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Contact usMember sign in
Why Carrot?
For employers
For consultants
For health plans
Company
About usResource CenterBlogPress + MediaPodcastCareers at Carrot


Contact usMember sign in
Why Carrot?
For employers
For consultants
For health plans
Company
About usResource CenterBlogPress + MediaPodcastCareers at Carrot



All ArticlesBenefits
Benefits


HOW FERTILITY BENEFITS CAN HELP REDUCE PRESENTEEISM


HOW FERTILITY BENEFITS CAN HELP REDUCE PRESENTEEISM

By
Leslie Neitzel, Chief Human Resources Officer
Chief Human Resources Officer
Jul 19, 2021

Fertility and family-forming journeys can be complex. From researching clinics,
to attending appointments, to figuring out the financial impact, time adds up.
It’s no wonder 74% of employees pursuing family forming admit to researching
their options during the workday. This phenomenon — when employees haven’t taken
time off but are less productive due to other personal distractions — is called
presenteeism. Research suggests that presenteeism costs employers 10 times more
than absenteeism.


While creating a flexible workplace can help ensure employees can be honest
about taking off the time they need, employers also have the opportunity to
address challenges at their source by reducing the logistical and financial
burdens of family forming. Here are a few ways that fertility benefits can help
employees feel less stressed and more supported. 



FINANCIAL STRESS AND FAMILY FORMING


Financial stress and presenteeism are connected. In a recent Carrot survey, we
asked if people felt their company’s benefits were enough to cover their
family-forming needs — and 50% responded no, expressing concern about costs.
Another survey found that 49% of financially-stressed employees spent three or
more hours each week dealing with financial issues while at work.


Fertility and family-forming costs vary but often exceed tens of thousands of
dollars. The average cost of one cycle of in vitro fertilization (IVF) is
$21,600.The average cost of successful first-attempt GC pregnancy starts at
$136,000 (including everything from the agency and legal fees to the in-vitro
fertilization process). And only 12% of our survey respondents had specific
fertility benefits at work; 55% did not have access to benefits through
insurance, either. Of those with fertility benefits, even fewer had support for
adoption fees (24%) or GC journeys (10%).


Lack of access to financial support doesn’t mean people won’t pursue parenthood
— but they may get into debt to do so. 32% of respondents planned to go into
debt to fund their journey, with some even saying they would sell their house,
dip into their retirement savings, or start a GoFundMe page. Others said they
simply wouldn’t be able to pursue their family-forming goals because of costs.


Fertility benefits can help reduce financial stress and make family forming
possible for employees. Depending on the benefit, employees may have access to
discounted rates and receive a financial benefit from their employer dedicated
to fertility and family forming. For employers, offering fertility benefits can
even ultimately lower overall healthcare costs by helping to reduce NICU events
and multiple births. Offering evidence-based, non-invasive alternatives to in
vitro fertilization (IVF) when appropriate can also help reduce costs. Providing
fertility benefits is also beneficial to recruitment and retention efforts: 77%
of respondents said they would be more likely to stay with a company if offered
fertility benefits, and 88% said they would change jobs to access fertility
benefits. 


CARE COORDINATION FOR FERTILITY AND FAMILY FORMING


From start to finish, the fertility and family-forming process can involve
several time-consuming steps. For example, someone pursuing in vitro
fertilization (IVF) with donor sperm needs to find a clinic near them, a sperm
bank or known donor, and work out legal considerations. An adoption journey can
take six months at the minimum and at least three to 12 additional months to
finalize everything.


For some, the journey is so complex that it can be difficult to know where to
start. 

“The legal and logistical aspects of journeys like adoption and GC services can
be overwhelming,” said Evan Friedenberg, U.S. operations team lead at Carrot.
“In my role at Carrot, I help members understand their options and what step to
take next so they can keep moving forward.” 

Providing fertility benefits that include care coordination can make this
process easier and reduce the amount of time employees need to spend searching
for clinics and setting appointments. Care coordination can also help members
find clinics and services that meet their specific preferences, such as options
that are LGBTQ+ friendly. 



THE EMOTIONAL SIDE OF FAMILY FORMING


Fertility and family forming can be emotionally taxing, especially if someone
hits a bump in the road. In our survey, 89% of respondents said fertility and
family forming impacted their mental health.


“I was always told by others that [adoption] is such a challenging process, but
I don't think I fully understood how emotional it is,” said Emily P., a
prospective parent. “It's so hard to sit in the uncertainty of it all and really
just wait for your life to change in a really big way. You don't know if it'll
happen now or years from now.”


The importance of mental health — and the impact mental health struggles can
have on the workplace — have come into particular focus during the COVID-19
pandemic. Depression is a top cause of presenteeism and highly associated with
time management challenges and overall productivity. In addition to providing
mental health support for employees, it can also be helpful to offer resources
specific to their experiences through fertility benefits. At Carrot, for
example, members have unlimited access to unlimited chats with mental health
professionals with experience in family-forming journeys. 


Creating a work environment that welcomes open conversation can help, too.
Research suggests that when employees feel more comfortable discussing fertility
issues in the workplace, they’re more likely to feel supported. In our survey,
56% of respondents said that people at their workplace did not talk openly about
their fertility, and 30% feared that talking about fertility issues with their
boss would put their job at risk. Providing manager training can help make
conversations easier and reduce stress. 


A healthy and productive workplace starts with understanding the stressors your
employees might be under. With one in eight couples experiencing infertility and
63% of LGBTQ+ families planning to pursue adoption or donor-assisted journeys,
chances are there are employees in your company starting a stressful journey of
their own. Clearing their path forward helps create a healthier, more focused
workplace where employees want to stay. 


If you’re interested in learning more about Carrot and how we can support your
employees’ fertility and family-forming needs, let us know.


By
Leslie Neitzel, Chief Human Resources Officer
Any general advice posted on our blog, website, or app is for informational
purposes only and is not intended to replace or substitute for any medical
advice, diagnosis, or treatment. Carrot Fertility makes no representations or
warranties and expressly disclaims any and all liability concerning any
treatment, action by, or effect on any person following the general information
offered or provided within or through the blog, website, or app.
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