Benefits Management

Enrollment, tracking, and administration of employee benefits.

MangoApps

Overview

Benefits Management provides comprehensive tools for managing employee benefits including enrollment workflows, plan comparisons, life event processing, and benefits analytics. Features include carrier integration and compliance reporting.

Hr Operations

Highlights

Manage open enrollment periods with plan comparison tools and guided enrollment workflows.

Process qualifying life events such as marriage, birth, or job change with supporting documentation.

Track dependents and beneficiaries with relationship details and eligibility verification.

Administer COBRA continuation coverage with eligibility tracking and payment history.

Run wellness programs with activities, participation tracking, and incentive management.

Generate compliance reports including ACA reporting, carrier connections, and scheduled report automation.

Capabilities

Plan Management

Plan categories: medical, dental, vision, retirement, FSA, HSA, life, disability, supplemental
Per-plan employee, employer, dependent, spouse, child, and family monthly cost fields
Plan activation / deactivation and duplication
Eligibility rules per plan (employment type, tenure, location, role)
Per-plan contribution rules with priority ordering
Plan-level documents (SPD, plan details, carrier contact, enrollment guide)
AI document parser — upload PDF/DOCX and AI suggests plan field values
SBC (Summary of Benefits and Coverage) file attachment
Wellness discount flag per plan

Open Enrollment

Named enrollment periods with start/end dates and active/inactive toggle
Multiple concurrent enrollment periods
Employee enrollment with pending → enrolled workflow
Optional admin approval required for enrollment
Enrollment waiver with required waiver reason
Coverage-level change after initial enrollment
Enrollment termination with effective date
Side-by-side plan comparison for employees

Qualifying Life Events

Employee-submitted qualifying events (marriage, birth, divorce, job change, etc.)
Configurable enrollment window per event type (default 30 days)
Auto-approval policy per event type with immediate special enrollment period
HR admin review queue for pending qualifying events
Mid-year enrollment outside open enrollment window Only via approved qualifying event

Document Parsing & AI

AI plan field extraction from PDF or DOCX upload
AI plan field extraction from image (PNG, JPEG, WebP)
Local PDF text extraction (PDF::Reader) with AI fallback
Structured JSON output: name, provider, category, cost tiers
Real-time AI chat / natural-language query of plan data Not implemented

Employee Self-Service

My Benefits dashboard showing enrolled plans and costs
Dependent management (add, edit, deactivate)
Beneficiary management per enrollment
Benefits history log with event-level detail
Pension / retirement contribution records by year
Shift-based eligibility calculation (30 h/wk full-time, 20 h/wk part-time)
Manager team benefits overview

COBRA Administration

COBRA participant tracking with status lifecycle (eligible → notice sent → enrolled → terminated)
Payment schedule generation and payment recording
Overdue and grace-period payment tracking
COBRA notice logging
Audit log per COBRA participant
Expiring-soon participant alerts (configurable day window)

Wellness Programs

Wellness programs with activities, participation tracking, and incentive management
Program types and active/inactive toggle
Wellness discount linked to plan premiums
Participant report per program

Compliance & Reporting

ACA hours tracking per employee per month
Full-time threshold detection and coverage-offer tracking
Carrier connections with enrollment transmission log
Scheduled reports (daily, weekly, monthly) with next-run calculation
Compliance notices per plan
Enrollment approval workflow with escalation
Built-in 1095-C / ACA e-file generation Export data only

Limits & Specs

AI document parse file size limit: 20 MB
Supported parse formats: PDF, DOCX, PNG, JPEG, WebP
Plan categories: medical, dental, vision, retirement, FSA, HSA, life, disability, supplemental, other
ACA lookback history: Up to 24 months per employee
Pricing: Included with MangoApps Workforce

Use cases

Annual open enrollment

HR configures enrollment periods with plan options and employees compare plans side-by-side before making their selections.

Life event processing

An employee reports a new baby, triggering a qualifying event workflow to add the dependent and update coverage within the allowed window.

COBRA administration

HR tracks COBRA-eligible former employees, sends required notices, monitors premium payments, and manages coverage continuation.

Wellness program launch

HR creates a wellness program with activities like step challenges and health screenings, then tracks employee participation and awards incentives.

Manager benefits overview

A manager views their team's enrollment status and coverage summary to ensure all direct reports have completed enrollment.

ACA compliance reporting

HR runs ACA compliance reports to verify full-time employee benefits eligibility and generate required filings.

FAQ

During enrollment, employees see a plan comparison view showing costs, coverage levels, and key differences. They can review plan documents before making a selection.

Common qualifying events include marriage, divorce, birth or adoption of a child, loss of other coverage, and change in employment status. Each event has a defined enrollment window.

Yes. Benefits Management includes full COBRA administration with eligibility determination, notice generation, payment tracking, and coverage status management.

Yes. Scheduled reports can be configured to run automatically and deliver results to specified recipients. ACA compliance reporting is built in.