Enrollment Guide

Benefits Communication and Enrollment Engagement: Help Employees Choose on Purpose

Employees who do not understand their options pick last year’s plan or the lowest premium. A communication plan that runs all year, explains the choice in plain language and gives employees a person to call is what changes that decision.

Related: how to run a benefits survey and the benefits program self-assessment.

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The Calendar

Communicate Before, During and After Enrollment

Before Enrollment

Start six to eight weeks ahead. Send a plain summary of what is changing and why, with the required summary of benefits and coverage for each plan.

SBC explained

During Enrollment

Run a live or recorded walkthrough, give employees a decision tool, and send deadline reminders through the window. Name the date and the consequence of missing it.

After Enrollment

Confirm each employee’s choices, explain how to use the plan, and repeat the key points at mid-year when employees have their first claims.

The Message

Four Things Every Employee Needs to Hear

What Changed and Why

Say the change in one sentence, with the reason. Employees accept a change they understand and resist one they discover on the pay stub.

What It Costs Them in a Real Example

Show a per-paycheck cost and a realistic year of care, such as a few visits and a prescription, for each plan rather than listing deductibles alone.

How to Pick for Their Situation

Give a short rule for each type of household: single, family, expecting a child, or managing a condition. Many doctors accept both an HMO and a PPO, so employees often want a PPO more than they need one.

Where to Get Help

One name, one phone number and one email, repeated everywhere. Employees who can reach a person ask before they choose badly.

Channels

Three Channels That Work

Live Sessions

A short meeting or recorded video, with time for questions, reaches employees who will not read a packet.

Decision Tools and a Chat Line

A tool that compares plans on the employee’s own usage, and a chat that is open around the clock, can cut the number of repeated questions to HR.

A Person to Call

Our clients send their employees to us for help picking the plan that fits their situation, so HR does not become the benefits help desk.

Results

How to Tell It Worked

Participation

Compare the share of eligible employees who enroll with last year, and track waivers separately.

Plan Mix

Watch how employees move between plans. A shift toward a high-deductible plan is only a success if employees chose it knowing the cost.

Questions and Errors

Count enrollment questions to HR and correction requests after the window closes. Fewer of both means the message was clear.

FAQ

Common Questions

When should open enrollment communication start?

Six to eight weeks before the window opens for any change, and earlier for a carrier change or a new plan type, so employees can ask questions before they decide.

What notices are required at enrollment?

Group health plans must provide a summary of benefits and coverage to eligible employees. Other notices depend on your plan and size, so check your compliance calendar.

How do I reach employees who do not read email?

Use a mix: a short meeting, a printed one-page summary and a text or app reminder. Ask employees which channel they prefer in your next survey.

Should HR answer every benefits question?

No. Give employees a second place to ask, such as your advisor or a plan assistant, so HR can focus on eligibility and life events.

Sources

Where These Rules Come From

42 U.S.C. §300gg-15 (Summary of Benefits and Coverage)

CFH are licensed insurance brokers, not attorneys or tax advisors. This page is general information, so confirm your situation with your benefits attorney or tax advisor.

Keep Reading

Related Guides

SBC Explained

What the summary of benefits and coverage must show and when to provide it.

Read the Guide

Employer Benefits Guides

How a clear benefits guide supports enrollment.

Read the Guide

Employee Choice Health Plan Models

How the model you offer changes what employees must understand.

Read the Guide

Let’s Get to Work

Send us your renewal.

We’ll tell you whether it looks competitive, where we see opportunity, and the five questions we’d put to your carrier. No cost, and no obligation to move anything.

What to send

The renewal letter
Your current plan summary
Contribution split by tier
Enrolled counts by tier

Four documents, two more if your group is 50 or more. Nothing else; every extra one is a reason to postpone.

CFH Insurance Consultants

An independent employee benefits consulting firm. We look at the entire benefits program — cost, plan performance, risk and administration.

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