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May 2025  Volume 23, Number 5        
 

Employers Expand Family Benefits Amid Reproductive Health Concerns

Recent surveys indicate heightened anxiety among many U.S. employees planning to conceive or adopt children.

This follows the 2024 election results and ongoing legal developments regarding reproductive rights. Over half of respondents want their employers to publicly support continued access to comprehensive family planning services.

In response, companies are strategically expanding certain benefits like fertility coverage, adoption assistance, and menopause support. By providing inclusive options for major life transitions, they aim to promote workforce stability and reassurance.

Experts clarify that these “equity-focused” offerings differ fundamentally from broader diversity, equity and inclusion (DEI) initiatives also drawing recent scrutiny. However, they see employers leaning into family benefits specifically as an important signal of enduring inclusive values.

Surveys Find Employers Already Prioritize Inclusive Family Benefits

Data reveals employers have invested heavily in family health benefits long before the current spotlight on reproductive rights. Key reasons include boosting retention, engagement, and cost savings—as well as equipping diverse workforces with equal care access regardless of gender, relationship status, or jurisdiction.

With family equality issues increasingly prominent nationwide, offerings like fertility, adoption, and midlife health support are projected to keep expanding rather than face sudden reversals.

Fertility Benefits Growth Accelerates

Of all family-building offerings, fertility coverage has grown the most in recent years. Over 4 in 10 major employers now provide it, up from 3 in 10 before the pandemic. Surveys attribute this uptick to talent competition during the tight labor market of 2022-2023, when companies raced to expand benefits.

Strikingly, the prevalence of fertility coverage today would have seemed unlikely just a few years ago. In 2024 alone, employers, when asked in an annual survey, reported covering every type of fertility treatment and service. Sixteen percent of employers now cover egg freezing—an eightfold increase since 2016. In vitro fertilization (IVF), genetic embryo testing, and fertility medications also saw double-digit expansion over the same period.

Multiple factors explain the fertility benefit boom, including two landmark court decisions on reproductive legal rights in 2022 and 2024. To provide equal access, especially post-2022, companies extended existing fertility coverage to personnel in states that were newly restricting related services. With benefits now widely established, experts expect further expansion rather than sudden reversal.

Adoption Offerings Also Rising

While less rapid than fertility growth, adoption assistance has followed a steady upward trajectory in recent years. Paid leave for adoptive parents is up from just over 1 in 4 companies pre-pandemic to over 1 in 3 today. One-fifth of employers now offer financial help for adoptions—a figure predicted to keep rising, given employee interest.

New Menopause Benefits Emerge

Support for menopause transition marked a new addition to employer family benefit catalogues in 2024. Over 1 in 6 firms now provide counseling, education, or symptom relief offerings specifically geared to midlife women. A small but growing number also grant flexible menopause leave beyond ordinary sick days when needed.

As cultural taboos fade and women’s health gains mainstream interest, managers recognize menopause benefits as an important strategy for attracting female employees. Women represent nearly half the current U.S. labor force and are projected to drive most workplace growth over the next decade.

In a tight labor market, pioneering companies are debuting menopause assistance and other reproductive health benefits for diverse groups. This includes expanded offerings for male employees and non-binary individuals as well—an area most employers admit needs major improvement.

Employers Increasingly Value Holistic Family Benefits

Ongoing expansion of fertility, adoption, menopause, and similar offerings indicates employers now prize family-inclusive benefits as a key business investment. With national care costs rising quickly, such benefits promise rare and substantial returns across metrics like retention, engagement, expenses, and equal access:

  • Retention: Barriers around family building risk pushing valued talent to competitors. Challenging experiences like infertility generate major stress and financial hardship for employees. Company support provides valued stability during difficult times.
  • Engagement: Major personal health events can preoccupy employees. Flexibility and financial assistance let staff stay focused at work through major life transitions.
  • Cost Management: Employer-sponsored plans yield significantly lower prices for fertility and adoption compared to retail rates. Fertility coverage specifically cuts IVF, genetic testing, and medication costs by 50% or more—savings benefiting employers and employees.
  • Equal Access: Consistent family benefit coverage across locations enables equitable care options for all personnel, regardless of gender, relationships, or home state laws. Inclusive assistance conveys commitment to diversity and inclusion during a time of significant change in national reproductive health policy.

 

 

 

 

In this issue:

This Just In ... Employers Walk Fine Line with Diversity Statements

Employers Expand Family Benefits Amid Reproductive Health Concerns

Companies Could Face Fines Over Retirement Plan Mismanagement

Are Employers Making a Big Mistake by Axing Remote Work?

How Workplace Accessibility Drives Profits

 

 


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