AI Benefit Plan Comparison Agent
Automating Benefit Plan Comparisons with AI
Extract and normalize plan designs instantly
AI-powered parsing pulls deductibles, copays, coinsurance, Rx tiers, and OOP maximums from SBCs and carrier documents mapping them to a standardized schema with confidence scoring for human review.
Build apples-to-apples comparisons across carriers
The agent aligns naming conventions, rating structures, and benefit constructs to generate accurate side-by-side plan grids that surface material differences and similarity scores against incumbent plans.
Model total costs and deliver client-ready proposals
Automated workflows calculate employer and employee cost scenarios across contribution strategies, then package everything into proposal-ready outputs with savings analysis and recommendation summaries.
How Cassidy automates this using AI
Step 1: Ingest plan documents
The Workflow triggers when SBCs, benefit summaries, rate sheets, or renewal exhibits are uploaded. Cassidy's Knowledge Base syncs these documents and prepares them for extraction.
Step 2: Extract and normalize plan designs
Cassidy parses each document using AI to pull core provisions deductibles, OOP max, coinsurance, copays by service category, Rx tier costs, and network details. Fields are mapped to a normalized schema with confidence scores, flagging low-certainty values for broker review.
Step 3: Source and align market alternatives
The Workflow pulls relevant carrier plans based on market segment, geography, and employer parameters. Cassidy normalizes rating structures (age-banded vs. composite) and aligns plan designs for true apples-to-apples comparison.
Step 4: Generate side-by-side plan grids
Cassidy builds comparison grids highlighting key provisions: in-network and out-of-network benefits, Rx tiers, HSA compatibility, and metal level. Each alternative receives a similarity score against the incumbent to surface like-for-like options.
Step 5: Model total cost scenarios
The Workflow calculates premium comparisons by tier and models employer/employee contributions across different strategies flat dollar, percentage of premium, or class-based with savings deltas clearly highlighted.
Step 6: Package the proposal
Cassidy compiles everything into a client-ready proposal: executive summary, current vs. proposed grids, cost modeling, and recommendation memo. Human-in-the-Loop approval ensures accuracy before delivery.
Implement it inside your company
- Hands-on onboarding and support
- Self-paced training for your team
- Dedicated implementation experts
- Ongoing use case discovery
- ROI tracking & analytics dashboards
- Proven playbooks to get started fast
