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Enrollment API – LDEx Overview

1. Purpose​

The Enrollment Service helps organizations manage membership for benefit programs. It provides a streamlined way to add new participants, update existing records, and confirm when changes have been processed. At its core, the service supports enrolling individuals, maintaining accurate records, and handling terminations efficiently.

2. Who can use this service​

This service is designed for organizations and their authorized representatives who manage benefit programs—such as employers, brokers, benefits administrators, and partner organizations. It is not intended for individual consumers but for businesses and administrative teams responsible for enrollment processes.

3. What information is available​

  • The service works with broad categories of information, including:
    • Personal and Membership Details: Basic participant and dependent information (e.g., names, identifiers, dates, status).
    • Plan and Coverage Choices: High-level benefit selections such as medical, dental, vision, life, and related coverage types.
    • Acknowledgement Feedback: Simple confirmation that submissions have been received and processed, including reference numbers for each person or coverage item.

4. Benefits of this service​

  • Simplifies Administration: Reduces paperwork and manual processes by consolidating enrollment tasks into one streamlined channel.
  • Improves Accuracy: Minimizes errors by using a consistent process for updates and changes.
  • Speeds Up Processing: Accelerates activation of new participants and updates to existing records.
  • Scales Easily: Works across multiple benefit types without requiring separate processes for each.

5. Example uses​

  • Enrolling a new participant and their eligible dependents.
  • Updating existing records (e.g., address changes, adding/removing dependents).
  • Terminating participation for individuals who are no longer eligible.
  • Adjusting coverage selections (e.g., adding vision coverage or changing benefit levels).

6. Important notes​

  • This summary is written for general audiences; technical details such as message formats, system codes, and error tables are intentionally omitted.
  • Use of the service requires an established agreement and proper authorization.
  • Features and capabilities may evolve over time as benefit offerings change.
  • This Is an Overview: Technical specifications and operational details are provided separately through partner-only channels.