regularly writes about small business issues for the New York Times and BusinessWeek's SmallBiz magazine. She also writes the Your Career column for MSNBC.com. She is the author of "From the Sandbox to the Corner Office."



No fatties here

Posted: Monday, September 10, 2007 3:00 AM by Eve Tahmincioglu
Filed Under: , , ,

Don’t fat people have it bad enough? Now they face the risk of losing money at work if they don’t shape up.
 
Thanks to new federal regulations that went on the books this summer, companies are allowed to charge unhealthy, aka overweight, employees more money for their health care premiums than their skinny counterparts.
 
I’m not kidding, folks. It’s time to put away the Twinkies and Big Macs. Your boss really wants less of you, and since wellness programs and free pedometers didn’t get you dropping those pounds, some employers now think its time to hit you below the belt -- in your wallet, that is.
 
Small business owners have it the hardest when it comes to health insurance. They pay more than big corporations, and because they have fewer employers there are fewer people to spread the risk. That means a couple of obese employees with major health problems can send a small firm’s insurance premiums through the roof.
 
While you don’t hear a lot about it, entrepreneurs have been trying for years to adopt wellness programs similar to those you see at big firms, but American workers just keep getting fatter and fatter.
 
Most small business owners, even though they’re pulling their hair out over rising premiums, are using the carrot instead of the stick right now, says Stephen Glick, administrator of the Chamber Insurance Trust, which administers health plans for 50,000 small businesses in Connecticut and western Massachusetts. What he’s seeing is firms offering incentives such as gifts and free weekend getaways for workers who slim down -- not financial disincentives.
 
But the tide is turning, says Jerry Ripperger, director of consumer health at Principal Financial Group. Before the federal health insurance laws on penalizing employees were clarified in July, he got about one call a month from employers asking whether they can charge unhealthy workers more for premiums. Now his phone is ringing off the hook.
 
He even got a call from a business owner wondering if he could drop health coverage for an employee whose body mass index was too high.
 
That’s going too far, and is not legal under the new regs. What an employer can do is charge employees up to 20 percent of the value of the coverage if they don’t play by the “keep-your-butt-skinny” rules. (The new rules cover employers with two or more workers.)
 
Ripperger advises small business owners to focus on getting employees to participate in wellness programs at work rather than penalizing them for being fat. If they don’t participate in health screening or take advantage of exercise programs at work, then go ahead and dock their pay.
 
But beware if you start randomly penalizing workers you deem to be a drain on your health coverage dollars just because they are wearing plus sizes.
 
“We encourage employers to make this a positive experience,” Ripperger adds.
 
I’m going to guess this is going to be anything but a positive experience for workers who hate working out but love pigging out.
 
No one wants to be told what to do, even if it’s good for us.
 
Small business owner Nancy Trent encourages the 17 employees of her marketing firm to eat right, but she says it has nothing to do with keeping premiums low. "When people look better and feel better they have more confidence and perform better socially and professionally. Therefore penalizing someone for being overweight detracts from the goal and will make them feel less valuable to the organization."  
 
Good ol’ pressure from the boss can do the trick. One of Trent’s employees, Pamela Wadler, says: “We are encouraged to eat healthy. Soda and snack foods are so frowned upon a new girl snuck a Snickers bar and ate it quickly under her desk.”

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Comments

If thats o.k. then obviously it should be o.k. to charge more for women of child bearing age since they will obviously incur more medical charges and to charge more for persons who smoke, drink or engage in risky recreational pastimes such as motorcycle riding, sky diving, flying, sking etc etc. This is total hog wash.
The article only mentioned being overweight.  Does it apply to smokers and drinkers?  How can you tell if someone's been drinking the night before if it already wore off?  Isn't smoking worse than being overweight?  What if they're not overweight, but still eat foods high in cholesterol and sodium?  What if they're not overweight but have high blood pressure?  Do you measure blood pressure every day at work?  I don't get it.
Personally, I don't have health coverage. It seems like it's mean, but it's really a fair approach to curbing costs. If you weigh 300 lbs., you ARE going to have more health concerns than others. You must exercise, eat right, etc. or you will suffer the consequences. This is for the average person who doesn't get congressional healthcare coverage.
It is another form of discrimination. So all forms of dangerous behavior should be penalized. And, did the public vote on this "federal legislation"?
Obviously, incentivizing employees to make healthy lifestyle changes is preferable, but companies are implementing policies that penalize smokers and many companies are asking their employees to take health risk assessments which do ask questions about smoking, drinking, exercise, diet and other lifestyle habits. Many employers are at their wits end, health care costs are rising with no end in site and with the recent news about the increase in youth hypertension, employers can look forward to another generation of unhealthy employees. As the number of consumer directed health care plans proliferate, employees are going to have to deal with the fact that if they don't take charge of their own health, and reduce their own risk factors for disease, they are going to pay a tremendous price.  
And what about employees or even the employer while they maybe super healthy are in a life style where they are mutch more at risk of aids. Are employers going to be going into the bed room next. Folks this is an out and about attack on personal freedoms.
Just think years back when some of us oldies could NOT get management to pay for the local YMCA membership fee when we asked.  We had to pay the YMCA ourselves through payroll deductions.

Now look at you.  You want what?  You want it when? ;)

America leads all other nations in 1 thing, and that's the amount of overweight / obese people.
If I recall correctly, that number is up about 31% over the last few years.

At the end of the day, health care is costing all of us more each year. If you just add smokers to that list as well, we'd be off to a great start.

Do what you want with your life, but when it starts hitting my pocket, you're damn stragiht I'm going to be in support of the government stepping in.

Sad but it's true.
As if people had there personal freedoms taken away enough now, if you are 20lb overweight you have to pay more for yoiur insurance.
How about the weekend football players, the over 50's tennis players,and the other parts of society that partake in other forms in risky behavor.
Shouldn't anorexia also have there insurance affected too?
We as a politically correct nation have many times adopted the "slippery slope" rationale for not doing certain things under law.  Do you suppose that the new regulation could be construed in the future to bar employees, like myself, who are not obese etc., but have other expensive problems?  I suffered a MI in
'06 and had bypass surgery.  I cannot purchase private health insurance at any cost.  If ttis state of affairs is expensive for my employers group insurance  might I be terminated for the risk that I present?  These regulations need to be looked at in
real terms of discrimination - age - sex - race - to see if the don't disenfranchise a large portion of the working public.
This is discrimination and has been going on for a long time. If you want to blame someone for the high cost of health care, blame the doctors (who have to pay a higher cost of malpractice insurance) since they can't seem to be careful with your life and get it right. So, that gets passed on to the consumer, like everything does. What about the gay life, aren't they at high risk of needing medical attention? I think government has their nose in our lives too much anyway.
It seems to me that this was meant to be an incentive for obese people to become fit as well as help businesses with health insurance. Is it really any different from the higher taxes on cigarettes which are meant to encourage people to not buy them? It is meant to encourage a healthier lifestyle, not discriminate and would probably not lead to higher costs of health insurance for would-be mothers or anyone else who would be more likely to have higher health costs but aren't doing anything unhealthy.
Since overweight people are a majority in this country, we will one day realize our political strength.  When that happens, congress will regret this new requlation, and the loss of their jobs in congress.
Oh my god!  What a bunch of fat people!  Sheesh!  Why does society feel that telling someone they are fat is so wrong??  People will tell you plenty of things they think is wrong with you but you better not tell the obese pig who is eating the bowl of ice cream at lunch that they are fat!

LOSE SOME WEIGHT!  TAKE CARE OF YOURSELF!  QUIT BLAMING PEOPLE FOR BEING TIRED OF DEALING WITH YOUR LAYZINESS!

The person that scared me the most is the obese person that says that fat people should realize and utilize their numbers as political strength...For what?  Making bosses give all fat people candy breaks at work?  Fire all non-fat people?  Make the air carriers put bigger seats on airlines just for you?

And if the bosses don't, what will you all do?  Wear nothing but thongs in public?  Stop bathing?

Obese people, please...When you are so big you can't wipe your own ass you don't make everyone else in the medical system carry your weight!  Have some pride in yourself!  Quit making excuses and blaming others for being intolerant!  Get on a health plan and change your life for the better!

You don't have to do it for anybody else if you don't want to.  Do it for yourself.  Do it for your country.  Do it for whatever reason motivates you.  Just shut your pie hole and do it.
Some people are overweight due to medical conditions, becarefull about penalitizing them or the Americans with disability act will nail you. What about bodybuilders? Low fat but high body mass,
are they not obese under those guidlines?
"I exercise and eat right" -- Glad to know we have a wellness expert on board. The problem with this is not being able to wipe our own butts. I am obese (morbidly even!) and I can do that just fine. And in case anyone is wondering, I changed my lifestyle 2 months ago and have already lost 25lbs. I still have a long way to go, but I already feel better.

I agree that America needs to slim down. That's not the issue either. So what really is the issue? For one, I really don't like the attitude given towards fat people. Everyone, and yes, I mean EVERYONE struggles with something, so be it that a fat person wears their weakness around their waist. I would think long and hard before you criticize someone for something that they struggle with. Obesity is a very complex monster, and tends to build in it self at an exponential rate, and once you are there it really gives you a different perspective on life. You may think that you have your whole life together because you can resist a candy bar but I don't buy it.

Secondly, how does one gauge "health" -- for one, the BMI system is terribly out of date and may not even be accurate. For instance, I have read a study that actually showed people in the "overweight" category (around 20lbs "overweight") were actually much healthier than those in the "normal" category. Just because someone is rail thin does NOT mean they are healthy. The thing is, something like this is a very delicate balance, and like other people have been pointing out here... what's to stop them from charging more for other diseases and health issues that arise? Personally, I think the fact that we even need health insurance is the stupidest thing I ever heard of. So the people who actually need the insurance are charged more or even denied coverage? It's greedy, and these developments just show it more and more.

So yes, America should get healthy, but first, we need to make sure we understand what that is. To discern the truth you have to ask yourself, "Where's the money?" since that seems to be the ebb and flow of society. And lastly, there is no magic motivator to get someone on the path towards health. I had to pack on the weight of a grown man before I realized that it had to stop. Everyone reaches their breaking point at one time or another... but it's not going to do any good until the DETERMINATION has been firmly set in place. People lose weight all the time only to gain it + more back. I will not be one of those people, but I need the determination to get there. I wish there was one way to make that "click" in everybody, but the over processed food devoid of any real nutrition is drugged up with "flavor" and readily available at every turn to keep that health at bay. Wouldn't it be nice if there was a radical change in the way food was handled and if less advertising was spent on cardboard covered with chocolate and caramel? When does the integrity of the food companies come in? Personally, I feel as though OBESITY is big business, and corporate America is looking to further the $$$ rolling across their eyes. Will this greed ever end?

** END SOAP BOX **



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