Designing Employee Health Benefits Around Workforce Preferences
Use current survey evidence and your own workforce feedback to compare health benefits. Balance employee contributions, provider access, choice, and clear communication without generational stereotypes.
3 min read By Dustin Neider
Key Takeaways
- In the 2025 EBRI/Greenwald survey, 48% selected greater employer contributions as a valuable benefits improvement and 34% selected more choice.
- National survey findings are a starting point, not a prediction of a particular Houston workforce's preferences.
- Compare payroll deductions with deductibles, provider access, and likely out-of-pocket exposure rather than premium alone.
- Offer digital and human enrollment support without assigning preferences by generation.
Houston employers should design health benefits around measured workforce priorities, not assumptions about millennials or any other generation. Start with employee feedback, a sustainable contribution budget, and the actual networks and cost-sharing in available plans. National surveys can identify questions worth asking, but your employees' needs, eligibility rules, and carrier options determine which choices are practical for your company.
What does current employee research actually measure?
The 2025 EBRI/Greenwald Workplace Wellness Survey, published in January 2026, surveyed 1,401 U.S. full- and part-time workers ages 21–64 through online interviews conducted July 18–August 5, 2025. Results were weighted by race, age, gender, and income. It is national research, not a Houston employer census, and does not represent workers outside that age range.
| 2025 survey finding | Employer design question |
|---|---|
| 48% selected greater employer financial contributions as a valuable benefits improvement | Would directing more budget to payroll affordability matter more than adding another perk? |
| 34% selected more flexibility or choice of benefits | Can the available plan menu offer meaningful tradeoffs without becoming confusing? |
| 38% placed quality health care coverage among their top three valued employer offerings outside income and compensation | Do employees understand the coverage and provider access they already have? |
These findings come from different survey questions; do not add the percentages or present them as mutually exclusive preferences. They support testing contribution levels, coverage, and choice—not a claim that everyone wants the same product or that one age cohort behaves uniformly.
How can you learn what your workforce needs?
Use a short, voluntary survey that asks employees to rank payroll affordability, predictable visit costs, hospital and physician access, prescription coverage, and support during enrollment. Ask about preferred communication channels and geographic access without requesting diagnoses or medical histories. Let employees skip questions, and report only aggregated themes that do not identify respondents.
Include different work locations, shifts, languages, and comfort levels with technology. Family responsibilities and financial circumstances can differ within any generation. If response rates are uneven, note the gap rather than assuming silence means satisfaction.
How do preferences become an affordable plan comparison?
- Set the budget: Define the employer contribution and show employee payroll deductions by coverage tier.
- Check access: Compare exact provider networks, service areas, drug lists, and member-support routes.
- Show cost exposure: Explain deductibles, copays, coinsurance, and out-of-pocket limits alongside premiums.
- Test meaningful choices: If carriers and participation rules allow multiple plans, make their differences clear rather than adding near-duplicates.
- Explain the tradeoff: Document which employee priorities each option addresses and what the company cannot fund.
A group health insurance comparison should use actual proposals. Employee preference alone does not establish HSA eligibility, permit every reimbursement arrangement, or override plan participation and compliance rules.
How should a multigenerational team receive enrollment support?
Offer concise written summaries, an accessible online option, and a person employees can contact. Do not assume younger workers only want an app or older workers cannot use one. Use the same sample care scenarios across plans and explain where employees can verify coverage before choosing. After enrollment, review aggregated questions and participation to identify confusing materials; enrollment alone does not prove satisfaction.
General information for employers, not legal or tax advice; plan documents and current rules control.
Request a workforce-focused benefits comparison with PCI Solutions to weigh employee priorities against real plan options and your budget.
Frequently Asked Questions
Should employers design a separate health plan for each generation?
Do not assume age labels predict individual needs. Use workforce feedback and compare options under consistent eligibility and plan rules, considering budget, locations, dependents, and access rather than stereotypes.
What does current research suggest employees want improved?
In the 2025 EBRI/Greenwald Workplace Wellness Survey, 48% selected greater employer financial contributions and 34% selected more flexibility of choice as valuable improvements. Those are national findings, not measurements of your company.
How can a small employer collect useful feedback?
Ask employees to rank affordable payroll deductions, provider access, predictable costs, and benefit support. Keep feedback voluntary and avoid collecting medical histories; compare the results with actual carrier proposals and the employer budget.
About the author
Dustin Neider — President of PCI Solutions, insurance broker and ACA specialist with 14+ years of experience in health insurance.