LDEx Evidence of Insurability Status & Decision (EOIS) Standard
The LDEx EOIS 1.1 Standard allows carriers to pass an employee's application status and the final underwriting decision of an individual's eligibility to their benefits administrator.
LDEx Benefits Enrollment Management (BEM) Standard - Version 2.0
This new major release of the LDEx BEM 2.0 Standard enhances current functionality allowing for transactional payload delivery via REST complaint API transmissions. Enabling the industry to move towards real-time/near real-time enrollment and change management processing.
New REST API endpoints, available in OpenAPI 3.1, have been included in conjunction with this release. The LDEx BEM payload may be delivered via EDI or API in .xml, .json, or .yaml formats. All schemas and endpoints can be found in the standards package download.
This LDEx BEM 2.0 release continues to enable the two-way exchange of coverage elections, changes, terminations, non-coverage demographic changes, as well as eligibility management between technology companies and insurance carriers.
Supported Products:
- Medical
- Dental
- Vision
- Pharmacy
- Accident
- AD&D
- Cancer
- Critical Illness
- Disability (STD, LTD, State, VB)
- Employee Assistance Programs (EAP)
- Healthcare Reimbursement (FSA, HSA, HRA)
- Hospital Indemnity
- Leave Management (FML, PFL)
- Life
- Lifestyle Benefits
- Wellness
Implementation Solutions:
LDEx Benefits Configuration Management Standard
- New LDEx Benefits Configuration Management Standard allowing for the exchange of an insurance carrier's benefit plan design with a technology provider (e.g. products, benefits, rates) leading to case configuration simplification and acceleration.
LDEx Benefits Quote Management Standard
- New LDEx Benefits Quote Management Standard to manage pre-sale and renewal request for proposal requirements including a standardized demographic census structure.
LDEx Event Management Enhancement
- This LDEx BEM enhancement will establish new functionality to manage employee event changes supporting leave absence administration based on current industry eligibility management processes.
LDEx Communication Preferences Enhancement Module
- This enhancement will standardize the communication of data required to capture employer and employee communication preferences, including such items as contact consent, preferred delivery method, and requested language of communication at the time of enrollment or life event.
