Companies are promoting employee leadership and decision making in their worksite wellness programs for the following reasons: to make the best use of limited resources, to increase programs' chances for success by fostering employee ownership of program plans, to help integrate positive health and safety features into workplace policies and practices, to allow employees to adapt corporate wellness programs to meet the needs and situations at individual nonheadquarters sites, to encourage support for those employees who have made health behavior changes, to accommodate the needs and interests of employee groups, and to develop a corps of health enthusiasts who can motivate other employees. Employee leaders can become involved in worksite wellness programs in a number of ways, including committees, employee associations, and support and other special groups. They can also work with programs' teachers and assistants and those individuals responsible for planning and building worksite wellness program facilities, and they can take an active part in the coordination and communication processes entailed in developing and implementing a worksite wellness program. Organizational development research has revealed a number of societal, leadership, and management trends that have confirmed the feasibility of using employee leaders to plan and conduct worksite wellness programs. (Twelve examples of companies in which employees assume an active leadership and decision-making role in their company's worksite wellness program are included in this document.) (MN)