Extra pounds equal fees for Ala. state employees

MONTGOMERY, Ala. - Alabama, pushed near the top in national obesity rankings by deep-fried Southern favorites, is cracking down on state workers who are too fat.

The state has given its 37,527 employees a year to start getting fit - or they'll pay $25 a month for insurance that otherwise is free.

Alabama will be the first state to charge overweight state workers who don't work on slimming down, while a handful of other states reward employees who adopt healthy behaviors.

Alabama already charges workers who smoke - and has seen some success in getting them to quit - but now has turned its attention to a problem that plagues many in the Deep South: obesity.

The State Employees' Insurance Board last week approved a plan to charge state workers starting in January 2010 if they don't have free health screenings.

If the screenings turn up serious problems with blood pressure, cholesterol, glucose or obesity, employees will have a year to see a doctor at no cost, enroll in a wellness program, or take steps on their own to improve their health. If they show progress in a follow-up screening, they won't be charged. But if they don't, they must pay starting in January 2011.

"We are trying to get individuals to become more aware of their health," said state worker Robert Wagstaff, who serves on the insurance board.

Not all state employees see it that way.

"It's terrible," said Health Department employee Chequla Motley. "Some people come into this world big."

The board will apply the obesity charge to anyone with a body-mass index of 35 or higher who is not making progress. A person 5 feet, 6 inches tall weighing 220 pounds, for example, would have a BMI of 35.5. A BMI of 30 is considered the threshold for obesity.

The board has not yet determined how much progress a person would have to show and is uncertain how many people might be affected because everyone could avoid the charge by working to lose weight.

But that's unlikely - a nationwide study released one day before the board's vote shows Alabamians have a big weight problem. The Robert Wood Johnson Foundation and the Trust for America's Health report found that more than 30 percent are now obese.

E-K. Daufin of Montgomery, a college professor and founder of Love Your Body, Love Yourself, which holds body-acceptance workshops, said the new policy would be stressful for people such as her.

"I'm big and beautiful and doing my best to keep my stress levels down so I can stay healthy," Daufin said. "That's big, not lazy, not a glutton, and certainly not deserving of the pompous, poisonous disrespect served up daily to those of us with more bounce to the ounce."

A recent study suggested that about half of overweight people and nearly one-third of obese people have normal blood pressure and cholesterol levels, while about one-quarter of people considered to be normal weight suffer from the ills associated with obesity.

William Ashmore, executive director of the State Employees' Insurance Board, said the state would spend an extra $1.6 million next year on screenings and wellness programs but should see significant long-term savings.

Ashmore said research shows someone with a body-mass index of 35 to 39 generates $1,748 more in annual medical expenses than someone with a BMI of less than 25, considered normal.

Alabama's new policy is drawing no objection from the group representing state workers. Mac McArthur, executive director of Alabama State Employees Association, said the plan is not designed to punish employees.

"It's a positive," he said.