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	<title>Comments on: North Carolina Wellness Initiative Will Reward Weight Loss</title>
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		<title>By: Nicola</title>
		<link>http://www.weightlosssurgerychannel.com/breaking-wls-news/north-carolina-wellness-initiative-will-reward-weight-loss.html/comment-page-1/#comment-2208</link>
		<dc:creator>Nicola</dc:creator>
		<pubDate>Tue, 27 Oct 2009 15:01:18 +0000</pubDate>
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		<description>What they don&#039;t tell you is that we had good coverage and this is the way they decided to penalize anyone who is overweight or smokes (about 80% of state employees fall into this category).  Anyone who has a certain BMI or smokes will be dropped to a lower coverage tier unless you can prove that you are involved in weight loss program or tobacco cessation program.  Then you may be subject to random &quot;BMI checks&quot; or urinalysis for tobacco at work.  If you fail test you are immediately dropped to lower tier and have NO grievance rights.  This occurred during a year where they already discontinued the highest insurance tier and double all of the co-pays, deductibles, and co-insurance on the 2 remaining tiers.  Many of my co-workers cannot afford to pay for the insurance for their kids and spouses and are only able to afford the coverage for themselves.</description>
		<content:encoded><![CDATA[<p>What they don&#8217;t tell you is that we had good coverage and this is the way they decided to penalize anyone who is overweight or smokes (about 80% of state employees fall into this category).  Anyone who has a certain BMI or smokes will be dropped to a lower coverage tier unless you can prove that you are involved in weight loss program or tobacco cessation program.  Then you may be subject to random &#8220;BMI checks&#8221; or urinalysis for tobacco at work.  If you fail test you are immediately dropped to lower tier and have NO grievance rights.  This occurred during a year where they already discontinued the highest insurance tier and double all of the co-pays, deductibles, and co-insurance on the 2 remaining tiers.  Many of my co-workers cannot afford to pay for the insurance for their kids and spouses and are only able to afford the coverage for themselves.</p>
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