Eligibility Administration


As employee benefits grow more complex, employers need a simpler, smarter way to manage eligibility and enrollment. MEDSURETY transforms the experience by making multiple carriers feel like one seamless system. From mid-year enrollments and employee additions to terminations, benefit changes, and COBRA updates—we handle it all for you. We ensure every carrier has the most accurate, up-to-date enrollment information, eliminating manual work and reducing administrative risk. The result? Your HR team saves valuable time, errors are minimized, and employees enjoy a smooth, consistent benefits experience—all while your organization stays organized, efficient, and confidently in control.

For Employees: Accurate Coverage, Peace of Mind

Our Eligibility Administration ensures your healthcare and benefits enrollments are always timely and accurate. From adding spouses or dependents to electing payroll deductions, you can be confident your coverage is managed correctly and efficiently.

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Ensures Accurate Records

Your coverage information is maintained precisely, ensuring your benefits reflect the plans and options you are enrolled in.

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Minimizes Coverage Gaps

Continuous monitoring and updates help prevent lapses in your coverage, keeping you protected when you need it most.

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Streamlined HR Updates

Streamlined communication with HR allows for quick updates to your account whenever changes occur.

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New Hire Enrollments

New employees’ information is processed promptly to ensure coverage begins without delays.

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Payroll Deductions

Your benefits data is seamlessly matched with your payroll system, ensuring enrollments, contributions, and deductions are accurate.

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Coverage Confidence

With real-time updates and monitoring, you can trust that your benefits are managed correctly and efficiently.

$150M+

Assets Managed

800,000/year

Claims Processed

300,000+

Members

3,000+

Organizations

For Employers: Simplified Administration, Improved Accuracy

Our service takes the burden of benefits data entry off your HR team—reducing errors, automating updates, and matching your benefits data with multiple carrier systems so you can focus on running your business. To be eligible for this service, your organization must use either Ease or Employer Navigator. When paired with these platforms, we handle the heavy lifting for you, saving hours of manual work, ensuring compliance, and giving you complete confidence in the accuracy of your employee benefits data.

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Supports Several Carrier Systems

Access multiple insurance carriers, keeping employee data consistent across all systems.

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Timely Changes

Updates to employee eligibility, enrollment, and coverage are processed weekly, reducing the need for manual intervention.

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Reduces Administrative Errors

Real-time validation helps prevent administrative mistakes and ensures data accuracy.

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Improved Accuracy

Centralized management improves the integrity of employee records and coverage details.

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Weekly Reports

Receive regular updates on changes and activity, providing transparency and oversight of benefits administration.

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Saves HR Time

By outsourcing these tasks, HR teams can focus on higher-value initiatives instead of benefits enrollment.

Streamlined Eligibility Administration for Your Organization

Our MEDSURETY Eligibility Administration solution simplifies the entire mid-year change process by managing updates directly with your carriers—so you don’t have to.

Mid-Year Change Management: We handle all mid-year updates, including additions, terminations, and coverage changes, and ensure every carrier has the latest information.

BenAdmin Integration: Simply make your updates in your BenAdmin software, grant us access, and we take it from there—no extra steps required from your team.

Time-Saving Support: We take the data entry and carrier communication off your plate, giving your HR team valuable time back to focus on strategic work and core business needs.

Accuracy You Can Trust: Our team ensures every update is handled correctly and consistently, reducing errors and keeping your carrier files aligned.

With MEDSURETY, your administrative burden shrinks, your data stays accurate, and your organization stays focused on what matters most—running your business.
Want more details?

Get your quote today.

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Frequently Asked Questions

Get the details you need. Explore our most frequently asked questions about employee eligibility, enrollment, and administration.

MEDSURETY simplifies eligibility administration for employers with complex benefit plans by taking the day-to-day workload off your HR team. Instead of managing additions, terminations, and other changes across multiple carriers, we handle all updates and communications for you. This eliminates the manual effort, reduces error, and frees your team to focus on higher-value tasks—ensuring your benefits stay accurate and up to date without the administrative burden.

MEDSURETY communicates eligibility changes to insurance carriers and third-party vendors through secure reporting. Changes such as new hires, terminations, or plan updates are transmitted in real time or on scheduled intervals, ensuring accuracy, compliance, and seamless coordination between your HR team and benefit providers.

MEDSURETY ensures your eligibility rules stay fully aligned with your plan documents and carrier requirements. We capture all initial setup details and maintain them for ongoing reference, while our system is continuously updated to reflect the latest regulatory and carrier guidelines. This approach helps you maintain compliance, minimize errors, and ensure every eligibility determination accurately reflects your plan’s requirements.

During open enrollment, carriers rely on files directly from your Benefits Administration system, submitted by the employer or broker. MEDSURETY supports you by managing all new hires, terminations, and changes that occur throughout this period, ensuring your data stays accurate and up to date without adding work for your team.

MEDSURETY updates and transmits eligibility data to carriers on a weekly basis, always providing carriers with accurate, up-to-date information for enrollments, terminations, and plan changes.

Stay Ahead in Eligibility Administration Insights

Get the latest updates, tips, and best practices for managing employee eligibility, enrollments, and compliance—delivered straight to your inbox. Join our newsletter to help your organization save time, stay compliant, and empower HR teams to manage benefits with confidence.

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