About the Solution

The Group Enrollment Platform by Everestek is a comprehensive, cloud-native solution designed to streamline the insurance enrollment lifecycle for group-based offerings. Tailored for both human and pet insurance carriers, the platform addresses the needs of carriers, brokers, agents, employers, and employees. It simplifies the complexity of enrolling individuals under employer-sponsored benefits by offering intuitive workflows, flexible plan configurations, and seamless stakeholder collaboration—all while maintaining compliance, security, and scalability. The solution empowers insurance providers to modernize legacy processes, reduce administrative burden, and accelerate market expansion.

Services Provided

• Custom Group Enrollment Portals : Built tailored portals for carriers, agencies, employers, and employees, enabling each stakeholder to perform their role in the enrollment process with minimal friction.
• Multi-Role Access & Hierarchical Management : Developed a permission-based system supporting a hierarchy of users including carrier admins, brokers, agents, group administrators, and end-users (employees or policyholders).
• Pet & Human Insurance Support : Created modular capabilities to support both employee benefit products (A&H, Life, P&C) and pet insurance, with custom plan setup and eligibility rules.
• Quote Without Signup : Implemented a public quoting mechanism allowing users to explore plan options without creating an account—lowering acquisition barriers.
• Claims Administration : Developed workflows for claims submission, adjudication, and status tracking, with audit trails and integration points for carrier-side review.
• EDI & System Integrations : Enabled seamless data exchange using standardized formats (EDI 834, 837, etc.) to integrate with external systems like care providers, TPAs, and payment gateways.
• Agent & Commission Management : Built modules for onboarding and managing agents and agencies, tracking performance, and calculating commission payouts dynamically.
• Reporting & Insights : Deployed a real-time reporting engine to track enrollments, renewal trends, claims metrics, billing data, and group performance insights.
• Cloud Deployment on AWS : Used AWS with infrastructure-as-code (Terraform/CDK) for auto-scaling, high availability, disaster recovery, and cost optimization.
• Security & Compliance : Implemented granular access control, encryption, audit logging, and data residency rules to support compliance (e.g., HIPAA, PCI DSS).