COBRA, Billing and Compliance Services

Minimize legal and financial risk.

Improve data accuracy.

Free up HR time.

Goal: Compliance
Setup time: 3 weeks
Date: Q2 2024
Dependents: 14,000
Found ineligible: 1,723 (12%)
Annual savings: $12 million

Goal: Data accuracy
Setup time: 5 weeks
Date: Q4 2024
Dependents: 30,000
Found ineligible: 2,800 (9.89%)
Annual savings: $20 million

Goal: Cost savings
Setup time: 4 weeks
Date: Q1 2024
Dependents: 37,000
Found ineligible: 3,051 (8%)
Annual savings: $21 million

Turn complexity into calm.

Handles any workforce, anywhere with deep configurability and hundreds of integrations, so complexity never slows you down. Offers maximum flexibility and complete control.

Reduce confusion and drive year-round behavior change.

Boost participation with custom communications, while AI-guided experiences drive enrollment. From there, Evive powers utilization with systematic, data-driven nudges and campaigns.

Resolve issues fast with self-service plus expert human care.

Employees get instant answers through Emma™ Chat and IVR, while our Service Center provides expert, empathetic support for more complex moments. It’s how we keep enrollment season calm—and surprisingly quiet.

bswift Compliance & COBRA Services handle end-to-end benefits compliance and administration including COBRA, dependent verification, ACA reporting, Form 5500 support, billing reconciliation, and non-discrimination testing. The service reduces compliance risk and manual HR workload while keeping plans audit-ready.

bswift manages the complete COBRA lifecycle from initial notices through termination. The team handles required federal notices, elections, reinstatements, premium billing, payment monitoring, and carrier coordination to maintain accurate coverage and prevent compliance penalties.

Dependent eligibility verification confirms that spouses, children, and other dependents on your health plan actually qualify for coverage under your plan rules. Organizations use verification audits to remove ineligible dependents and reduce unnecessary premium costs.

Employers typically save more than $5 million annually by removing ineligible dependents. bswift identifies an average of 12% of dependents as ineligible through AI-guided review and specialist verification.

Employees submit documentation online or via mobile to prove dependent eligibility. bswift's AI and human specialists review documents against your plan rules, flag ineligible dependents, and clean up eligibility data to ensure only qualified dependents receive coverage.

Benefits billing reconciliation ensures premiums, payroll deductions, and carrier payments align accurately. bswift calculates premiums based on current eligibility, processes adjustments, generates billing reports, and reconciles enrollment data across payroll and carrier systems to eliminate errors and month-end surprises.

bswift provides premium billing, direct billing for retirees and employees on leave, carrier remittances, and closed-loop payroll reconciliation. The service calculates premiums and credits based on your plan rules, then generates billing for HR, finance, and carriers while keeping deductions aligned with actual premiums.

Yes. bswift prepares and processes ACA data and forms including eligibility and offer-of-coverage information for IRS filings. The team also supports Form 5500 preparation by organizing plan data for ERISA counsel or auditors and runs required non-discrimination testing to ensure plan compliance.

When an employee dies, bswift updates coverage, processes survivor benefits, and manages beneficiary notifications. For court-ordered changes, bswift administers Qualified Medical Child Support Orders (QMCSOs) by reviewing orders, setting up coverage, and maintaining documentation. The service also tracks Evidence of Insurability (EOI) approvals and coverage changes.

bswift supports consumer-directed healthcare through integrated Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) embedded directly into the benefits administration experience. Employers can use bswift Everyday Health Accounts for a fully integrated platform experience, or choose a bswift Preferred Alliance Partner such as HealthEquity or Inspira while still contracting through bswift for vendor simplicity and SSO where supported.

Emma™ Intelligence is bswift’s AI-native technology woven across the bswift ecosystem to make benefits simpler, smarter, and more human—reducing friction for employees, admins, and service teams. It uses benefits materials, plan configuration, eligibility logic, and operational context to guide decisions, accelerate answers, catch issues earlier, and turn data into direction.

AI-native means Emma™ Intelligence is built directly into the bswift platform and workflows—not added on as a separate chatbot or bolt-on tool. Because it runs on your real benefits configuration and content, it delivers plan-specific answers and automation that match what’s actually true for each employer and employee.