October 13, 2026

Every fall, your workforce spends two weeks confused about the most expensive thing you give them. Open enrollment. A stack of forms, a portal nobody likes, a few big decisions people make by guessing. I call it the once-a-year throw up. And you are paying for it twice.

Once in the premium. Again in the productivity you lose while people stress about it and still choose wrong.

Here is the connection owners miss. Benefits are not just a cost line, they are how your people reach care, or fail to. A confusing plan with bad access means employees delay care, guess at coverage, land in the wrong setting, and carry the worry into work. That shows up as your claims next year and as output this year. Healthcare access, or the lack of it, walks into your building every morning whether it shows up on a report or not.

Now the renewal tie-in. A plan you cannot explain to yourself is a plan your HR team cannot explain to 300 people. Or 50. The same opacity that hides your costs guarantees a miserable enrollment. Fix one and you fix the other, because a plan built in daylight is a plan people can understand.

I have watched this pay off in hard numbers. One employer recovered $267,000 in lost productivity by making care easy to reach through an onsite clinic. Not a wellness poster. Real access, and it showed up on the P&L. Their health plan is running at 82% of budget for the second year in a row. An onsite clinic is not the answer for every employer, some are too small or too spread out for it. The principle holds everywhere though: make care easy to reach and the productivity comes back.

What to do this fall: sit through your own open enrollment as if you were a confused employee. Can you understand it? Can your people reach care without a treasure hunt? A no there is not an HR failing. It is a design you can change.

Your people carry your business. What they carry to the doctor, or cannot, comes back to you either way.

Want an enrollment that does not make everyone sick? Let’s talk.

ABOUT THE AUTHOR

Allison De Paoli

Allison De Paoli has been solving the healthcare crisis for employers who were sure there was nothing they could do to control their costs or create a better healthcare experience for their employees.

She co-authored the Amazon Best-Seller Breaking Through the Status Quo: How Innovative Companies are Changing the Benefits Game to Help Their Employees and Boost Their Bottom Line and was recognized as a 2019 Top Woman in Advising by BenefitsPRO.

Her work has since earned additional industry recognition, including Most Effective Benefits Consultant, NextGen Benefits Network Advisor of the Year, YouPowered Most Innovative Healthcare Consultant, and 2026 BenefitsPRO Advisor of the Year.

In 2024, her work and perspective on healthcare were also featured in the documentary It’s Not Personal, It’s Just Healthcare.

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