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Cutting Through Benefits Confusion: How Decision Support Is Changing the Game in Benefits Administration

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By Sara Vidoni
 on May 20, 2025
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With the Right Tools, 79% of Employees Feel Confident in their Benefits

Employees will never be benefits experts, and they shouldnโ€™t have to be. But with rising healthcare costs, itโ€™s more important than ever to help employees cut through benefits jargon and confusion and enroll in the right benefits. Because having the right benefits in place supports a lot more than just in-network claims costsโ€”it can mean the difference between being financially prepared or not.

Annual enrollment is one of the busiest times of the year for HR, from answering endless benefit questions to triple checking file feeds before they go to the carrier for next yearโ€™s plan changes. So having the right benefits administration tech in place to guide your employees when they feel lost or confused not only frees up time for your team, but also helps employees feel more confident in their elections.

In fact, according to data from Businessolver’s Benefits Insights Report, when employees utilize decision support, 79% are โ€œconfidentโ€ or โ€œextremely confidentโ€ in their enrollment decisions with 84% rating their enrollment experience as โ€œgreatโ€ or โ€œexcellentโ€โ€”showing benefits literacy does not have to be a barrier to selecting right-fit benefits.

Benefits may still be a source of confusion for the majority of employees, but the answer isnโ€™t turning them into benefits experts. What matters is having tools and resources in place to make it easy for employees to confidently choose what works for them.

Decision support makes benefits easier to understand  

Only 14% of people with employer-sponsored health coverage can correctly define these essential benefits terms:  

  • Out-of-pocket maximum  
  • Coinsurance 
  • Copay  
  • Deductible conclusionย 

The purpose of decision support isnโ€™t to take time explaining what these specific terms mean to employees; itโ€™s using plain language to find out how the individualโ€™s needs fit the benefits available to them. Plan comparisons in particular are a great way to show employees whatโ€™s changed or how different plans stack up. It asks the questions that your employees donโ€™t know to ask themselves, educating them to make a decision that suits their unique lifestyle and situation.

Are your employees stacking benefits elections in their favor? 

The trouble is, most benefits decision support tools only look at employeeโ€™s physical needs, not the financial and emotional aspect as well. For instance, you may have employees who could technically handle a costly hospital visit, but how would that large out-of-pocket cost make them feel?

Responses from Businessolverโ€™s Benefits Insights Report show that 45% of employees would feel panicked about a large, unexpected expense like an ER bill, with 37% of members saying they would go into debt or arenโ€™t sure how they would pay for an unexpected expense.

Which is why Businessolverโ€™s decision support asks employees not only questions about what they can financially afford, but how the burden of certain costs would impact their emotional well-being. Proving that with the right tech support, employees can take measures to ensure coverage that fits their physical and emotional needs, as well as their budget.

How decision support helps more than just employees

Decision support goes beyond just helping employees enroll; itโ€™s a critical piece to solving HR admins’ busy day-to-day as well. Because letโ€™s be honest, whether youโ€™re a mid-sized or large enterprise-level organization, no benefit team can take ALL the wave of questions that come rolling in during Annual Enrollment season.  

By encouraging employees to leverage decision support, HR teams can free up valuable time that would be focused on other initiatives.

For instance, take Businessolverโ€™s client, Athletico, who saw a 77% adoption rate of decision supportโ€”with 97% of their total population enrolling themselves in benefits. Image how many hours that could save your HR team! 

With decision support in place to be that guiding hand, employees are self-enrolling in elections that truly fit their unique needs. And with AI-powered support like Sofia, itโ€™s as if a member of your HR team was actually sitting down next to them at their desk answering questions as they come up.

Another trend weโ€™re seeing is that employees are activating 3x more on available voluntary benefits when best-match decision support is in playโ€”showing the technologyโ€™s increasing effectiveness at connecting employees with best-match voluntary and ancillary benefits.

Driving Down Benefit Costs with Decision Support 

Decision support drives effectiveness for HR teams, cuts through the confusion for employees…but it also has the ability to drastically improve benefits costs. During our most recent annual enrollment, members who used our personalized decision support were 119% more likely to enroll in an HDHP when they had decision support available to them at enrollment, and employees were 129% more likely to elect an HDHP with an HSA when using decision support.ย 

In short, decision support technology at enrollment is critical to driving right-fit plan steerage that results in substantial long-term savings for employees and employers. But like AI, its effectiveness is not created equally. Ask your current benefits administration provider some questions regarding the success of their decision support tool:ย 

  • What are your steerage success rates to cost-effective, best-fit plans (i.e. HDHP, HSA)?  
  • What percentage of employees use decision support when itโ€™s available?  
  • Does an AI virtual assistant sit alongside employees during enrollment, and whatโ€™s the resolution rate?  
  • What percentage of inquiries are handled and resolved by AI after hours?  
  • Can you measure employeesโ€™ satisfaction and confidence rates?  
  • What questions does the tool ask to help guide to best-fit plans?

The data shows the effectiveness of best-match decision support during enrollment continues to rise as more employees and employers adopt this technology. But while personalization saves employers millions of dollars and drives employees toward better decisions for their holistic wellbeing, itโ€™s ultimately a table stakes technologyโ€”meaning itโ€™s now an expected first step in most employerโ€™s benefits experience strategies. Even so, while 69% of Businessolverโ€™s client base have adopted decision support, thereโ€™s still room for industry-wide improvement.  

Register for a 20-minute live demo to get an inside look at how smooth and seamless enrollment could be for your organization with the help of Businessolverโ€™s Decision Support.