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  Cost for Weight by Additional Risk Factors  
Average annual paid healthcare costs (including pharmacy) from 1997 to 2000; N=222, 933.
Total Costs of Unhealthy Lifestyles
Productivity Losses= 2 x Annual Healthcare Costs
Example: A company with 500 employees spends $4,606,500 on direct health care costs each year. The company’s productivity losses equal $9,213,000 per year. Total cost of unhealthy employees:
 + 9,213,000
$13,819,500 per year
Source: Goetzel, Journal of Occupational and Environmental Medicine, 2004
Based on group size of 500 and $9,312 per employee expenditure. 2008 Towers Perrin Annual Health Care Cost Survey

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