Group health insurance rates have been going up steadily across the country in recent years, making it difficult for employers to continue offering coverage to their employees.

But according to BizJournals.com, the highest group health insurance increases for 2008 were seen in Cincinnati, Ohio, at a whopping 11.1 percent.

Everywhere else costs went up an average of 6 percent.

Most companies are now struggling even harder to balance the needs of the company with the needs of their employees. In 2009, the average cost per person that major companies will be paying is $8,863, with employees chipping in another $1,946 for their group health insurance fees.

In response, many companies plan to "take a more rigorous and aggressive approach to getting employees healthy," meaning they'll focus on programs to change actual behaviors.

And while getting people to be healthy is always a good idea, this could also mean that more of the burden of health care costs will be shifted to the employees, who are already paying much more than they used to.

Group health insurance is typically less expensive than individual coverage, but as prices continue to go up, it's hard to say how long businesses and companies can continue to pay these prices and still keep their doors open.