What need to know now.

Signal

Cost is now the first question in benefits decisions.

Cost pressure is reshaping how employers weigh their benefits investments and the care they preserve.

54%

of employers name cost their top benefits consideration, up from 38%.

The Off-Ramp · Lockton National Benefits Survey, 2026

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Signal

Low-cost coverage isn’t low-cost care.

A low sticker price can hide an expensive model if few employees ever use it.

20×

the headline PEPM per employee reached at 5% utilization. Illustrative math, not a benchmark.

The Third Model

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Signal

When benefits miss the moment, managers step in.

As management layers shrink, managers absorb more day-to-day pressure, often without the time, training, or authority to resolve it.

41%

reported management-layer cuts; managers may take on 20–40% more direct reports.

The Capacity Collision · Korn Ferry, 2025

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Signal

Employees are seeking support outside business hours.

When support is only easy to access during the workday, it can miss the moment someone is ready to ask for help. Thoughtful session use offers one example, not a measure of all employees’ care-seeking.

70%

of Thoughtful AI sessions happen outside working hours.

The 5am Signal · Thoughtful customer data, 2026

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Signal

Mental-health leave is no longer an edge case.

Leave can be where unmet needs become visible, after stress compounds or support arrives too late.

300%

rise in mental-health leaves from 2017 to 2023 in the cited employer dataset.

The Leave Problem · ComPsych, 2024

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Signal

Utilization alone does not explain the value of a benefit.

Finance needs to know who is reached, what support is available, and whether care fits the need, not just how many people logged in.

3–5%

of eligible employees use their EAP in a given year (national average).

The Silent Majority · Spring Health, 2026

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Signal

One path to care leaves part of the workforce behind.

Across generations, employees differ in how and when they seek help. Availability on paper is not the same as a usable starting point.

57%

of non-users of mental-health benefits say they do not know where to start.

The Workforce with 5 Generations · SHRM, 2024

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Signal

More vendors do not automatically create more access.

A fuller benefits stack can still leave employees unsure which resource fits, or where to begin.

57%

of non-users of mental-health benefits say they do not know where to start.

The Workforce with 5 Generations · SHRM, 2024

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Signal

Workforce stress is often invisible until it becomes disruption.

Cumulative, non-acute strain can surface in manager burden and leave without first appearing as a clinical case.

22%

manager engagement in 2025, while management spans have grown.

The stress your team can’t name · The Capacity Collision · Gallup

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Signal

Caregiving pressure is a workforce issue, not a side story.

Supporting children, parents, or other family members can affect capacity long before it appears in benefit-use data.

54%

of Americans in their 40s have a parent 65+ and support a child or adult child.

The stress your team can’t name · Pew Research Center

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Signal

Managers are becoming the pressure valve for gaps in support.

When care is hard to find or navigate, employees may turn to the person closest to their work, even when that person cannot solve the underlying problem.

41%

reported management-layer cuts; remaining managers take on more direct reports.

The Capacity Collision · Korn Ferry, 2025

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Signal

A manager check-in cannot remove an access barrier.

Empathy matters, but a check-in cannot shorten a wait, extend access hours, or make an unclear path into care easier to navigate.

57%

of non-users of mental-health benefits say they do not know where to start.

The Workforce with 5 Generations · SHRM, 2024

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Signal

Manager capacity is part of the care model.

Relying on managers to notice and route every concern shifts a system-level responsibility onto people already carrying more work.

22%

manager engagement in 2025 as management spans increased.

The Capacity Collision · The stress your team can’t name · Gallup

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Research Library · Guides, Reports & Webinars

16 items

Explore the research.

Start with a topic, a perspective, or a format. How we research

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16 results

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Featured Reports

Editor's picks
No. 07Workforce Mental Health · 2026

The stress your team can't name.

Cumulative, non-acute stress is the hardest pressure to lead through. It rarely becomes a case, so existing benefits miss it, and managers are carrying most of it.

Read the report7 min read

~12

Average direct reports per manager, a nearly 50% increase since 2013

No. 04Workforce Behavior · 2026

The 5am Signal.

What the time employees seek mental health support tells us about how benefits should be designed.

Read the report8 min read

70%

of Thoughtful AI sessions occur outside working hours

No. 05HR Operations · 2026

The Leave Problem.

Mental health leaves have surged 300% since 2017. What's driving them, what they actually cost, and what prevention looks like in practice.

Read the report9 min read

300%

Rise in mental health leave since 2017

Methodology

How we research.

Editorially independent. Primary-sourced. Designed to be useful to the people actually shaping benefits, not to sell you something.

Primary Sources

Every figure ties to a citation, from sources like NAMI, KFF, BLS, CDC and Pew, plus labeled Thoughtful customer data. No anonymous statistics.

Cross-Industry

Findings span healthcare, finance, technology, manufacturing, and distributed remote workforces in 14 countries.

Independent

Reports are produced editorially. No vendor sponsorship, no gated thought-leadership trades.

Updated Annually

Each report is re-baselined against the prior year's data so trend lines remain comparable across editions.

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