Workplace Benefits DTF Issues First RFP
Each Insurance Carrier has their own proprietary data format that aligns with their administrative systems. There tends to be a lot of commonality with regards to data needs between the various benefits administration platforms. To that extent, a common definition with a common vocabulary can be defined. As an industry, we are seeing a movement away from traditional worksite enrollment to a more group based approach. It is to this extent that a common definition will assist human resources information and benefits administration platforms in simplifying their Electronic Data Interchange (EDI) development based on this definition as it pertains to benefits enrollment. As each Insurance Carrier may also have unique attributes, underwriting and business rules, the flexibility for such divergences will be built into the common format. This will allow for communication on the more complex Insurance Carrier specific cases.
Our objective is to develop a common specification among multiple insurance carriers for the transmission of member enrollment-related data and ongoing transactions for workplace benefits that are tested, adopted, and implemented.
The goal for this specification is that the resulting EDI feeds and data exchanges will be easily consumed by insurance carriers and developed by enrollment and benefits administration technology companies in the marketplace. Secondarily, by having a common specification, our long-term objective is to reduce customer onboarding timelines and reduce the ongoing costs to insurance carriers, benefits administration platforms, brokers, and employers. Such scalability is important given the changing landscape of benefits enrollment.