Explainable benefits decision intelligence

Choose better benefits. Understand what employees actually need.

BenAdvise helps employees evaluate benefit options based on cost, providers, prescriptions, expected needs and financial risk—then explains why one option may fit better than another. For PEOs and benefits organizations, those decisions become actionable intelligence.

Currently working with industry partners to develop and validate the platform.

B BenAdvise Core
Open Enrollment 2027 CL
BEST OVERALL VALUE

Enhanced PPO 1500

HIGHconfidence
Required cardiologist verified in-network
Prescription verified as covered at Tier 2
Lower modeled annual cost with stronger protection
Per paycheck$146
Deductible$1,500
Est. annual cost$4,820
Also view: Lowest Cost · Greatest ProtectionSee why
Evidence-backed. Explainable.Recommendations show the reasons and verified facts behind the result.

Built for the benefits ecosystem

PEOs TPAs Brokers BenAdmin / HCM

Benefits are personal. The decision process rarely is.

Employees are handed dense plan documents and asked to make one of their most important financial and healthcare decisions—often with little more than a side-by-side chart.

01

Too much information

Deductibles, networks, formularies, exclusions and voluntary benefits are difficult to evaluate together.

02

Too little personalization

Generic comparisons rarely distinguish what an employee truly requires from what they simply prefer.

03

Too little decision intelligence

Enrollment data shows what employees chose—not what they needed, why they chose it, or why they overrode guidance.

Choose with confidence—not guesswork.

BenAdvise Core guides employees through the tradeoffs that actually matter to them and produces an explainable recommendation grounded in plan details, employee priorities and deterministic cost analysis.

Required vs. Preferred

Separate true constraints—such as a required specialist—from preferences that can be weighed against other tradeoffs.

Evidence-backed provider and Rx checks

Verify important provider, network and formulary facts and retain the source behind the recommendation.

Deterministic cost and risk modeling

Evaluate premiums, deductibles, out-of-pocket exposure and expected use with reproducible calculations.

Tell us what matters3 of 6

How important is keeping your cardiologist?

RequiredExclude plans where this provider cannot be verified in-network
PreferredImportant, but I would consider another plan if the tradeoff is meaningful
Not importantDo not use this provider as a deciding factor
BENADVISE INSIGHTS

Decision intelligence

Open Enrollment 2027
Employees guided1,28487% participation
Recommendation followed76%972 selections
Overrides24%Reason captured
What employees value most
Provider network
41%
Paycheck cost
33%
Predictability
19%
HSA opportunity
7%
PLAN OPPORTUNITYProvider access is driving plan overrides.

Review network fit before the next renewal cycle.

Connect what employees say, choose and use.

Insights turns employee experience and enrollment behavior into portfolio-level intelligence for PEOs and benefits organizations. Where appropriate and legally available, aggregate claims and utilization can add another layer of evidence.

  • Capture prior-plan concerns and current stated needs
  • Measure recommendation acceptance and structured override reasons
  • Identify geography, network and plan-design patterns across clients
  • Add aggregate claims/utilization to strengthen Plan Opportunities

Decision support built around trust.

AI can make benefits easier to understand, but employees and benefits organizations still need recommendations they can explain, verify and trust.

01

Explainable, not opaque

Show the material reasons and evidence behind a recommendation instead of relying on a black-box match score.

02

Employee-first neutrality

Optimize for the employee's stated needs and financial tradeoffs—not hidden plan-steering preferences.

03

More than one definition of “best”

Compare Best Overall Value, Lowest Expected Cost and Greatest Financial Protection rather than pretending one answer fits every objective.

AI where it helps. Deterministic logic where it matters.

1
Organize and verify the plans

AI helps structure complex plan information while material facts retain their source and verification status.

2
Understand the employee

A guided experience captures priorities, providers, prescriptions, expected needs and financial preferences.

3
Calculate the tradeoffs

A deterministic decision engine applies plan rules, costs, required constraints and configurable preference logic.

4
Explain and learn

BenAdvise explains the result, captures the employee's final decision and turns aggregate patterns into future intelligence.

An intelligence layer for PEOs, TPAs, brokers and benefits platforms.

BenAdvise is being designed to complement existing enrollment and administration systems—not require partners to replace them. We are looking for organizations that want to help validate the product, integrations and intelligence model.

Explore a Design Partnership

Help employees choose better benefits. Help benefits organizations understand what employees actually need.

B
BenAdviseBuilt from inside the benefits industry.
Privacy and security are part of the architecture.BenAdvise is being designed to minimize unnecessary sensitive data, protect employee information and support appropriate enterprise security and compliance controls.
Ask us about our approach

Benefits decisions can be better.

See the BenAdvise prototype and explore whether your organization could become a design partner, pilot partner or early customer.

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