Nabholz is a private construction company operating in five states, with licensure to construct in 43 states. In 2007, the company decided to address the rising health care costs it had been absorbing by implementing a robust wellness program. Nabholz covers 100 percent of the employee-only premiums for health and dental insurance and makes a significant contribution to the premiums for employees who wish to cover their spouse and dependents. The company offers access to care and education with a full-time physician assistant/wellness director, physician, medical assistant, dietitian and personal trainer. Nabholz observed a zero percent increase in health insurance premiums for 2016.