Employers of all sizes are challenged to rethink employee benefits in this new world of health care reform. Tight budgets and a still-recovering economy are spurring benefits managers to think beyond health insurance and look at their benefits as a whole. They must think creatively and more broadly. They must step up their communications to help employees manage the changes ahead. The task requires commitment, but the payoff is more than worthwhile: a benefits program that helps employers of all sizes compete more effectively in tomorrow’s marketplace.