Digital Health Insurance

Today, brokers and payer teams rely on a mix of carrier portals, spreadsheets, and manual processes to gather census data, evaluate plans, and generate quotes. This fragmented landscape leads to repeated data entry, inconsistent outputs, and delays in responding to customers. Digital Health Insurance addresses these challenges by centralizing the quoting experience in Health Cloud—reducing manual effort, improving accuracy, and enabling faster quote turnaround.

With built-in intelligence and structured workflows, organizations can streamline operations while delivering a more consistent and efficient experience for brokers and employers.

Key Persona: Users across payer and broker organizations interact with Digital Health Insurance based on their roles.

• Payer Account Executives (AEs) manage broker relationships and support complex quoting scenarios. They use the platform to track opportunities, guide brokers, and focus on high-value accounts.
• Small Group Brokers are the primary users of the quoting experience. They upload census data, filter and compare plans based on client needs, and generate quotes—leveraging AI recommendations to identify the best-fit options quickly.
• Employer Representatives (HR/Benefits Managers) provide employee census data, review plan options, and finalize selections for their workforce, relying on brokers for guidance and faster turnaround.

With Digital Health Insurance, your organization can:

• Guide brokers through a structured, end-to-end quoting flow
• Simplify plan discovery using filters like coverage, medications, and contribution preferences
• Process census data efficiently to support accurate plan rating
• Compare plans with enriched data and AI-driven recommendations
• Generate quotes faster while reducing manual effort and errors

• Assign Permission Sets
  To make quoting, pricing, product discovery, and related insurance functionality available to users, assign the required permission sets.
• Set Up Digital Health Insurance
  Configure a guided, AI-powered quoting experience that enables brokers to discover, compare, and rate insurance plans within a single workflow—reducing manual processes, improving quote accuracy, and accelerating time-to-quote while driving higher broker productivity and adoption.
• Create a Partner User Profile for Brokers
  To allow brokers to work with quotes, census records, group classes, and related insurance data from the partner site, first create a profile that gives them access to the required objects.
• Create an Experience Cloud site for Brokers
  To give brokers a dedicated external site where they can log in and work with quotes, create an Experience Cloud site by using the partner template.
• Add Create Group Insurance Quote Flow to Quote Record Page
  To allow users to launch the quote flow directly from a quote record, add the Create Group Insurance Quote action button to the quote page layout.
• Enable a Broker Account and Create a Partner User
  To allow a broker to sign in through the partner site, first enable the broker account as a partner account and then create a partner user from the associated contact.
• Assign Permission Sets to Partner Users
  To allow the broker to use the same quoting functionality from the partner site, assign the required partner-facing permission sets.