Benefits Selling's annual employer survey found that many things are business as usual in the benefits world: For one thing, employers continue to try to restrain costs while attracting and retaining employees with the richest possible benefit packages.

About 67 percent of employers offer health care benefits. Slightly fewer than half of respondents offer health savings accounts, and just over 68 percent agreed that employees think health insurance is the most important benefit they have.

This year, though, the Patient Protection and Affordable Care Act is the big difference. A large majority of respondents — 80 percent — say that health care reform has made them rethink their employee benefit offerings.