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WebInsure Private Exchange

Private benefit exchanges Allowing you to meet the ever-changing needs to today’s consumer for health and wellness benefits

Enrollment on private health exchange is predicted to undergo significant growth. WebInsure Private Health Exchange puts you in the driver’s seat to take advantage of this opportunity. This solution allows you to cater to today’s web-savvy consumer with decision assistance, intuitive shopping experience, consumer education, self-service support and more. In addition, you have the ability to offer health, wellness, financial and other in-demand services seamlessly.

And the system has all the technical bells and whistles as well. It is:
  • Cloud-based
  • HIPAA compliant with strict adherence to security guidelines
  • User interface is UX 2014 compliant with a rich, streamlined experience
  • Integrates with the Federally Facilitated Marketplace and state-based exchanges
  • Easily configurable, highly flexible and fast to deploy

WebInsure Private Health Insurance Exchange has several components:

Individual & Employee Portal: Manages demographic information, dependents, eligibility, benefits and enrollment. Additionally provides seamless backend integration capabilities for eligibility determination, enrollment and payment transactions.

Key Capabilities Include:
  • Intuitive interface guides users through the complex process of eligibility determination for benefits, state and federal programs; integrates with FFM and state-based exchanges as necessary
  • Supports guided plan shopping allowing the consumer to easily select plans that best meet their requirements. Offers easy renewal processing.

Employer Portal: Designed to assist employers in facilitating employee enrollment for health and ancillary benefits. It provides the ability to offer employees a one-stop shop to search, compare and enroll themselves and their family members in various plan options on private health insurance exchange.

Key Capabilities Include:
  • Employers have the ability to add and manage their employees, set up defined contribution plans, select plans, and handle new enrollments and renewals.
  • Ability to support multiple contribution methods and employees. Enrollment information and respective updates are securely exchanged with the external system.
  • Manage qualifying life change events for the employee; and employees can take appropriate actions to update the enrollment application.

Broker Portal: Allows authorized Agents to assist prospects and customers. It is a complete prospect/client management tool providing agents with the necessary tools to track and manage their customers and sales pipeline.

Key Capabilities Include:
  • Manages sales through seamless automation of clients and proposal management functionalities.
  • Out of the box capabilities to manage client assignments and sales pipeline including status tracking of sub-agents with pending or completed list of trainings.
  • Supports agent affiliation to multi-level agent organization hierarchy and respective certification requirements.
  • Allows agent to actively assist customers with eligibility and enrollment.

Carrier & Exchange Administration Portal: Enables carriers to load & manage qualified health plans and non-qualified health plans, collect & review rate and benefit information, manage plan data before publishing on exchange & monitor ongoing compliance issues.

Key Capabilities:
  • Allows electronic loading of health insurance plans certified by Department of Insurance (DOI).
  • Automates major operational processes around plan management, thus allowing exchanges run their operations in an efficient manner.
  • Includes the ability to manage access, plans offered, educational and assistance material, marketing and promotional content, as well as provide customer support, generate reports, and more.

WebInsure Private Health Insurance Exchange technology
  • Java/J2EE & AJAX based application
  • Enterprise Service Bus (ESB)/Service Oriented Architecture
  • Cloud-hosted application
Learn more about WebInsure Private Exchange technology   
WebInsure Private Health Insurance Exchange implementation & customization
Implementation & Customization
  • Change the look and feel of the application based on your needs
  • Integrate with multiple 3rd party systems for analytics/reports/billing needs
Learn more about WebInsure Private Exchange implementation & customization   
Relevant Resource
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WebInsure Private Exchange
70 to 80 percent employers are looking to move to a private exchange setup for their health insurance needs.
Read whitepaper
WebInsure Financial Management and Private Exchange
The Health Plan industry is responding to the post-ACA world in various ways.
Why hCentive
  • Full ACA/HIPAA compliance
  • Intuitive user-friendly interface
  • Reduced implementation costs
  • Shorter implementation cycle
  • Product customization capability
  • Seamless system integration
  • Per Member Per Month (PMPM) cost model
Proven Track Record
Colorado Health Benefite Exchange
Delta Dental of California
Advance Health
Northrop Grumman

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