Balancing cost and employee satisfaction isn’t easy — but with creative planning, organizations can offer strong benefits without overwhelming their budgets.
The Cost Challenge
According to the Illinois Department of Insurance, group health plan premiums are projected to increase by 6–8% in 2025, continuing a trend of steady annual hikes. Add in dental, vision, disability, and retirement benefits, and total compensation costs are rising faster than many employers’ revenues.
For nonprofits, retail, hospitality, and small service businesses, these increases can feel unsustainable. Yet scaling back benefits risks turnover at a time when talent shortages remain a top concern.
Strategies for Smarter Benefits
1. Voluntary Benefits
These employee-paid options — such as dental, vision, pet insurance, or identity theft coverage — expand offerings without increasing employer costs. Many Illinois employees view them as valuable add-ons.
2. Wellness and Preventive Care
Low-cost initiatives like wellness stipends, mental health support, or partnerships with local gyms can reduce long-term healthcare costs and improve retention.
3. Health Savings Accounts (HSAs) & Flexible Spending Accounts (FSAs)
Offering high-deductible health plans with HSAs helps control premiums while giving employees tax-advantaged ways to manage care.
4. Telehealth Services
Many carriers now bundle telemedicine at little or no extra cost. Promoting these services improves access and reduces absenteeism.
5. Clear Communication
Employees often underuse benefits because they don’t understand them. Investing in easy-to-read guides, Q&A sessions, and enrollment support increases satisfaction without increasing cost.
Timing Matters
September and October are the critical months to:
Finalize benefit design decisions.
Confirm carrier renewals and rates.
Create a communication plan for employees.
Waiting until November risks rushed choices and missed opportunities to negotiate with carriers or vendors.
Risk & Compliance Considerations
Employers should also ensure compliance with federal and Illinois regulations during open enrollment:
ACA Reporting Requirements remain in place for applicable large employers.
Illinois Paid Leave for All Workers Act may influence PTO and leave benefit policies.
COBRA and continuation of coverage rules still apply to small and mid-sized employers.
An annual compliance check alongside open enrollment prep is the best way to avoid penalties.
The Bottom Line
For Illinois employers, offering affordable benefits in 2025 will require flexibility and creativity. By combining traditional health coverage with voluntary benefits, wellness programs, and strong communication, small businesses and nonprofits can stretch their benefits dollars while keeping employees engaged.
Call to Action
Need help balancing cost and employee satisfaction during open enrollment? Contact us for a benefits review tailored to your organization’s goals and budget.
📚 Sources
Illinois Department of Insurance – 2025 premium projections
Kaiser Family Foundation – Employer Health Benefits Survey, 2024
Society for Human Resource Management (SHRM) – Open enrollment best practices
U.S. Department of Labor – ACA and COBRA compliance resources
Open Enrollment 2025: How Illinois Employers Can Offer Benefits Without Breaking the Bank


For many Illinois employers, September marks the beginning of open enrollment planning. Healthcare premiums are expected to rise again in 2025, leaving small businesses and nonprofits in particular feeling squeezed. At the same time, competition for talent is fierce, and employees expect comprehensive benefits that address both health and financial well-being.
Transforming small business consulting with dynamic energy.
Service
Trust
(312) 220-9200
© 2025. All rights reserved.


141 W. Jackson Blvd. | Suite 1502 | Chicago, IL | 60604





