A year after Littler first examined how far an employer can go toward mandating wellness in the workplace, this 2008 Littler Report examines where we are a year later. As the leading source of medical insurance, employer-sponsored group insurance covers approximately 158 million nonelderly people in the United States. Although the cost of healthcare insurance has moderated, the percentage of employers offering health insurance continues to decline. Threatened by various federal, state and local initiatives to require employers to provide health insurance coverage and paid sick leaves, and leery of expecting any comprehensive reform, no matter what the outcome of the 2008 election, employers are now examining what can be done to assure a healthier workforce.

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