GroupHEALTH Benefit Solutions works with companies and associations to enroll members in benefit plans and administer medical, dental, disability, and life insurance coverage.
To replace a labor-intensive paper enrollment process, GroupHEALTH implemented Experlogix Document Automation Smart Forms to guide employees through digital benefits enrollment.
- Reduce enrollment-management costs.
- Increase optional insurance coverage sales.
- Replace paper enrollment forms with guided digital forms.
- Catch missing and conflicting information during enrollment.
- Reuse previously captured information instead of asking enrollees to enter it again.
- Show only coverage information relevant to each enrollee.
- Process more clients during busy open-enrollment periods.
- Help employees receive coverage faster.
Challenge
GroupHEALTH relied on printed enrollment packets to register employees for company-sponsored benefits. Enrollees completed the forms by hand, returned them to their employers, and the completed paperwork was then sent to GroupHEALTH for manual data entry.
Missing information, conflicting responses, and difficult-to-read handwriting forced GroupHEALTH employees and benefits coordinators to research and resolve problems before enrollment could be completed.
Employees had to complete and return physical enrollment packets.
Missing responses required additional research and follow-up.
Enrollment selections sometimes did not match the supporting information provided.
Difficult-to-read forms created the risk of incorrect member information entering insurance records.
Solution
GroupHEALTH replaced its paper enrollment process with Experlogix Document Automation Smart Forms.
At enrollment time, each employee receives an email invitation linking to the appropriate online forms. The Smart Form guides the enrollee through the process, captures required information, and checks responses as they are entered.
Employees move through an online experience instead of completing paper enrollment packets.
Known information determines which questions and coverage information are shown.
Smart Forms prompt enrollees when required information has not been supplied.
The form identifies conflicts such as selecting family coverage without providing dependent information.
The employee receives an email link to the appropriate enrollment form.
Smart Forms present the information and questions relevant to that employee.
Missing and conflicting information is identified while the enrollee is still completing the form.
Cleaner digital information reduces the manual follow-up required before coverage can be processed.
Previously, employees who wanted optional products had to complete additional paper forms and provide much of the same information again.
In the digital experience, enrollees watch a two-minute video explaining the available optional coverage. The Smart Form calculates the cost using information already collected and allows the employee to elect the coverage through payroll deduction without re-entering the same data.
Learn more about Experlogix Forms and how captured data can flow into automated business processes.
Result
GroupHEALTH's digital enrollment process reduced the administrative work required to manage enrollments and helped the company process more clients during busy open-enrollment periods.
Within the first two months, GroupHEALTH estimated that enrollment-management costs had fallen by 20% to 25%. The success of the online process led the company to roll the Smart Forms solution out across all divisions.
GroupHEALTH reported reducing its cost to manage enrollments within the first two months.
Removing duplicate data collection and explaining coverage more clearly transformed optional coverage into a contributing revenue source.
Cleaner digital information helps GroupHEALTH process more clients during peak enrollment periods.
Compressed processing helps employees receive their insurance coverage sooner.
Previously captured information can be reused when an employee elects optional coverage.
GroupHEALTH rolled the Smart Forms solution out to all of its divisions.
“A member might be denied drug coverage by a pharmacy if their name doesn't match the insurance records.”
GroupHEALTH demonstrates how guided digital forms can simplify complex insurance enrollment while simultaneously improving data quality, customer experience, processing efficiency, and revenue opportunities.
See how GroupHEALTH replaced paper-based benefits enrollment with guided Smart Forms while reducing enrollment costs and creating a more effective optional coverage experience.
