It has been known that employers pay much more in health insurance premiums for obese employees. Also obese employees cost U.S. employers over $16 billon per year in additional premiums, lost productivity and workers comp. Because of the economy and the budget crunches, many states are forced to look at increasing their revenue and decreasing their costs. North Carolina is poised to become only the second state to penalize state employees by placing them in a more expensive health insurance plan if they’re obese. North Carolina smokers, and the obese, will pay 10 percent more than other workers for their insurance, unless they quit smoking or join programs to lose weight. Alabama was the first state to look at the cost of weight weight. Starting in January 2010, state workers will have their blood pressure, cholesterol, glucose and body mass index checked by a nurse. If they’re in a risk category, such as a body mass index of 35 or greater or a blood pressure of 160/100 or greater, they are charged an extra $25 per month on their insurance premium.