Enrollment
A rules-based wizard guides employees step-by-step through the benefits that apply to them and their family.
Benefits eligibility, made precise, audited, and human.
Benefitfirst combines benefits administration, eligibility management, and data auditing to automate and support each employer's complete benefits cycle with an unmatched focus on accuracy.
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Our founding roots
Benefitfirst was created by insurance professionals — a successful life, accident and health insurance brokerage — to solve a large hospital client's eligibility problems. The hospital was paying erroneous claims on employees no longer eligible for coverage.
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The audit was the answer
We built an auditing system that compared the client's payroll data with the carriers' eligibility data. Then we layered on a weekly eligibility audit report and accurate enrollment data delivery. The result: more than $2 million saved in erroneous claims.
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Benefitfirst today
Benefitfirst audits and transmits millions of eligibility updates to hundreds of carriers and vendors each year. Nimble, modular, and obsessed with getting the data right — no matter how often the rules change.
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Our mission
Protect and promote the interests of our clients while providing innovative and cost-effective solutions with definable and measurable results.
An NPS of 0
While the industry sits at 0.
Net Promoter Score measures how likely customers are to recommend us. Top-notch companies hover above 70. Our score reflects how seriously we take eligibility accuracy, support, and the relationships behind every implementation.
Our score
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Benefitfirst NPS
0
Industry average
NPS scale: −100 to +100. Above 70 = world-class.
Built into every Benefitfirst plan.
The core capabilities that make Benefitfirst, well, Benefitfirst — available across Core, Plus, and Premium subscriptions.
Routine audits
Weekly payroll and eligibility audits eliminate errors before they affect billing, deductions, or coverage.
Carrier integrations
Electronic file feeds to carriers and TPAs each week. Routine exports keep your payroll/HRIS in sync.
Billing solutions
A proprietary billing module supports self-administered or self-billed plans on top of audited eligibility data.
ACA compliance
Eligibility accuracy fuels confident compliance with state and federal regulations.
Additional service options
Configure your subscription with the modules that match your benefits footprint, headcount, and compliance posture.
Payroll/HRIS connection
Seamless flow of employee data and deduction updates between payroll and Benefitfirst.
Benefits education
Custom enrollment materials, including Benefits Guide, required notices, and video.
Customer care center
Trained benefits specialists for enrollment, benefit questions, and bilingual support.
Retiree administration
Ongoing retiree administration services to streamline retiree premium management.
Variable-hour tracking
Tracking of average hours for variable-hour workers — purpose-built for ACA compliance.
ACA employer reporting
Completion and fulfillment of IRS Forms 1095-C and 1094-C for ACA compliance.
COBRA / HIPAA compliance
One-step process for notices, coverage offers, terminations, and reinstatements.
Dependent eligibility audits
Process to identify, report, and terminate coverage for ineligible dependents.
Annual benefits statements
Annual employee benefits statements that illustrate the employer's investment.
A benefits partner you can actually rely on.
From eligibility audits to ACA fulfillment, let's map your stack and show you what's possible.