Guiding Better Benefits Decisions

Guiding Better Benefit Decisions
 
Employees don’t experience their benefits all at once. They encounter them in moments — when a bill arrives, when a provider is chosen, or when an unexpected health issue surfaces. Yet, benefits communication is still heavily focused on enrollment, leaving employees without guidance when decisions are made.
That gap can be costly.

     Over 60% of personal bankruptcies are tied to medical issues, making everyday benefits decisions among the most significant financial risks employees face.

When guidance isn’t available at the right time, employees often default to convenience rather than value.

For HR teams, the challenge isn’t a lack of communication. It’s a lack of relevance.

Why traditional education falls short

Benefits education typically focuses on explaining coverage — deductibles, copays, networks, and plan comparisons. While necessary, this information often arrives long before employees need to apply it.

As a result:

  • Employees forget details by the time real needs arise
  • Complex information feels overwhelming rather than helpful
  • Benefits intended to protect financial health go underused or misused

This confusion is widespread.

     Eighty-six percent of employees say they’re confused about their benefits, which limits their ability to make confident, cost-effective choices.

Shifting from education to decision guidance

Instead of repeating enrollment-style education, many employers are shifting toward decision support, offering clarity when employees need to act.

Examples of decision guidance include:

  • Brief reminders explaining when urgent care may be more appropriate than an emergency room
  • Simple prompts highlighting in-network options for common procedures
  • Plain-language explanations tied to life events, claims activity, or care decisions

These small reminders reduce uncertainty without adding to inbox fatigue.

Supporting confidence, not expertise

Employees don’t need to become benefits experts. They need reassurance that they’re making sound choices. When HR prioritizes timing, clarity, and relevance, benefits feel more usable and more effective at protecting both financial and overall well-being and help attract and retain top talent.

©2026 United Benefit Advisors