30-min call with RobBook a proof-of-concept call
Job 01 · Renewal and marketing

// Benefits brokers · The first job

Group benefits renewals, drafted into the side-by-side before your account manager builds it.

The renewal arrives, the census goes out for quotes, and someone turns a stack of rate exhibits into one comparison an employer can read. This tests whether AI can draft that renewal analysis on copies of 20 to 30 renewals your team already presented, names and identifiers removed.

Book a proof-of-concept call30 minutes with Rob
Past renewals
20 to 30
System or carrier logins
None
Plan recommendations
Your licensed broker

// The one job

A renewal letter arrives. A draft comparison waits for your account manager.

Today a benefits analyst or account manager reads each line's renewal letter and rate exhibit, checks the census, sends it to other carriers, and rekeys every quote into the agency's renewal spreadsheet: plan designs in columns, rates by tier, totals, and employee cost under the current contribution rule. Only then does work start on the renewal presentation.

In the proof of concept, AI does the reading and the layout. It drafts the renewal and marketing analysis, lists each plan design change, keeps every quote's conditions beside its price, and names what is still missing. Nothing goes to a carrier or the employer. Your reviewer, whoever builds these best, compares each draft with the analysis your team presented.

Renewal packetCarrier letters and quotes
Group
Renewal date
Rate exhibit
Quotes back
PlanCurrentRenewal
Illustration, not a real group
Read
and compared
Renewal analysis draftFor your account manager
Plan designs
Rates by tier
Quote conditions
Still missing
OptionMonthlyFlags
Illustration, not a real analysis

// What makes benefits renewals hard

Three pricing rules, one spreadsheet

Small group renewals follow federal rating rules, and some states allow even less variation. The premium may vary only by age, rating area, family size and tobacco use. Ages 0 through 14 share one rate, ages 15 through 20 each have their own, and adult rates can differ by no more than three to one. Family premiums are built member by member, counting no more than three children under 21. The rating area comes from the employer's principal business address, so an employee's home ZIP code matters for network fit, not for price. The draft therefore needs each member's age and tier, never a name.

Larger and self-funded groups renew on different paper. A fully insured large group gets an experience exhibit: premium against paid claims by month, the carrier's trend assumption, and a pooling level above which large claims are set aside. A self-funded group renews stop-loss instead: a specific deductible per person, an aggregate attachment point for the plan, and a contract basis such as 12/12, 12/15 or a paid 24/12 with run-in coverage. A laser, a higher deductible for one known claimant, can hide in a footnote, and some carriers quote a no-new-laser option separately. The draft brings each term into the comparison.

Plan design is where comparisons go wrong. Carriers describe the same benefit in different words: a copay before the deductible, a deductible waived for primary care, coinsurance after it. The draft says whether each family deductible is embedded or aggregate, and since 2016 federal rules have capped each person's out-of-pocket costs at the self-only limit even inside a family plan. It notes prescription tiers, the network and HSA status, because a copay before the deductible, outside preventive care, can cost a plan that status. When a carrier retires a plan, its letter maps the group to a replacement, and the draft compares that replacement with what the group has today.

Dental, life and disability bring their own fields. A dental quote turns on the annual maximum, waiting periods by class, frequency limits, orthodontia and out-of-network payment, and a takeover offer can require the prior plan to have been in force for a set time. Life and disability quotes hinge on guaranteed issue amounts, evidence of insurability above them, age reductions, elimination periods, the own-occupation period and mental and nervous limits. New York employers must also carry statutory disability and paid family leave coverage, which renews beside any voluntary plan. A comparison that lines up rates but drops these terms comes back from your reviewer.

Quotes come with conditions, and the conditions often decide the choice. A small group carrier can require minimum participation and an employer contribution, though a group that falls short can still enroll between November 15 and December 15 each year. A quote can depend on a final census, carry a cap on next year's renewal, or, for a level-funded plan, rest on employee health questionnaires, which stay out of this test. Some carriers decline. The draft keeps every condition, decline and expiry date beside its price, in the layout of your own spreadsheet.

// What you send

Renewals your team already took to the employer

Copies with people removed
No agency system or carrier login
01

20 to 30 finished renewals

Renewals from the last year or two, across sizes: age-rated small groups, a larger insured group, a self-funded group if you have one, and one that moved carriers.

02

The carrier paperwork

Each renewal letter and rate exhibit as sent, the quotes and declines from other carriers, and the dental, life and disability renewals alongside.

03

What your team presented

The renewal spreadsheet or presentation the employer saw, plus the plans and contributions the employer chose. Together they are the answer key.

04

NDA first, then a census without people

The NDA comes first, and we never log in to your agency system, an enrollment platform or a carrier portal. Swap names for employee numbers and birth dates for ages, and leave out claims detail by person, large claimant reports, laser detail tied to anyone and health questionnaires. No protected health information is needed.

// Before it starts

Agreed before the first renewal moves

Four decisions are made with the owner before day one.

Before the proof of conceptSet with the owner
Reviewer
The owner's choice, often the analyst or account manager who builds the most renewal spreadsheets.
Success criteria
Written first: which figures must match, and which changes and conditions the draft has to catch
Sample
Chosen by your reviewer from recent renewals, mixed by funding type
Price
A range for the live month

// How the test is judged

Your analysis and the draft, group by group

Same groups
same carrier documents
On the same 20 to 30 renewalsYour team's analysisThe AI draft
Current and renewal rates carried over by tierScored on your past renewalsScored on your past renewals
Monthly and annual totals on the group's enrollmentScored on your past renewalsScored on your past renewals
Plan design changes found in the renewalScored on your past renewalsScored on your past renewals
Competing quotes placed side by side, declines includedScored on your past renewalsScored on your past renewals
Conditions and expiry dates kept with each quoteScored on your past renewalsScored on your past renewals
Employee cost per paycheck under the current contribution ruleScored on your past renewalsScored on your past renewals
No results yet. Both columns stay empty until the test runs on renewals your own team presented.Your reviewer's scores decide it.

// After a yes

About 30 days on the next renewals in your queue

When your reviewer says yes, renewals arriving over the next 30 days or so run through the same job.

Every draft waits for a licensed broker or account manager, who picks the carriers to approach, sends each request and presents to the employer. The AI never contacts a carrier or an employer, never picks a plan and never sets a contribution.

Live drafts are scored on the same written criteria as the test, by the same reviewer.

// Later, one at a time

What could follow renewal analysis

Possibilities to rank with you
Each starts once the last is live
  1. 01

    Wrap documents and Form 5500 prep

    Each renewal's plan decisions carried into the group's wrap, Section 125 check and Form 5500 data.

    Next
  2. 02

    Census cleanup

    Payroll and enrollment exports reshaped into each carrier's census template, with gaps listed for the employer's HR contact.

    Then
  3. 03

    Open enrollment materials

    Benefit guides and rate sheets drafted from the chosen plans, checked by your account manager before employees see them.

    After that

// One hard limit

A licensed broker recommends every plan.

The proof of concept reads copies and drafts a comparison. It never recommends a plan, carrier or contribution, never sends a census or quote request, and never presents to an employer. Names and identifiers are removed or replaced, and no protected health information enters the sample.

Priced per job: a range before the test, then a fixed price before you sign.

The range comes on the call, once we know how many groups renew with you each year and how many your team takes to market.

// Questions

What benefits account managers ask about renewals

Does it price plans or produce quotes itself?
No. Carriers set the rates. The draft applies the rates your team received to the group's enrollment, by tier or by member age, and totals them the way your spreadsheet does.
Our small groups are age-rated. Can it handle per-member rates?
Age-rated groups belong in the sample. The draft adds up each member's rate under the federal rules, counting no more than three children under 21 in a family, using ages and tiers from a census with the names removed.
What about self-funded and level-funded groups?
Stop-loss renewals are in scope: specific deductible, aggregate attachment, contract basis and whether a laser applies. Health questionnaires, claims by person and large claimant reports stay out.
Will it send our census or an RFP to carriers?
Never during the test, and never on its own afterward. In the live month your team chooses which carriers see the census and sends every request.
Can the draft follow our own renewal spreadsheet format?
It should, which is one reason the test uses your past renewals. Each draft follows the layout your team presented, so your reviewer can compare the two cell by cell.
Rob Eason

Rob Eason, founder

// Book a proof of concept call

Bring the renewals you presented last season.

Thirty minutes with Rob Eason. You'll give your agency and role, the job to test, and about how many groups renew with you in a year. Hold census files and carrier letters until the NDA is signed.

  • Co-owned a 60-employee financial services firm and sold his share to his partner.
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  • Takes every proof-of-concept call himself.