AI Multi-Employer Fund Administration Agent
Automating Multi-Employer Trust Fund Administration with AI
Streamline Remittance and Contribution Processing
The agent ingests employer reports via portal uploads, EDI, or lockbox, automatically calculating receivables by plan and CBU while matching payments to remittances and flagging discrepancies for review.
Automate Eligibility and Hours Banking
AI-driven automation applies plan rules to translate reported hours into coverage, managing initial and ongoing eligibility thresholds, ACA measurement periods, hour bank accruals and drawdowns, and dependent coordination then generates 834 enrollment files to carriers with acknowledgement tracking.
Enforce Delinquency Policies and Compliance
Automated workflows assess interest and liquidated damages per plan documents, escalate through structured dunning sequences, and maintain audit-ready records for ERISA fiduciary obligations, ACA reporting, HIPAA controls, and Form 5500 filings.
How Cassidy automates this using AI
Step 1: Trigger on remittance submission
The Workflow activates when an employer submits a remittance report through the portal, file upload, or EDI or when a lockbox payment is received and imaged by the bank.
Step 2: Validate and calculate contributions
Cassidy parses the submission, validates participant identifiers and craft classifications against CBA rate tables, and calculates amounts due by plan (health, pension, training, dues) based on reported CBUs and effective dates.
Step 3: Reconcile payments and post to A/R
The agent matches incoming payments to reported remittances, posts to accounts receivable, and flags shortages, overages, or missing reports automatically generating receivables for unpaid amounts.
Step 4: Route reciprocity contributions
For traveling members, Cassidy applies reciprocity rules to identify home fund elections, routes contributions accordingly, creates transfer batches for ERTS processing, and tracks inter-fund confirmations.
Step 5: Determine eligibility and update hour banks
The Workflow applies plan eligibility rules thresholds, lag months, ACA measurement periods to translate hours into coverage, accrues excess hours to benefit banks, and manages dependent eligibility and MSP/COB coordination.
Step 6: Generate carrier enrollments
Cassidy transmits 834 enrollment files to carriers and TPAs, monitors 999/TA1/277CA acknowledgements, and manages retro activity windows to minimize coverage gaps and carrier churn.
Step 7: Enforce delinquency and collections
When reports or payments are late, the agent automatically assesses interest and liquidated damages per plan documents, generates dunning notices, and escalates through the collections ladder tracking payment plans and audit referrals.
Step 8: Maintain compliance and reporting
Cassidy logs all transactions with audit trails for ERISA fiduciary oversight, supports HIPAA-compliant workflows, and extracts data for Form 5500 schedules, 1095-B/C reporting, and trustee dashboards.
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
