In structuring work-life and employee-assistance program benefits, employ-ers should consider that almost half ofworking caregivers identify emotionalissues as their main cause of stress.In a recent survey by ComPsych, 46% of respondents said that dealing withemotional issues is the largest cause of stress, while others cited financial and legal concerns (26%), providing day-to-day assistance (20%), and spend-ing time on the phone or in person withthe relative (8%).These findings show the need foroffering a combination of elder care support through work-life servicesalongside an EAP program, saidRichard Chaifetz, chairman ofComPsych. This integrated approachhelps resolve the full array of employeeissues related to elder care, from stressand relationship problems to care refer-rals to financial and legal concerns.Meanwhile, a recent survey fromSeniorBridge Family, a New York-basedelder care service provider, shows that30% of working caregivers believe thatelder care responsibilities strain theirjob performance and marriage; 41% ofcaregivers worry six or more times perweek about the well-being of the per-son for whom they care.Working Caregivers Carry Emotional BurdenNew insurance sales made to U.S. workersat their places of employment rose 7% to just more than $4.3 billion in 2003, the firsttime in six years that the worksite employeebenefits industry failed toshow less than double-digit growth, according toa report by EastbridgeConsulting Group.Among voluntary bene-fits, life insurance led withabout 25% of sales, up 11%from 2002. Voluntary termlife sales accounted forabout 54% of that volume.Disability insurance,which last year was first inworksite sales for the first time, droppedback to second place with 23% of sales. Salesof both short- and long-term disability prod-ucts still gained more than 5% over 2002.The highest growth in the worksite mar-ket was for hospital indemnity and supple-mental medical plans, which rose 55% over2002 to capture 7% of voluntary worksitebenefit sales, according toEastbridge. It was the sec-ond straight year of stronggrowth for hospital andsupplemental medical pol-icies, which grew 33% in2002. Cancer/critical ill-ness and dental policiesshowed slight decreasesover 2002, while long-term care insurance fell by6%, to around 2% ofworksite sales.Eastbridge based its findings on data from55 worksite-marketing carriers, which it estimates account for almost 90% of totalworksite sales.Whats Working in Workplace Benefits?