Source: David Hilzenrath, Washington Post ( Free Registration )

Most big employers plan to shift a larger share of health-care costs to their workers next year, according to a survey to be released Thursday.

Many say they may charge more to cover spouses, tighten eligibility standards for their health plans and dispense financial rewards or penalties based on the results of certain lab tests. At some companies, employees who are overweight could be excluded from the most desirable plans.

Meanwhile, employees at many companies can expect significantly higher premiums, deductibles and co-payments, according to the annual survey by the National Business Group on Health, a coalition of big employers, and Towers Watson, a consulting firm that advises companies on employee benefits.

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