Healthcare Plan Intelligence
Stop buying opinions.Start proving the opportunity.
BenefitProof turns an employer’s own healthcare evidence — census, plan documents, invoices, claims — into findings, strategy, and an executive decision. The advisor advises. The employer decides. BenefitProof shows the work.
Truth in Numbers.
Why evidence matters
Every renewal comes with a story. Few come with the evidence.
Employers approve one of their largest expenses on a one-page summary — while everyone in the room says “believe me.” That’s true at renewal, and it’s true every month in between. BenefitProof changes the conversation from believe me to let’s look at what your numbers actually show — whenever the evidence warrants it.
Year-round
It’s always the season to audit your healthcare spend.
Healthcare is one of your largest expenses in every month of the year — not just at renewal. The evidence that shows what it’s actually doing is already in your documents. Examine it early and you decide on your timeline, not the carrier’s deadline.
- Establish the evidence before a renewal is imminent.
- Findings can surface issues worth investigating at any point in the year.
- Waiting until renewal compresses every decision into a few weeks.
- Renewal is an important decision moment — not the definition of the work.
How it works
From your evidence to an executive decision.
01
Evidence
02
Findings
03
Strategic considerations
04
Relevant solutions
05
Compare
06
Decide
WIN
Establish the opportunity with evidence
WORK
Turn the plan into structured intelligence
PROVE
Support the decision with proof — every figure traceable
Aggregates hide the drivers
The number on the invoice hides the story.
A small share of claims and services typically drives the majority of healthcare cost. A plan summary shows you the total — not the drivers. BenefitProof reads the evidence to find them.
62.8%
of paid claims came from the top 5% of claimants
81.9%
came from the top 20%
| Claimants | Cumulative share |
|---|---|
| Top 5% (2) | 62.8% |
| Top 20% (8) | 81.9% |
| Top 50% | 96.9% |
Product proof
Real surfaces. Real provenance. Numbers you can actually read.
Swipe to read →
Swipe to read →
The scale of the decision
$5,900,000
Current annual spend
$14,048
Per employee, per year (PEPY)
$33,929,360
Cumulative spend over 5 years at this trend
Illustrative. This uses your inputs to show the scale of the decision — not a finding, a forecast, or a savings estimate. Your actual numbers require evidence and analysis. BenefitProof does not promise savings.
What BenefitProof reads
Structured intelligence from the evidence you already have.
Cost & spend
Invoices, premiums and census reconciled into the employer’s real healthcare spend — with the source behind every number.
Plan design
SBCs read into structured plan design: deductibles, out-of-pocket, networks, tiers — comparable across plans.
Funding & stop-loss
Funding model recognized; stop-loss contract terms, attachment points and lasers surfaced for evaluation.
Pharmacy & contracts
PBM and contract terms captured as evidence so the questions that matter are asked before renewal.
Opportunities & options
Where the evidence suggests an opportunity — and which operating models and solutions deserve a look. Never a promise, always a case.
Executive decision support
A provenance-linked Executive Brief the CFO can read in ten minutes, with every figure traceable to its document.
No broker change required
An independent, evidence-backed read of the current plan and renewal — while the employer keeps its existing broker.
Advisor-led
Built for the advisor who has to defend a renewal — not a portal that replaces them.
Confident or honestly insufficient
The first output is either confident or honestly insufficient — never a fabricated number. If the evidence isn’t there, BenefitProof says so.
Never a marketplace
No rankings, no lead lists, no pay-to-play placement. Vendors see only what an employer explicitly authorizes.
