C A S E   S T U D Y

Avenue H Uses PlanSource Technology to Power One of the Nation’s Most Successful State SHOP Exchanges

CHALLENGES       SOLUTION       RESULTS       BENEFITS

 

  LOCATION
Utah, UT

  INDUSTRY 
Insurance

ESTABLISHED 
2010

  WEBSITE 
www.avenueh.com

ABOUT AVENUE H 

As a truly automated and paperless system, PlanSource replaced two legacy SaaS systems that mixed their “automated solution” with manual tasks. PlanSource brought efficiency and ease-of-use to Avenue H with a single platform for plan quoting, shopping, recommendation and enrollment, including data integration to insurance carriers.

Read the Case Study

CHALLENGES

Avenue H needed to shorten enrollment times and improve the efficiency of their benefits selection, enrollment and shopping processes.
In 2013, due to a manual onboarding process, enrollment could take as long as 90 days to complete. To solve this, Utah state officials needed a solution that:

  • Provided a true end-to-end, automated solution that would not require manual intervention. Neither of their existing providers had this ability.
  • Had robust shopping and enrollment tools to allow for plan comparisons and dynamic cost calculations, as well as a strong database that could ensure data integrity and security.
  • Ensured that they were compliant with the new rules and regulations under the Affordable Care Act.

 

SOLUTION

Built a new exchange using PlanSource OneMarket, a cloud-based end-to-end benefits exchange platform.
After a thorough evaluation process which vetted four different companies including the incumbent, the Avenue H evaluation team chose PlanSource to power their online exchange.

  • In July 2013, just four months before the start of open enrollment, PlanSource was officially hired to power the Avenue H online health insurance and benefits exchange.
  • The PlanSource platform provides automated onboarding, plan quoting and employer shopping, employee shopping, personalized plan recommendations, enrollment, eligibility data management, and data distribution to insurance carriers for Avenue H.

 

RESULTS

Avenue H has become a model for state-run exchanges; has the second highest enrollment rate among state exchanges.
In less than 4 months, Avenue H successfully launched the new, automated solution in a timely and cost-effective manner before the start of open enrollment. Highlights:

  • An enrollment process that previously took employers as long as 90 days to complete can now be handled in less than an hour.
  • Avenue H has the second highest enrollment rate among state exchanges, surpassing states with much higher populations, including California and Massachusetts.
  • To date: more than 650 employers participate on the exchange, over 14,000 consumers have coverage via Avenue H, and has an 88% renewal retention rate.

KEY BENEFITS

14,000+
C
overed Consumers

650%
Participating Employers

88%
Renewal Retention

 

Delivering a "Lights-Out" Implementation

With a short implementation of only four months, enrollment times that used to take employers as long as ninety days to complete can be handled in less than an hour. With a highly configurable system and an established network of health and ancillary benefit carriers, PlanSource deploys fast even with the most complex benefit programs, business rules and workforce configurations.

Screenshot 2015-05-13 15.32.04

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