Fact Sheet: Medium Employees
Mid-Sized Company Benefits Trends (100-499 employees)

As part of the 2013 Aflac WorkForces Report, 640 of respondents were mid-sized employers
(100-499 employees) and 1,185 of respondents were mid-sized company employees were surveyed; key findings are:

  • Offering robust benefits while staying within budget/cost constraints is a top benefits challenge for 48% of mid-sized businesses. Understanding the changing health care landscape is second-largest benefits challenge for 26% of mid-sized businesses.
  • 55% of medium company employees at least somewhat agree that “I would prefer not to be more in control over my health care expenses and options because I will not have the time or knowledge to effectively manage it.”
  • Additionally, 54% agree “I believe I may not adequately manage my health insurance coverage, leaving my family less protected than we currently are.”
  • 71% of mid-sized businesses use a broker or benefits consultant to help determine benefits options, vs. 55% of small-sized companies and 56% of large companies.

Thinking of my company’s major medical/healthcare plans, we plan to implement the following in the coming year…

Mid-Sized Company Benefits At A Glance

Which of the following benefits does your company offer?

The Role of Benefits in Key HR Outcomes

Talent Attraction

59% of mid-sized business employees say they are likely to accept a job offer with slightly lower compensation, but better benefits.

86% of workers say a benefits package is important to their willingness to refer a friend to their organization.


Only 52% of workers at mid-sized companies say they are extremely/very satisfied with their overall benefits package.

When employees are offered voluntary insurance they are much more likely to say their current benefits package meets their needs extremely/very well (60%), compared to those not offered voluntary benefits options (45%).

Employee Well-being

32% of workers say their current benefits package only meets their family’s needs somewhat, and 11% say their benefits package does not meet their needs.

When asked if they feel fully protected by their current insurance coverage, 48% of employees at medium businesses say they only somewhat agree, and 22% say they strongly/completely disagree.


48% of employees at mid-sized businesses are very/extremely likely to look for a new job in the next 12 months.

Nearly half of employees (46%) say that improving their benefits package is one thing their employer could do to keep them in their job.

79% of employees agree that a well-communicated benefits program would make them less likely to leave their jobs.

Disconnects on Key Benefit Issues
Employers respond that: Employees say:
  • 53% of employers strongly/somewhat agree that “Our workers are taking full advantage of the benefits we offer.”
  • 40% of employees completely/strongly agree with the statement “I am taking full advantage of my employee benefits.”
  • Believes benefits are extremely or very influential on:
    Job satisfaction – 56%
    Loyalty to employer – 50%
    Willingness to refer friends – 39%
    Work productivity – 32%
    Decision to leave company - 34%
  • Believes benefits extremely or very important to:
    Job satisfaction – 79%
    Loyalty to employer – 66%
    Willingness to refer a friend – 54%
    Work productivity – 62%
    Decision to leave company – 55%
  • 24% of companies strongly/somewhat agree with the statement “our workers are not adequately informed about their benefit choices.”
  • 80% of workers at least somewhat agree with the statement “I would be more informed about my benefit choices if I sat with an insurance consultant.”
  • 64% of companies strongly/somewhat agree they effectively communicate the value of their benefits to employees.
  • 45% of workers say their HR department communicates extremely/very effectively about benefits offered by their employer.
  • Only 5% of companies named “educating our employees about health care reform” is an important issue for their organization.
  • 76% of workers agree “I believe my employer will educate me about changes to my health care coverage as a result of the health care reform.”
  • 31% of companies named “having employees interested in purchasing voluntary benefits” as top challenge in offering voluntary benefits.”
  • 58% would be likely to purchase voluntary benefits if offered.

Many companies have been faced with difficult decisions when it comes to protecting the bottom line, and protecting their workforce. This often means a decrease in the number of healthcare benefit options offered to their employees. However, there is strong evidence that a companies’ benefit program significantly influences employee attraction, engagement and retention.

Although the market can still be characterized as an employer’s market, this will begin to shift back to an employee-driven environment where top talent will be in short supply and high demand. When this happens, a company’s ability to demonstrate value and goodwill to its workers through robust benefits could mean the difference in high or low retention rates, and it your ability to compete with larger companies for top talent.