“…Indirect costs include employee absenteeism and presenteeism (Edington & Burton, 2003;Hammond & Levine, 2010;Pelletier et al, 2004). Presenteeism encompasses diminished on-the-job performance due to impairment by health risk factors, health problems, or work/life issues (Burton, Pranski, Conti, Chen, & Edington, 2004;Edington & Burton, 2003;Goetzel et al, 2004;Johns, 2009;Kessler, Greenburg, Michaelson, Meneades, & Wang, 2001;Pelletier et al, 2004;Sepulveda, Tait et al, 2010). Presenteeism, when compared to other cost drivers, may be a significant liability for any organization (Burton et al, 2004;Edington & Burton, 2003;Goetzel et al, 2004;Kessler et al, 2001;Pelletier et al, 2004).…”