Your eligibility foundation.
- Employee Self-Service Portal
- Robust Administrator Portal
- Reporting Module
- Carrier EDI / API Integrations
- Perpetual Eligibility Audits
- Reconciled Self-Bills
Most popular
Carriers, payroll, and COBRA in one place.
- Everything in Core
- Payroll/HRIS integration
- COBRA administration
- ACA compliance fulfillment
Full-service benefits ops with communications.
- Everything in Plus
- Benefits communication materials
- Custom enrollment call center
- Custom benefits videos
- Annual benefits statements
See exactly what's included.
Clients are able to customize service packages using our a la carte service solutions in addition to standard service packages.
| Feature | Core | Plus | Premium |
|---|---|---|---|
| Self-service enrollment portal | |||
| Weekly eligibility audits | |||
| Carrier EDI/API | |||
| Production/discrepancy report administration | |||
| Evidence of insurability (EOI) administration | |||
| Reconciled Self-Bills | |||
| Payroll / HRIS sync | — | ||
| Deduction reconciliation | — | ||
| COBRA / HIPAA administration | — | ||
| ACA fulfillment (1095-C / 1094-C) | — | ||
| Custom benefits guides & video | — | — | |
| Custom enrollment call center | — | — | |
| Annual benefits statements | — | — | |
| Consolidated Billing & Premium Remittance | — | — |
“Benefitfirst is a gamechanger when it comes to managing employee benefits. Website is very user friendly. When questions arise, the solutions manager, is always willing and able to help find solutions, quickly and efficiently.”
Common questions, answered.
Don't see yours? Drop us a note.
How is pricing structured?
Pricing is per-employee, per-month, with a base platform fee. Enterprise scale gets concierge pricing. Talk to us — we'll size it to your headcount, carriers, and compliance footprint.
Can I move between tiers?
Yes. Most clients start at Core or Plus and add modules as their needs grow. Open enrollment is a popular moment to right-size.
What does implementation look like?
A Solution Manager owns your implementation end-to-end. Typical timelines are 8–12 weeks from kickoff to go-live, including carrier feed certifications and payroll testing.
Do you support our carriers?
Almost certainly. We are carrier agnostic and integrate with hundreds of carriers and TPAs across medical, dental, vision, voluntary, life, disability, and decision support. If you have specific questions, let's chat!
Not sure which subscription fits?
Tell us about your carriers, headcount, and benefits, we'll recommend the lightest tier that does the job.