Benefit validation

Patent metadata

Field	Value
Publication number	US-12020213-B2
Application number	US-202016875519-A
Country	US
Kind code	B2
Filing date	May 15, 2020
Priority date	May 15, 2020
Publication date	Jun 25, 2024
Grant date	Jun 25, 2024

Abstract

A method, apparatus, system, and computer program for verifying benefit information for an employer-provided benefit plan. A computer system verifies employee enrollments in the benefit plan. Verifying employee enrollments includes receiving an employee identifier in a first panel of a graphical user interface, identifying an employee associated with the employee identifier, identifying employee enrollments of the employee, and displaying the employee enrollments in the first panel. The computer system verifies plan benefits for the benefit plan. Verifying plan benefits includes receiving a plan identifier in a second panel of the graphical user interface, identifying the plan benefits based on the plan identifier, and displaying the plan benefits in the second panel. The computer system verifies plan membership. Verifying plan membership includes receiving a personal identifier in a third panel of the graphical user interface, identifying the plan identifier based on the personal identifier, and displaying the plan identifier in the third panel.

First claim

What is claimed is:

1. A method for verifying benefit information for an employer-provided benefit plan, the method comprising:
providing, by a data processing system comprising one or more hardware processors, for display on a display device, a graphical user interface comprising a first panel, a second panel and a third panel that are each visible via the graphical user interface and configured to interact with one another;
verifying, by the data processing system, employee-enrollments in a benefit plan, including:
receiving, via the graphical user interface and over a network from a client device remote from the data processing system, an employee-identifier in the first panel of the graphical user interface;
identifying an employee associated with the employee-identifier;
identifying employee-enrollments of the employee; and
displaying the employee-enrollments in the first panel of the graphical user interface;

verifying, by the data processing system, plan benefits for the benefit plan, including:
receiving, via the graphical user interface and over the network from the client device, a plan-identifier in the second panel of the graphical user interface;
identifying the plan benefits based on the plan-identifier; and
displaying the plan benefits in the second panel of the graphical user interface;

verifying, by the data processing system, plan membership, including:
receiving, via the graphical user interface and over the network from the client device, a personal-identifier in the third panel of the graphical user interface;
identifying the plan-identifier based on the personal-identifier; and
displaying the plan-identifier in the third panel of the graphical user interface;

determining, by the data processing system, differences between the benefit plan and a previous benefit plan; and
updating, by the data processing system responsive to selecting a control in the graphical user interface and determining the differences, the graphical user interface to include an arrangement of graphical elements that display and identify the differences between the benefit plan and the previous benefit plan.

2. The method of claim 1 , further comprising:
identifying carrier contact information based on information received in the first panel, the second panel, the third panel, or combinations thereof; and
displaying the carrier contact information in a fourth panel of the graphical user interface.

3. The method of claim 1 , wherein verifying the employee enrollments further comprises:
receiving user input selecting a control in the first panel; and
displaying the employee enrollments in response to receiving the user input.

4. The method of claim 1 , wherein verifying the employee enrollments further comprises:
identifying a previous enrollment of the employee in the benefit plan;
identifying a current enrollment of the employee in the benefit plan; and
displaying a comparison between the current enrollment and the previous enrollment in the first panel of the graphical user interface.

5. The method of claim 4 , wherein displaying the comparison further comprises:
receiving user input selecting a control in the first panel; and
displaying the comparison in response to receiving the user input.

6. The method of claim 4 , wherein identifying a previous enrollment of the employee further comprises:
identifying a previous coverage level in the benefit plan;
wherein identifying the current enrollment of the employee further comprises:
identifying a current coverage level in the benefit plan; and
wherein displaying the comparison between the current enrollment and the previous enrollment further comprises:
displaying a comparison between the current coverage level and the previous coverage level.

7. The method of claim 4 , further comprising:
generating the current enrollment by performing a write-over of the previous enrollment of a prior plan year; and
identifying a lapse in the employee enrollments caused by the write-over; and
wherein displaying the comparison between the current enrollment in the previous enrollment further comprises:
displaying the lapse in the employee enrollments in the first panel of the graphical user interface.

8. A benefit verification system comprising:
a computer system comprising one or more hardware processors; and
a benefit verifier in the computer system, wherein the benefit verifier operates:
to provide, for display on a display device, a graphical user interface comprising a first panel, a second panel and a third panel that are each visible via the graphical user interface aid configured to interact with one another;
to verify employee-enrollments in a benefit plan, including:
receiving, over a network from a client device remote from the computer system, an employee-identifier in the first panel of the graphical user interface;
identifying an employee associated with the employee-identifier;
identifying employee-enrollments of the employee; and
displaying the employee-enrollments in the first panel of the graphical user interface;

to verify plan benefits for the benefit plan, including:
receiving, over the network from the client device, a plan-identifier in the second panel of the graphical user interface;
identifying the plan benefits based on the plan-identifier; and
displaying the plan benefits in the second panel of the graphical user interface;

to verify plan membership, including:
receiving, over the network from the client device, a personal-identifier in the third panel of the graphical user interface;
identifying the plan-identifier based on the personal-identifier; and
displaying the plan-identifier in the third panel of the graphical user interface;

to determine differences between the benefit plan and a previous benefit plan; and
to update, responsive to selection of a control in the graphical user interface and determination of the differences, the graphical user interface to include an arrangement of graphical elements that display and identify the differences between the benefit plan and the previous benefit plan.

9. The benefit verification system of claim 8 , wherein the benefit verifier further operates:
to identify carrier contact information based on information received in the first panel, the second panel, the third panel, or combinations thereof; and
to display the carrier contact information in a fourth panel of the graphical user interface.

10. The benefit verification system of claim 8 , wherein in verifying the employee enrollments, the benefit verifier further operates:
to receive user input selecting a control in the first panel; and
to display the employee enrollments in response to receiving the user input.

11. The benefit verification system of claim 8 , wherein in verifying the employee enrollments, the benefit verifier further operates:
to identify a previous enrollment of the employee in the benefit plan;
to identify a current enrollment of the employee in the benefit plan; and
to display a comparison between the current enrollment and the previous enrollment in the first panel of the graphical user interface.

12. The benefit verification system of claim 11 , wherein in displaying the comparison, the benefit verifier further operates:
to receive user input selecting a control in the first panel; and
to display the comparison in response to receiving the user input.

13. The benefit verification system of claim 11 , wherein in identifying a previous enrollment of the employee, the benefit verifier further operates:
to identify a previous coverage level in the benefit plan;
wherein in ide

Assignees

• Adp Inc

Inventors

• Mitchell Michael

Classifications

• G06Q40/08

  Insurance · CPC title

• G06F3/0482

  Interaction with lists of selectable items, e.g. menus · CPC title

• G06Q10/1057 Primary

  Benefits or employee welfare, e.g. insurance, holiday or retirement packages · CPC title