Here’s Why Employers Need to Keep Offering Health Care Benefits

From the employer’s perspective, most of the recent publicity relating to offering health care benefits has been focused on the added cost and burden of providing those benefits to a firm’s employees.

However, many employers and especially small businesses seem to have failed to realize that offering health care benefits is one of the most powerful attraction and retention factors on the planet.

As a result, not offering health care may turn out to be a costly business decision, especially when it drives away top potential applicants and results in the loss of your top lower-paid employees to other businesses that have suddenly become more attractive by offering it.

You can’t ignore the importance of benefits in recruiting and retention because recent surveys about “what candidates want in a job” by Glassdoor and Randstad both reveal that employee benefits (along with salary) are the No. 1 attraction fact.

Why employers should offer health care benefits

Remember that cost is only one half of the return on investment formula, so don’t forget and calculate the benefits and positive impacts. When you make the decision on whether to offer health care benefits, consider the importance of the following factors that may impact the importance of offering these benefits:

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  • Healthy workers are more productive – Even if you don’t care whether workers desire health care are not, with the availability of preventive health care, your workers will be absent less because of their own or their family’s health issues (incidentally, missing fewer days will also mean more total income for most workers, which can aid in retention). Healthy workers will be more productive while on the job, likely have fewer accidents (lowering insurance premiums), and they will be less likely to be perceived by your customers as a source of germs. Wellness programs alone have shown up to a 3 to 1 return on investment.
  • Everyone will be talking about health care benefits – Even if your workers have not historically been concerned about health care benefits, all of the publicity over the next year will make it “a talked-about” issue. With so many employees active on social media and the Internet, it would be a huge mistake to assume that your employees won’t quickly learn which firms do and do not offer health care benefits.
  • Lower-paid workers likely care more – Hourly and lower-paid non-union workers are often more likely to be concerned about health care benefits. Their lower relative income will make health coverage an important issue because of the perceived high cost of buying coverage individually and also because they view health care benefits to be “better” because unlike an increased hourly wage, health benefits are not normally taxed. Unfortunately, without preventative medical coverage, hourly workers who need the money will likely come into work while they are sick and their presence will unfortunately also make others sick.
  • Retail, fast food, and hospitality firms are likely to be hit hard — In these industries, because the employee skill set required is similar, it is relatively easy for unhappy employees to move between companies, locations, and industries. Because workers in these industries may frequently interact outside of work with workers in these industries, your employees will likely hear quickly about other hourly jobs that offer health care. As a result of these two factors, I estimate that individual outlets in this industry that do not offer health care benefits will over a year will lose up to 25 percent of their employees to similar firms that have nothing superior to offer beyond health care benefits. With similar hours, pay, location, and working conditions, health care benefits may become the significant differentiator.
  • Employee retention will be more difficult – Because the new Affordable Care Act makes it more difficult to avoid offering health care benefits, other talent competitor firms that have not found a way around the law will have a clear advantage over you, because they offer these highly valued benefits. In addition to recruiting, failing to offer health care benefits will become a major retention issue among your lower-paid staff. Recruiting and retaining managers may also become more difficult because it will be more difficult for them to attract and retain top staff when other similar jobs at close by firms are offering health benefits to their employees.
  • Recruiting will become more difficult – Because firms that offer health care will make it a prominent selling point in their posted jobs and in their recruitment advertising, you will find that many “in-demand” workers will never even consider applying to your firm. You may still be able to fill your jobs, but the quality of your applicants will go down significantly. This will hurt productivity and you eventually may have to pay more, thus negating any savings that you accrued by not offering health benefits.
  • Health care matters to employees with familiesIf your top workers have families, the importance of health care benefits may actually exceed the importance of whatever you pay. If you hire from certain diverse ethnic or religious groups, statistically there is a higher chance that your employees will have larger families, so the impact in these cases will be greater.
  • Health care matters to sick individuals – If a significant percentage of your individual employees currently have significant health care issues themselves or with a family member, they may be quickly drawn away to other firms in order to get treatment.
  • Cutting hours to part-time will make a difference – You would be foolish to assume that if you cut some of your employee hours back so that they are under the 30-hour minimum, the cutback won’t impact turnover. As the economy improves and more full-time jobs are available, the penalty for taking that approach will increase.
  • Younger employees may have an interest — Because of all the hubbub about the new law, younger employees who may not normally care about health care may be worried about being required to pay a penalty if they don’t have it supplied by their employer.
  • Not offering health care may result in a two-class workforce – It will be almost impossible to successfully explain to your applicants and current employees why you can’t offer health care benefits. If your argument is focused on “the cost,” don’t be surprised when your lower-paid employees begin to view themselves as second-class citizens that are not worthy of the same healthcare investment that all of your managers and executives receive. If this split in workforce occurs, it will have major implications throughout the business.

Final thoughts

Many of the arguments that I hear about employers having to offer health care benefits are shortsighted. Some of these negative positions are obviously influenced by politics, while other negative positions seem to be focused exclusively on the cost side of the equation.

A smarter approach is to instead work with HR and the CFO to calculate the direct economic benefits that come from the resulting increase in productivity, lower absenteeism, longer retention, and dramatically improved recruiting. After making this calculation, you will invariably learn what every Fortune 500 firm has known for decades.

And that is that the many benefits of health care and wellness offerings by far exceed any potential costs!

Dr. John Sullivan, professor, author, corporate speaker, and advisor, is an internationally known HR thought-leader from the Silicon Valley who specializes in providing bold and high-business-impact talent management solutions.

He’s a prolific author with over 900 articles and 10 books covering all areas of talent management. He has written over a dozen white papers, conducted over 50 webinars, dozens of workshops, and he has been featured in over 35 videos. He is an engaging corporate speaker who has excited audiences at over 300 corporations/ organizations in 30 countries on all six continents. His ideas have appeared in every major business source including the Wall Street Journal, Fortune, BusinessWeek, Fast Company, CFO, Inc., NY Times, SmartMoney, USA Today, HBR, and the Financial Times. In addition, he writes for the WSJ Experts column. He has been interviewed on CNN and the CBS and ABC nightly news, NPR, as well many local TV and radio outlets. Fast Company called him the "Michael Jordan of Hiring," called him “the father of HR metrics,” and SHRM called him “One of the industry's most respected strategists." He was selected among HR’s “Top 10 Leading Thinkers” and he was ranked No. 8 among the top 25 online influencers in talent management. He served as the Chief Talent Officer of Agilent Technologies, the HP spinoff with 43,000 employees, and he was the CEO of the Business Development Center, a minority business consulting firm in Bakersfield, California. He is currently a Professor of Management at San Francisco State (1982 – present). His articles can be found all over the Internet and on his popular website and on He lives in Pacifica, California.



4 Comments on “Here’s Why Employers Need to Keep Offering Health Care Benefits

  1. well argued, but this is not a one-size-fits-all solution and it’s likely too early still to draw a line in the sand. A myriad of questions each small biz CEO needs to ask (other than the total cost/arbitrage one):
    -who are the key people in my organization and how will the ACA affect them from a price/quality standpoint?
    -what executive benefits can I offer in a compliant manner?
    -what other personalized benefits and perks do my employees appreciate and/or want?
    -Can I create a competitive advantage as an employer in other areas than offering health insurance (culture, flex hours, perks, etc)?
    -have I surveyed my employees to understand where medical insurance ranks in job satisfaction?
    -will the exchanges actually have better options and pricing for some or all of my productive employees?
    Mike Eger

  2. I am all for universal healthcare….but forcing INSURANCE is not dealing with the true root of the problem–actual cost of healthcare. The cost of insurance is HUGE for small companies (and this cost is pretty directly related to the costs associated with medical treatments/medicene/etc). In low profit margin industries (food)–it really hard to offer family coverage benefits at a reasonable rate for staff.

    Within the law there should be caps and limits on the COST OF HEALTHCARE. Not just insurance limits.

  3. It is by no means certain that linking health benefits to employment is good for anyone (employer, employee, cost of care, GDP…etc.). However, that genie was let out of the bottle long ago and savvy CEOs and business owners understand the value of offering employee benefits. However, businesses are feeling the effects of sharply increasing benefit costs, a rapidly tightening regulatory environment with steep mandated compliance requirements and penalties and vastly increased administrative burdens. Given the current business landscape, a far more sensible and cost effective approach if for businesses to employ the services of a highly reputable PEO (Professional Employer Organization). In doing so, they gain the economies of scale of a much larger purchasing group to provide things like health benefits, workers comp, 401k, HR administration, payroll processing, risk management, ACA and DOL compliance, SUTA…etc. They will reduce their administrative burdens and risk, greatly improve their cost structure and be able to offer Fortune 500-type benefits at the lowest possible cost. It is virtually impossible for a small business to maintain the internal resources and infrastructure to cost-effectively provide all of the services that a PEO can provide, for a fraction of the cost.

  4. Almost all the health care company realize this fact that healthy staff is very important to run a successful company. Health is one of the most important things in our life, and we have to make sure that we are healthy enough to bear the loads of life. You cannot do your work properly if your health is not good. Basically health is the level of
    functionality or metabolic efficiency of a human body. The level of functionality is highest when we are in our comfort zone, or you can say in favorable conditions we perform well but when adverse conditions arises we won’t, it all depends on our body’s metabolism. As we grow older the functionality and metabolism of our body
    starts slowing down for such tough times Health insurance policies are
    invented. These polices can also work at the time of accidents or minor illness, many big corporate companies heve their tie ups with the insurance giants like vhi health care to provide cover for their employees.

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