Deliver more effectively
The short version
Every employer that offers benefits is paying for an outcome: employees who stay, and costs that stay predictable. Both depend on whether employees truly understand the coverage. The biggest and cheapest lever on that understanding is not plan design or budget — it is how enrollment is run.
An employee benefits program exists to influence behavior toward two business goals: retention and cost control. It only works if employees participate and comprehend what is available. An employee who does not understand a benefit does not act differently because of it, whether the employer or the employee paid for it.
Retention
A benefits package works as a retention tool by shaping how employees decide whether to stay: when they understand and value what they have, they are less likely to leave. Roughly four in ten employees name their benefits as a reason they remain. Replacing an employee is expensive — commonly cited at 50 to 200 percent of annual salary once recruiting, onboarding, and lost productivity are counted. When employees do not understand the package, they cannot value it, and it fails to retain.
Steering care and cost
Voluntary lines such as accident and critical illness pay employees directly for expenses outside major medical, including many off-the-job injuries. More than nine in ten preventable injuries occur outside work, where workers' compensation does not apply. Workers' comp premiums are experience-rated — set from the employer's own claims history for years after a claim. When an off-the-job injury gets absorbed into comp rather than the coverage designed for it, the employer pays twice: once in the claim, again in a higher modifier at renewal. An employee who understands they have accident coverage seeks care sooner and uses that coverage as intended. The behavior changes only if the coverage is understood.
What stands in the way
Comprehension gaps suppress participation directly. A 2024 study found HSA participation of 44 percent among informed employees versus 15 percent among uninformed; retirement participation 70 versus 52 percent. Understanding drives uptake.
Decision fatigue degrades choices made under pressure. Most employees spend less than thirty minutes choosing a health plan, and about a quarter take no action, re-enrolling in last year's choice. Every additional decision in one sitting competes for the same shrinking attention — and voluntary benefits, less familiar than the medical plan, are hit hardest. Presenting every option at once is convenient for the platform but exhausting for the employee.
The prescription
The goal is education — employees who truly understand what they have, because that is what drives behavior. Two structural changes deliver it.
Separate events. Major medical (ACA) and supplemental enrollment run as two distinct events, separated enough in time that the second does not compete with the first for attention. Each decision is met on its own terms.
One-on-one reviews. A brief individual review — even fifteen minutes — lets each employee ask questions a group setting discourages and lets the administrator confirm the choice fits the employee's situation. Informed employees participate at two to three times the rate of uninformed ones, and one-on-one review is the most effective format for comprehension.
Proven in practice
An Oklahoma nonprofit with more than 1,700 employees ran a newly acquired group's supplemental enrollment off cycle, then carried the separated structure into full annual enrollment. Nearly 90 percent of eligible employees used the educational resources, and HR described that year's enrollment as unusually quiet. Of 609 employees surveyed, 91 percent said they understood their benefits better after meeting one-on-one with a counselor; more than 750 enrolled in a new voluntary life and long-term-care benefit.
A healthcare operator with 18 locations across Texas, Louisiana, and Arkansas and more than 1,800 employees consolidated three voluntary carriers into one and added counselor-assisted, one-on-one enrollment. Ninety-six percent completed enrollment on-site or by phone; 77 percent enrolled in the new voluntary plans; participation in dental, vision, and long-term disability rose 30 percent; and the post-enrollment satisfaction rating was 98 percent. Neither employer spent more on benefits — each spent the same money on a better-designed enrollment, the one part of the equation entirely within the employer's control.
Sources
1. Payroll Integrations, 2024 State of Employee Financial Wellness Report (via ASPPA, 2024).
2. "Voluntary Benefits Enrollment: A Systems-First Playbook," WellthCare.
3. Employee Benefit News; SHRM, "Getting Results from Voluntary Benefits."
4. National Safety Council — injury and claims-cost data.
5. Gallagher Benefit Services (2023); AGM Benefit Solutions — enrollment case studies.
6. Eastbridge, Worksite MarketVision: The Employee Viewpoint (via Long-Term Solutions).