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White paper

One size no longer fits all: Why plan sponsor health and welfare programs should be personalized to match employee needs

5 May 2026

The one-size-fits-all philosophy no longer applies for employer-sponsored health and welfare programs. The standard benefits package—with medical plans, basic life, disability, dental, and vision—worked when most plan participants were looking for the same things. Today’s participants span multiple generations and expect support for their whole well‑being, not just medical coverage. With four to five generations now in the workforce, a standardized benefits structure typically ends up serving some plan participants very well, while missing the mark for others. Workforces are far more diverse in terms of age, family situation, health needs, and financial priorities, so it is increasingly difficult for a single benefit plan design to meet everyone’s needs. This white paper discusses how plan sponsors are adjusting their benefits to meet the diverse needs of their participant populations.

The article recommends that employers consider these topics:

  • Offer plan choice: Different generations have varying risk tolerances and healthcare utilization patterns, so providing options allows plan participants to select the coverage that aligns with their preferences.
  • Support preventive care and chronic condition management: Older plan participants are more likely to experience chronic conditions that require ongoing management, while younger plan participants often benefit from preventive and lifestyle-focused programs.
  • Expand mental health and well-being programs: Plan sponsors are strengthening resources such as employee assistance programs, expanding coverage for therapy and counseling, and offering digital mental health platforms.
  • Enhance family and caregiver benefits: Examples include fertility and family-building support, adoption and surrogacy assistance, menopause/andropause support, expanded paid parental leave, backup childcare resources, and eldercare options.
  • Expand financial wellness and savings programs: This may include offering student loan repayment assistance, programs that help plan participants build emergency savings, financial counseling, and improvements to retirement plans.
  • Implement contribution strategies that support equity. The amount plan participants contribute toward premiums may vary based on salary levels, helping make coverage more affordable for lower‑paid workers.
  • Offer lifestyle spending accounts. These accounts give people the flexibility to personalize their benefits based on their own lifestyle, family situation, and individual preferences.
  • Consider voluntary benefits. These offerings often include supplemental health plans, accident or critical illness coverage, legal assistance, identity theft protection, and pet insurance.
  • Personalize communication and navigation. Many plan sponsors are introducing tools that guide plan participants through enrollment, help estimate potential healthcare costs, and point them toward the plans that best fit their situation.

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About the Author(s)

Stephanie Peterson

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