← Inside SHRM26
SHRM26 Debrief · Compensation & Benefits · #3648

The Benefit That Quietly Shapes How Work Gets Done

with Matt Lawrence & Hayley Sprague, OD
▶ Watch on the SHRM portal ~73 min, distilled
vision benefitseye healthemployee productivity

"Can we move away from calling benefits ancillary? ... Those benefits became work and life-enabling benefits."

What it was about

Vision benefits are widely misunderstood as a commoditized, low-value perk for glasses, but eye exams detect early signs of over 270 systemic health conditions and untreated eye issues cost the workplace billions in lost productivity, so HR should reframe and communicate vision care as a serious, work-and-life-enabling benefit rather than an ancillary one.

By the numbers

$50.6 billion
total dollars lost due to untreated eye issues in the workplace, per the American Optometric Association study cited
over 270 health conditions
number of health conditions an annual eye exam can help detect early signs of, per the speakers
75%
percentage of employees with an eye issue who say it impacts their productivity

Key notes

The contrarian takeThe primary purpose of a vision benefit is not prescription glasses or contacts at all — most HR professionals underestimate that eye exams function as a broader diagnostic health screening, and treating vision plans as interchangeable commodities (rather than differentiated, health-focused benefits) is a mistake the industry itself has helped create.

Take this back Monday

Do this for your team

Stock preservative-free artificial tears in break rooms and post the 20/20/20 rule near every monitor.

Say this in your next leadership meeting

Vision benefits aren't just glasses — eye exams catch signs of 270+ health conditions, so we should call them work-and-life-enabling, not ancillary.

Watch out for

Fun fact · Hayley Sprague, OD

Before becoming a past president of the Delaware Optometric Association, Dr. Sprague completed a residency in corneal disease and contact lenses.

Shareable quote card

If this landed, see these

↳ Go deeper2026 Annual SHRM Employee Benefits Survey ResultsZooms out to the whole benefits landscape this reframing has to compete inside.⇄ The counterpointThe Hidden Cost of Pharmacy Benefits: How HR Leaders Can Unlock 30–40% Savings Without Disrupting Employee CareA rival claim for the most underrated benefit: pharmacy pricing, not vision.✦ The unexpected oneTalent Intelligence on a Shoestring: Turning HR Data into Board InsightsSame insight, different data: the diagnostic signal is already there, you're just not using it.