Ideon-LIMRA Report: Only 8% of Benefits Carriers Use APIs for Most External Connectivity

NEW YORK–(BUSINESS WIRE)–When it comes to API adoption, the employee benefits industry is maturing, albeit slowly, according to a new study from LIMRA and Ideon. The 2023 Employee Benefits API Maturity Report surveyed 25 leading workplace benefits carriers to assess the industry’s current API adoption, how close it is to real-time connectivity, and where leading opportunities exist for innovation.

The industry-first benchmark of medical, ancillary, and voluntary benefits carriers provided an API maturity score that measures the depth of carriers’ technological integration, evaluating factors like real-time data processing, API connectivity with external partners, and the degree of automation in their systems and data exchange procedures.

Specifically, carriers’ API maturity was ranked at five levels: nascent, developing, maturing, advanced and leading. Overall, the majority of carriers (56%) are “maturing,” with twice as many “developing” (24%) than “advanced” (12%). Additionally, although a vast majority of carriers (76%) report having API-enabled external connectivity, the actual utilization of APIs for their transactions remains extremely limited: only 8% of respondents said APIs are used for most or all of their external connectivity. This highlights a significant opportunity for the industry: embracing full-scale API utilization would lead to faster, superior member experiences and more efficient operations for carriers and 3rd-party platforms.

“These report findings underscore what we see every day: Most carriers are embracing the API revolution, but there’s still a vast untapped potential to meet the rising digital expectations of members, employers and brokers,” said Michael W. Levin, co-founder and CEO of Ideon. “The fact is, broad API utilization is, and will continue to be, a must-have for carriers seeking to win and retain business. The opportunities are there, and this survey pinpoints where carriers will get the biggest return on their API investments.”

Key findings include:

  • The gap between API development vs. adoption remains large: While 76% of carriers have some degree of API-enabled external connectivity, only 8% of respondents use APIs for most or all external connections.
  • Real-time data processing is limited: Although 48% have real-time data exchange capabilities, only 16% said most or all transactions are processed in real time.
  • EDI remains the dominant method for transmitting enrollment data: 88% of carriers use EDI, vs. 60% of carriers that use APIs to send and receive enrollment information. The overlap indicates that most carriers employ multiple methods, including some that still use paper and spreadsheets.
  • Digital enrollment presents a sizable opportunity: 32% of carriers do not offer the ability to digitally manage enrollment and change events.

To read the full report, please visit: https://get.ideonapi.com/ideon-limra-2023-report

About Ideon

Ideon is the way health insurance carriers and employee benefits providers connect with technology partners to deliver seamless consumer experiences at every stage of the member journey. Ideon is not the websites or apps one uses to choose a plan or find a doctor. It is the infrastructure, the ‘pipes,’ that simplify the complex exchange of quoting, enrollment, and eligibility data between carriers and the technology partners so that they can, in turn, deliver health and employee benefits to hundreds of millions of Americans everyday. Ideon’s APIs transmit billions of data points between InsurTechs and insurance carriers, powering an amazing benefits experience for all. Faster. Better. Awesomely. To learn more, please visit: www.ideonapi.com.

About LIMRA

Serving the industry since 1916, LIMRA offers industry knowledge, insights, connections, and solutions to help more than 700 financial services member organizations navigate change with confidence. Visit LIMRA at www.limra.com.

How BenAdmin Platforms Setup Carrier Connections in 5 Days

In the competitive world of benefits administration, setting up carrier connections can be an operational nightmare. What if you had a strategic guide to a better process?

This infographic is a gameboard for a BenAdmin’s operational life. Read it, play along, and compare two pathways side-by-side:

  • Navigate the EDI path: This industry standard typically takes an 8-12 week journey filled with building and testing files, errors, and constant communication with carriers.
  • Take a shortcut and win with API-powered connectivity: This alternate route reduces connection setup to around five days, optimizing your operational efficiency.

Save this resource for later


How technology partnerships improve member experience and the bottom line

Watch the Webinar
On Demand

Today’s leading carriers leverage an expansive (and growing) benefits technology ecosystem. But choosing and integrating with the right partners can be challenging.

In this webinar, Ideon hosts executives from Prudential, PlanSource, and Brella to discuss how carriers successfully develop robust 3rd-party partnership strategies to meet members’ needs and increase revenue.

Discussion points include:

  • Balancing in-house development with external technology partnerships
  • Meeting members where they are (the case for carrier-BenTech partnerships)
  • Industry-leading examples of successful carrier-BenTech partnerships
  • Key challenges in choosing the right partners, and integrating with external systems

 

 

Save video for later

An API Road Map for Insurance Carriers

More and more carriers are adopting APIs to support fast, accurate data exchange with benefits administration platforms.

Why? Because API-powered enrollment and eligibility experiences are quickly becoming key carrier advantages.

But carriers focused on API development need a proven road map to follow, because the sequence is as critical as the API functionality.

 

Save this resource for later

Employee Spotlight: Robin Rogers

At Ideon, we’re proud to have such a talented, diverse team leading the charge for a better and more connected health insurance and employee benefits industry. Our ongoing Employee Spotlight series showcases the people behind our product and unveils what life is like at Ideon. Next up… Robin Rogers, our Senior Sales Director, InsurTech!

Name: Robin Rogers
Department: Sales
Title: Senior Sales Director, InsurTech
Location: Colorado

Work

How long have you worked at Ideon?

1 ½ years.

Tell us about your day-to-day.

My day to day routine varies but our customers and prospects always come first. When I am not working with them directly, you can usually find me digging into InsurTech platforms of all sizes to better understand their strategy, pain points, and roadmap with the goal of creating a deeper relationship. I also enjoy reading about the industry as a whole — new trends, barriers to innovation, and recent success stories.

What projects are you excited to work on?

I am always excited to work with customers and prospects as we strategically navigate their needs and Ideon’s solutions. Another thing that I am passionate about is an internal committee I am part of called “Ideonauts Developing Ideonauts”. We educate all of our team members on various topics that interest them. They range from great tips and tricks like how to use Slack more efficiently to in-depth discussions about our products and services.

What excites you about the future of Ideon?

What we do isn’t easy but it is necessary. If it was easy, everyone would be doing it! Enrollment API’s and data standardization are here to stay and it’s amazing to watch our products and services bring our customers next-level benefits experiences.

What do you like about Ideon’s company culture?

There is an incredible amount of passion and commitment. The enthusiasm is present every day and in every employee. It is truly infectious!

Life

Favorite activity when you’re not working? 

I love being outside! I live on a 110-acre ranch in Colorado so long walks right outside my front door and bird watching are two of my favorite activities!

Favorite place you’ve traveled?

My favorite place that I have traveled to outside of the US was the Christmas Markets along the Rhine River in Germany. Inside the US, a recent trip to Gloucester, Massachusetts was an amazing reminder of how young our country is (and how old Germany is).

Interesting fact about yourself… Go!

I am a Denver, CO native. I grew up skiing in Vail and even met Robert Redford while I was there.

Introducing the Ideon Dashboard for real-time visibility of enrollment data

At Ideon, we’re dedicated to facilitating seamless enrollments and data exchange for our carrier and benefits platform customers. That means not only maintaining the fast, accurate, and scalable connections they expect, but also providing greater transparency and visibility—qualities that have been lacking in our industry.

That’s why we’re excited to introduce a major enhancement to our product suite: the Ideon Dashboard, a powerful new interface that compliments our existing API endpoints. With enhanced monitoring of group implementation statuses and the ability to submit, track, and resolve issues, this dashboard brings unparalleled visibility, efficiency, and collaboration to Ideon’s enrollment customers.

The dashboard enables effective three-way collaboration between carriers, benefits platforms, and Ideon, allowing for the swift resolution of issues when they arise. It eliminates the clutter of email threads and ensures no issues are overlooked, all in a centralized, user-friendly tool that keeps all parties in the loop.

Let’s take a closer look at some of the key features.

 

Improved Visibility with the Enrollment Tasks Manager

Historically, setting up and managing group enrollments required numerous steps and lots of back-and-forth communication between carriers and benefits platforms. Ideon’s dashboard changes this equation. Carriers and platforms can now access real-time updates on the status of enrollment data that’s been loaded into Ideon’s system. This added visibility minimizes confusion and prevents potential delays in member enrollment.

At a glance, customers can get an immediate overview of their data across all groups, including details such as carrier-specific identifiers and coverage start and end dates. For each coverage period, they can monitor the status and owner of all completed and upcoming setup tasks. 

Tasks can be assigned to specific users from the platform, Ideon, or the carrier, ensuring there’s alignment on next steps and responsibilities. Additionally, comments and attachments can be added to each task, providing necessary context and encouraging collaboration. This not only eliminates lengthy email exchanges but expedites the process of getting groups live.

Through the transparency and visibility provided by the Enrollment Tasks Manager, Ideon customers will always be informed about the status of their groups. They’ll have accurate and up-to-date information to share with members, brokers, and HR teams, ensuring a better enrollment experience with clear timelines and expectations.

Efficient Issue Resolution with the Customer Ticketing System

As carriers and benefits platforms’ operational teams know all too well, issues are bound to happen in our industry, whether it’s discrepant group information, a member inquiry, or another pressing matter.

The Ideon Dashboard offers streamlined issue resolution with its intuitive Customer Ticketing System. It centralizes communication and collaboration, allowing customers to easily submit, track, and resolve their questions, concerns, and escalations. With everything in one place, scattered communication channels like Slack and email are eliminated, and tickets are monitored right alongside the groups they belong to.

For each ticket, customers can provide notes, severity info, and useful attachments or documentation. Comment threads help maintain individualized communication with Ideon, and watcher functionality and email notifications keep customers in-the-know at all times.

Conclusion

The Ideon Dashboard is a powerful addition to Ideon’s enrollment solution, providing greater levels of visibility, efficiency, and collaboration to carriers and platforms—both during group setup and in production.

The new interface is designed to enhance the overall transparency and effectiveness of working with Ideon in a secure, centralized way. But it’s meant to complement, not replace Ideon’s suite of APIs.

All data and functionality offered by the dashboard are also available via Ideon’s existing API endpoints and webhooks. Using these features, our customers can seamlessly integrate status updates and other information into their own tooling and user experience. It’s all part of the unrivaled enrollment experience that Ideon delivers to our customers, their operations teams, and, ultimately, members, employers, and brokers.

Schedule a demo

The Ideon Dashboard has already seen great success among several of our carrier and benefits platform customers, and we can’t wait to show you all of its features. You can watch a short demo above, or reach out to schedule a personalized walkthrough.

 

Five takeaways: Ancillary quoting and the rise of 3rd-party platforms

Third-party platforms are modernizing how brokers quote voluntary and ancillary benefits, providing an intuitive digital experience to instantly quote and select multiple carriers and lines of coverage.

Sounds amazing, right? Some carriers have embraced this transformation, partnering with tech platforms to ensure their products are distributed to brokers via today’s growing digital ecosystem. But for others, there’s been hesitancy to adopt a 3rd-party strategy.

What factors are leading to these varied outlooks and strategies?

Ideon, an API company that connects carriers and platforms in an easy and scalable way, recently hosted a webinar where a panel of experts explored the evolution of ancillary benefits quoting, the value of 3rd-party partnerships, the digital demands of today’s brokers, and more.

In this blog, we highlight five key takeaways from the event, which featured:
–   Jeremy McLendon — Sr. Vice President at MyHealthily
–   Hannah Thompson — Sr. Manager of Solution Architecture at Beam Benefits
–   Eric Weiford –– Sr. Relationship Manager at Principal Financial Group

A full recording of the webinar is available for download, here.

1. The fear of spreadsheeting is overblown.

One prevalent reluctance among carriers, as they consider offering their products through 3rd-party platforms: Won’t this just lead to my plans being spreadsheeted?

All three panelists agreed — spreadsheeting is happening regardless, and carriers may as well empower it through distribution and great digital experiences.

“Distribution means some change in tradition,” McLendon said. “You’re probably going to be spreadsheeted as it is. So why not win and do it a little faster?”

Beam approaches spreadsheeting from a similar perspective, Thompson said. “Cool, put us on the spreadsheet, especially if that broker is getting a quote through a digital platform where we’re API-connected. Spreadsheeting is unavailable, but the shift over to API quoting is making it a lot more advantageous to carriers like Beam.”

“If brokers and general agents aren’t doing that, they are going to lose that business at some point anyway,” Weiford added. “From a broker’s due diligence, they have to spreadsheet every now and then.”

2. API-powered, fully-underwritten quoting is the new frontier.

APIs allow carriers and platforms to communicate and exchange information in real time. The technology is becoming favored for a range of benefits-related tasks, including enrollment, EOI decisions, claims, and more.

Recently, APIs have made their way to the ancillary quoting space, allowing users of platforms like MyHealthily to generate instant, underwritten quotes based on group-specific criteria. The platform submits group information via a carrier API, and the carrier’s algorithm spits out underwritten quotes, all within seconds.

“We have prioritized platforms that can connect to our APIs,” Thompson said. “Through API quoting integrations, we can ingest census data, which means we can provide custom, underwritten, real-time bindable rates to these platforms.”

3. There’s untapped potential in the small group market.

Digital quoting solutions were historically available only in the large group space, but according to Thompson, that’s beginning to change.

“That ability to deliver real-time, custom, underwritten rates through an API connection—or even via Beam’s own tools for small groups—it’s huge, it’s an underserved market,” Thompson said. “The ability to provide really sharp rates to small groups, in a way that the large group space has benefited from in the past, is a unique opportunity for our industry.”

Like Beam, Principal has designed its digital strategy to win business down market and bring modern technology to small businesses.

“Our bread and butter is in the small group space,” Weiford said. “We’re constantly having conversations with the intermediaries who are adopting these platforms, looking at what is and isn’t working, so we can be agile in trying to make things work for them and for Principal.”

4. Getting started requires gaining organizational alignment.

Custom underwriting is seen by many carrier reps as a differentiator. So, internally, how do carrier executives get buy-in and explain the value of 3rd-party quoting?

“Distribution via 3rd-party platforms is only going to get more eyeballs to your products,” Thompson said. “And that hopefully means more RFP conversions for your team. The way we position it internally, is if a broker is going to go through a platform, we will still associate a rep to those opportunities. Oftentimes, there’s still consultation that needs to happen, from the rep to the broker, to ensure the broker is positioning the product appropriately. We still plug our reps into that flow.”

Carriers, Weiford explained, can alleviate concerns among their reps by including them in conversations about third-party quoting, explaining that it will lead to more opportunities, and showing them detailed reporting. But, it might take time for total organizational buy-in.

“Adoption isn’t always there at first,” Weiford said. “When reps start seeing that they can get additional swings, then it starts getting a little bit more palpable. And then you start showing them reports, ‘hey, here’s 100 new opportunities, go win that business by working with the broker.’ Platforms are not the enemy—you’re working alongside them.”

5. The right strategy and partnerships can mitigate scalability concerns.

For third-party platforms that have ancillary quoting functionality, scaling up can be challenging. Platforms want to offer brokers lots of carriers and products, but doing so requires partnership discussions, relationship management, and technical integrations.

“We tend to be carrier-agnostic, as we want to offer a large marketplace to our brokers,” McLendon said. “But constantly vetting and integrating with carriers can take time away from our development team. We look for the carriers that are willing to adopt early — from our experience, those are the opportunities where we can grow together.”

Ideon, McLendon explained, has helped MyHealthily solve the scalability problem.

“Working with partners like Ideon, a middleware so to speak, is nice because it allows us to integrate with more carriers more quickly. That way we can take on other projects.”

For carriers, the value of working with Ideon is similar. It enables them to integrate with numerous downstream quoting platforms without building direct integrations to each system.

To watch the full webinar recording, click here. To learn more about how Ideon helps carriers and platforms grow in the ancillary quoting space, contact us and we’ll be in touch.

Employee Spotlight: Meredith Saran

At Ideon, we’re proud to have such a talented, diverse team leading the charge for a better and more connected health insurance and employee benefits industry. Our ongoing Employee Spotlight series showcases the people behind our product and unveils what life is like at Ideon. Next up… Meredith Saran, our Marketing Specialist!

Name: Meredith Saran
Department: Marketing
Title: Marketing Specialist
Location: New York

Work

How long have you worked at Ideon?

Almost two years!

Tell us about your day-to-day.

The majority of my time goes into preparing for the conferences and events we attend. I organize all the details from booking hotels and restaurants, ordering swag and booth elements, tracking the budget, handling shipping, and owning the communication between our team, the vendors, and the conference staff. When we exhibit at a conference, I travel to the event, organize the booth build, and represent our company, communicating Ideon’s value to potential new customers!

I’m also the voice behind our social media accounts. I spend time on LinkedIn almost every day – posting, responding, and researching new ways to use the platform.

How have you grown professionally while on our team?

I came to Ideon with a little bit of corporate event planning experience and some social media experience. I’ve really appreciated the timely, honest feedback I’ve received from my manager and team on my work, allowing me to grow in those areas. I’ve built out processes and learned to use project management systems that have helped me level up my skills and keep our team organized. I am currently learning to track the ROI from the conferences we attend, which allows me to be more involved in strategy rather than just execution.

What do you like about Ideon’s company culture?

I like that Ideon has created committees that give opportunities for each employee’s voice to be heard. We have the DEIBA committee (focused on diversity, equity, inclusion, belonging, and accessibility), and the Wellness Committee (focused on improving our benefits offerings). Anyone can volunteer to be a part of these committees and give their opinions and suggestions on these subjects. I am on both committees so I can personally attest to the honesty and transparency that occurs in our meetings!

Ideon has grown a lot in the last few years, and many of our new employees are remote from across the country, so these committees came at a perfect time to make sure we are accommodating the feedback of our increasingly diverse team.

What attracted you to Ideon’s mission?

To be honest, when I was looking for a new job, I was looking for something a bit more meaningful and exciting, and I thought that meant getting out of the insurance industry. But when I discovered Ideon, I was surprised to find such a great fit! It took me a while to fully understand everything Ideon does, and honestly, I am continuing to learn every day. However, what I understood when I took this job was that Ideon’s focus is making things better. This means rejecting the status quo and taking the long and difficult road that others have ignored to finally get the entire benefits ecosystem caught up with the rest of the world, i.e. go through a digital transformation. And that transformation helps carriers, helps benefits platforms, and most importantly to me, helps the everyday person. Helping people excited me, so I knew being a part of Ideon would mean doing rewarding work.

Life

Favorite activity when you’re not working? 

I’ve been really getting into yoga recently. I also like reading, seeing theatre and comedy, and trying new restaurants.

Favorite place you’ve traveled?

Puerto Rico! I fell in love with the beaches and food in San Juan last summer.

Interesting fact about yourself… Go!

I am a former theatre geek, with a master’s degree in acting.