Why Most Employees Underuse Their Benefits (And How to Fix It)

Sarah Delorme
Market Insights
April 29, 2025
12 min read

Every year, companies across Canada invest thousands of dollars per employee in benefits programs—only to see a large portion of those benefits go unused. The issue isn’t a lack of generosity. It’s a lack of clarity, accessibility, and alignment with what employees actually need.

In small businesses especially, where every dollar counts, employee benefits must do more than sit on paper. They need to be used, valued, and understood. But that’s rarely the case.

Let’s explore why this underuse happens—and how smarter tools and better education can turn your benefits program into one of your company’s biggest assets.

The Cost of Unused Benefits

When employees don’t claim their entitlements, everyone loses. The employee misses out on care and support they’re entitled to. The employer pays for something that isn’t delivering value. And HR teams spend time managing a system that doesn’t get traction.

In Canada, this is especially common in small businesses. With lean HR teams, limited onboarding processes, and generic small business group insurance plans, employees often don’t even realize what’s available to them.

The Biggest Barriers to Usage

Several recurring issues contribute to the underuse of employee benefits in Canada:

1. Lack of Awareness

Employees often don’t know what they’re entitled to—especially when plans include health spending accounts (HSAs) or wellness spending accounts (WSAs). Many have never heard of these tools, let alone understand the difference.

2. Confusion Over Eligible Expenses

Even when employees are aware of HSAs and WSAs, they’re unsure what counts. They may hesitate to submit a claim for fear of being rejected or may not realize everyday expenses are reimbursable.
Understanding HSA eligible expenses versus WSA eligible expenses is not intuitive without guidance.

3. Complex or Outdated Systems

If the process for submitting claims is manual, confusing, or time-consuming, employees are less likely to engage. This is especially true for younger workforces who expect user-friendly digital experiences.

What Is a Health Spending Account (HSA)?

A Health Spending Account is a flexible, tax-effective way for employers to support their team’s health needs. It allows employees to be reimbursed for a wide range of out-of-pocket medical expenses—beyond what traditional insurance covers.

Typical HSA eligible expenses include:

  • Dental services

  • Vision care

  • Prescription medications

  • Massage therapy

  • Mental health services

HSAs are especially popular in small business employee benefits packages, as they offer control and flexibility without the cost of full insurance coverage.

How Wellness Spending Accounts (WSAs) Differ

A Wellness Spending Account is similar in structure but focuses on lifestyle-related expenses that support employee well-being.

Common wellness spending account eligible expenses:

  • Gym memberships

  • Meditation apps

  • Nutrition coaching

  • Fitness classes

While WSAs aren’t tax-free for employees, they are a powerful way to support holistic health—and make your benefits package stand out.

The Role of Employee Benefits Software

One of the biggest changes businesses can make is upgrading how they deliver and manage their benefits. Manual tracking and printed claim forms are no longer practical.

The best employee benefits software helps employees:

  • Instantly see what they’re eligible for

  • Understand which claims go to HSA vs. WSA

  • Submit receipts with a few clicks

  • Track balances and deadlines in real-time

For HR teams, these platforms simplify admin, reduce questions, and improve compliance—making them a must-have for group benefits in Canada.

How to Fix Underuse in 4 Simple Steps

If your team isn’t using their benefits, here’s how to change that:

1. Simplify the Experience

Use digital tools that make it easy to submit claims and access information. Goklaim, for example, is designed to streamline reimbursements and help users get paid faster.

2. Clarify HSA vs. WSA

During onboarding and in regular check-ins, clearly explain the difference between medical (HSA) and wellness (WSA) expenses. A quick reference guide can go a long way.

3. Communicate Year-Round

Don’t just talk about benefits once a year. Share reminders before deadlines, highlight underused categories, and celebrate when employees use their benefits successfully.

4. Customize Your Plan

Review usage data (if available) and ask employees what they actually want. Tailoring your plan ensures that offerings are relevant, practical, and worth using—especially in the world of small business insurance.

The Takeaway

Benefits should be simple, supportive, and used. When employees understand what’s available and how to access it, utilization rises—and so does morale, retention, and productivity.

Whether you're offering traditional group benefits in Canada or flexible plans with HSAs and WSAs, the goal is the same: empower your people to take care of their health and well-being. And that starts with education, simplicity, and smart technology.

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