What's the main factor coloring employee satisfaction? Many organizations' leaders think the answer is salary, yet in reality, employee benefits packages are one of the biggest incentives an employer can offer. Educational institutions have done well in providing benefits to employees. However, with an unpredictable economic climate and a complex health care reform bill, school business decision makers face several challenges when it comes to offering the right kinds of health benefits to their staff. In this article, the author discusses the challenges that school administrators should address in light of the ever-changing health care landscape. Benefits packages have been shown to influence employee loyalty, productivity, job satisfaction, and retention. With all these factors at stake, understanding and addressing today's top benefits challenges and opportunities need to be a priority for educational institutions now and in the coming years.