Our 2026 survey collected insights from organizations on their human resources (HR) initiatives, employee benefits, and approaches to workforce and economic challenges. Clients were invited to participate via a unique emailed survey link and responded to 58 multiple-choice questions, with single-select and multi-select options. Year-over-year comparisons are included throughout the report where they provide meaningful context and highlight important trends. The results are organized into sections that highlight key benefits and strategic priorities. This year’s focus remains on critical strategies employers use to address rising healthcare costs, ensure access to quality care, and manage the impact of high-cost pharmaceuticals.

We heard from 616 employers across all major industries and geographies. Sixteen percent of respondents have 500 or more employees, and 31% are self-funded. Key findings from this year’s survey show that organizations are prioritizing employee retention and engagement, proactively managing costs, adopting AI and technology, supporting wellness programs, and emphasizing regulatory compliance.

We extend our sincere thanks to the employers who participated in the 2026 National Benefits Strategy Survey and shared their valuable perspectives. It’s our aim that the insights in this report help organizations make informed benefits decisions and plan confidently for the future. The findings highlight a clear trend of employers reassessing their benefits strategies, with strong engagement from larger organizations and self-funded employers signaling more sophisticated, long-term approaches.

Marsh McLennan Agency remains committed to supporting employers in turning these insights into action and building benefits programs that are sustainable, responsive, and aligned with workforce and business needs. Get in touch with a benefits consultant today to discuss your plan design options.

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