Do Health Benefits Actually Retain Employees? The Small-Business Math
Replacing an employee costs months of salary. What benefits realistically buy in retention terms.
Replacing a trained employee typically costs somewhere between a few months' and half a year's salary in recruiting, ramp-up, and lost momentum. Against that number, a $350 monthly health allowance stops looking like an expense line and starts looking like turnover insurance.
What the trade looks like
Benefits rarely win bidding wars against big-company salaries — what they do is take the everyday reason to leave off the table. Employees who'd never quit over a 5% raise elsewhere absolutely quit over a health scare with no coverage.
The structure matters less than the existence: a QSEHRA, an ICHRA, a level-funded plan — each signals the same thing at different price points. Start at the rung you can sustain; downgrading later is the one move that damages trust.
Run your number
Count what losing your best person would actually cost this year. If a benefits budget is a fraction of that, the retention math has already answered the question — the remaining work is picking the structure, which is a free conversation with a licensed agent.
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