How do current trends affect benefits planning?

Studying the following "mega trends" can help employers establish a long-term vision for their benefits programs.

Longevity. The over-arching factor that will influence tomorrow's benefits is the graying of America. By 2040, there will be 1.4 million Americans over 100 years old. Insurance benefits needs will change. Employers should start contemplating all sorts of issues: Who is going to pay for extended benefits needs? How do we creatively structure our companies to take advantage of the retired population? Should health insurance cover anti-aging procedures?

Biotechnology. Eventually, we might have access to gene therapy, vaccines for Alzheimer's and ultrasound at home, are medical plans going to pay? If drugs can do more, should employers be paying more?

Baby boom echo. As the children of the baby boomers reach college and the work force, benefits that would help pay for college should be considered, given the amount of average debt after four years of higher education. Employers should also ask what benefits appeal to college graduates --free auto insurance, for example?

Mergers, acquisitions and layoffs. Developing alternative benefit arrangements for employees affected by mergers, acquisitions and layoffs may benefit employers, since job loss and relocation are prime stressors and stress is a leading reason for the rapid rise in medical costs.