HPS’ Online Enrollment software helps health plan Administrators manage enrollment transactions digitally while enforcing eligibility requirements, plan rules, and employer-specific workflows. HPS’ Online Enrollment is a rules-based platform that allows organizations to streamline adds, changes, terminations, new hire enrollments, and annual open enrollment while creating personalized experiences for members, employers, and brokers.
HPS’ Online Enrollment has a modern, mobile-optimized interface for members and employers. It also enables Administrators to configure enrollment experiences based on employer group, eligibility requirements, plan availability, and other business rules. The result is a more efficient enrollment process, fewer administrative errors, and a better experience for everyone involved.
This FAQ will help you get better acquainted with HPS’ Online Enrollment platform and how you can use it to streamline your enrollment processes and create engaging online enrollment experiences.
Key Takeaways
- HPS’ Online Enrollment is a rules-based enrollment platform designed specifically for health plan Administrators and benefits organizations.
- The solution supports ongoing enrollment changes, new hires, and annual open enrollment.
- Enrollment workflows can be configured at the Administrator, employer, and member level.
- HPS develops and supports the solution exclusively from its San Antonio, Texas headquarters.
Quick Answers
What benefits can be managed through the platform?
The platform supports medical, dental, vision, life, disability, HSA, FSA, and various other benefit programs.
Can enrollment experiences be customized by employer?
Yes. HPS’ Online Enrollment allows organizations to define employer-specific business rules that determine which benefits, plans, and workflows are available to members.
Can enrollment rules be based on member eligibility?
Yes. Plan availability can be configured based on age, eligibility status, tenure, state, and other factors.
What types of health plan Administrators use HPS’ Online Enrollment?
The solution is commonly used by Health Plans, TPAs, Health Trusts, and International Insurance Carriers who need configurable enrollment workflows.
Explore More
What Is HPS Online Enrollment?
HPS’ Online Enrollment is a configurable, rules-based enrollment platform that allows health plan Administrators to manage enrollment activity through a secure online experience. The platform creates targeted enrollment workflows for members, employers, brokers, and Administrator staff while helping organizations standardize enrollment processes and improve efficiency.
Because the solution is driven by configurable business rules, Administrators can control which benefits, plans, and enrollment options appear to specific users based on their unique requirements.
Is HPS’ Online Enrollment Actually Built by HPS?
Yes. Health Portal Solutions chose to develop, maintain, and support its own Online Enrollment solution instead of integrating a third-party application into the HPS platform. This gives HPS clients direct access to the team responsible for the product and its ongoing enhancements.
What Enrollment Scenarios Does the Platform Support?
Most organizations use HPS’ Online Enrollment for ongoing enrollment activities such as:
- Adding new members
- Terminating coverage
- Updating member information
- Changing benefits
- Processing qualifying life events
In addition, many clients use the platform to support new hire enrollment and annual open enrollment initiatives.
What Types of Organizations Use HPS’ Online Enrollment?
The platform is used by a variety of healthcare and benefits organizations, including:
These organizations utilize the platform to manage enrollment activity across multiple lines of business in a way that reduces manual efforts for each stakeholder.
What Types of Benefits Can Be Managed Through Online Enrollment?
One of the strengths of HPS’ Online Enrollment is its flexibility. The platform supports enrollment across a wide range of benefit programs, including:
- Medical
- Dental
- Vision
- Health Savings Accounts (HSAs)
- Flexible Spending Accounts (FSAs)
- Life insurance
- Disability insurance
The platform’s architecture is designed to support a broad variety of benefit structures, allowing clients to configure enrollment options that align with their specific business needs. Some organizations have even used the platform to facilitate enrollment for non-traditional offerings such as gym memberships.
How Does Rules-Based Enrollment Configuration Work?
The HPS Online Enrollment platform allows Administrators to define the business rules that govern enrollment experiences for members and employer groups. These rules determine which benefits and coverage options are displayed for specific users.
Administrators can configure enrollment experiences based on factors like:
- Member age
- Employment tenure
- Eligibility status
- State of residence
- Employer group
- Plan availability
This approach helps ensure members only see the benefits and coverage options that are relevant to their circumstances, improving both usability and compliance with plan requirements.
How Does HPS Support Complex Employer Structures?
Many employers have multiple divisions that represent different populations, such as:
- Retirees
- COBRA participants
- Union employees
- Active employees
- Other eligibility categories
In these scenarios, enrollment rules often need to be managed at the division level rather than the employer level. HPS’ Online Enrollment allows Administrators to create unique workflows and benefit configurations for each division while maintaining a consistent administrative experience.
For example, some benefit plans may be available only to retirees, while others may be shared across multiple employee groups. The platform enables organizations to manage these distinctions without creating unnecessary complexity for members.
Final Thoughts
Health plan enrollment is rarely a one-size-fits-all process. Every Administrator, employer group, and member population has unique requirements that influence how enrollment should work. Health Portal Solutions’ Online Enrollment provides a flexible, rules-based framework that allows organizations to create targeted enrollment experiences while simplifying administration and supporting long-term growth.
Next in This Series
Online Enrollment FAQ – Part 2: How Administrators Create Targeted Online Enrollment Experiences
Learn how to create relevant experiences for members, employers, and brokers through eligibility-driven workflows, mobile responsiveness, and self-service capabilities.
Schedule a Demo
Schedule a Demo to see how HPS’ Online Enrollment can help your organization streamline enrollment operations and improve the enrollment experience for every stakeholder.