The Switzer Foundation aims to create employee policies and benefits that reflect our commitment to embed equity and justice throughout our operations, and in order to recruit, support, and retain an excellent staff. Like many small organizations, we struggle to offer health benefits that meet our staff members’ needs, while managing the rapidly rising costs of health-related expenses. In this article, Sarah Reed shares about the collaborative process we used to design a new health benefits policy, with the hope of supporting Switzer Fellows who are navigating similar challenges at their own organizations.