Employers are reshaping total rewards programs to balance rising costs with evolving employee expectations, focusing on targeted, high-value benefits instead of broad expansions. The Goldman Sachs Ayco survey found that while 54% of employers now cover GLP-1 medications for weight loss, cost remains the primary concern, driving stricter eligibility requirements. Organizations are also expanding specialized family-building benefits through dedicated providers, with monetary caps helping manage expenses. Paid parental leave is nearly universal, though duration varies significantly by parent type, and support for foster parents continues to grow. Meanwhile, most employers remain cautious about trendy workplace perks, favoring traditional PTO structures over unlimited leave or sabbaticals, reflecting a broader emphasis on sustainable, cost-conscious benefits that improve employee wellbeing and retention.

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