LDEx Benefits Configuration Management (BCM) Standard – Version 1.0
This new LDEx BCM 1.0 Standard establishes a consistent approach to the exchange of data required for the configuration of an employer group using a common specification. The LDEx BCM Standards allows for the exchange of an insurance carrier's benefit plan designs (e.g. products, benefits, rates) with technology providers leading to case configuration simplification and reduction in implementation times.
Leveraging a common data model with LIMRA’s other standards, the LDEx BCM Standard has been created in multiple formats allowing for flexibility when implementing either an EDI or API integration. This release package includes configuration specific Rest API compliant endpoints, provided in OpenAPI 3.1. The LDEx BCM payload may be delivered in .xml, .json, or .yaml formats. All schemas and endpoints can be found in the standards package download.
LDEx Evidence of Insurability Status & Decision (EOIS) Standard - Version 1.1
The LDEx EOIS 1.1 Standard allows carriers to pass an employee's application status and the final underwriting decision of an individual's eligibility to their benefits administrator.
LDEx Benefits Enrollment Management (BEM) Standard - Version 2.0
This new major release of the LDEx BEM 2.0 Standard enhances current functionality allowing for transactional payload delivery via REST complaint API transmissions. Enabling the industry to move towards real-time/near real-time enrollment and change management processing.
New REST API endpoints, available in OpenAPI 3.1, have been included in conjunction with this release. The LDEx BEM payload may be delivered via EDI or API in .xml, .json, or .yaml formats. All schemas and endpoints can be found in the standards package download.
This LDEx BEM 2.0 release continues to enable the two-way exchange of coverage elections, changes, terminations, non-coverage demographic changes, as well as eligibility management between technology companies and insurance carriers.
Supported Products:
- Medical
- Dental
- Vision
- Pharmacy
- Accident
- AD&D
- Cancer
- Critical Illness
- Disability (STD, LTD, State, VB)
- Employee Assistance Programs (EAP)
- Healthcare Reimbursement (FSA, HSA, HRA)
- Hospital Indemnity
- Leave Management (FML, PFL)
- Life
- Lifestyle Benefits
- Wellness
Implementation Solutions:
LDEx Benefits Quote Management Standard
New LDEx Benefits Quote Management Standard to manage pre-sale and renewal request for proposal requirements including a standardized demographic census structure.
LDEx Event Management Enhancement
This LDEx BEM enhancement will establish new functionality to manage employee event changes supporting leave absence administration based on current industry eligibility management processes.
LDEx Communication Preferences Enhancement Module
This enhancement will standardize the communication of data required to capture employer and employee communication preferences, including such items as contact consent, preferred delivery method, and requested language of communication at the time of enrollment or life event.
