This report addresses how employers’ satisfaction with health insurers has eroded over the past year. Employers’ expectations of their health insurers continue to change. While many studies examine the relationship between employees and their employer-sponsored benefits, less is known about employers and what they want from health insurance carriers. Employers want insurers to evolve their consultative relationship by helping them engage their employees, manage costs and cut waste. These expectations provide health insurers with new opportunities to offer more value to their employer customers.