Alabama state employees suffering from obesity and three other health problems will eventually have to pay extra for their health insurance if they don't try to control their problems.

The State Employees' Insurance Board has approved a plan that will charge state workers an extra $25 per month, starting January 2010, if they don't have a free health screening. If the screening turns up no problems, they don't have to pay the $25 in the future.

If the screening turns up serious problems with blood pressure, cholesterol, glucose or obesity, then employees will have one year to see a doctor, enroll in a wellness program or take other steps to improve their health. If they do, they won't have to pay the $25 monthly. But if they don't, they will have to pay the $25 per month starting in January 2011.