Helix Benefits provides a cloud‑native, AI‑enhanced platform that consolidates health spending accounts (HSAs, HRAs, FSAs, dependent‑care, commuter, lifestyle), COBRA administration, and full benefits management into a single, configurable ecosystem. The solution offers instant claims processing, real‑time account updates, automated compliance reporting, and unified APIs for seamless integration with carriers and payroll systems, all under a single per‑employee pricing model.
Funding
Funding not disclosed
Founders
Product
Problem
Employers and benefits administrators struggle with fragmented, paper‑heavy processes for managing health‑related spending accounts, COBRA coverage, and overall benefits administration, leading to compliance risk, high administrative costs, and poor employee experience.
Solution
Helix Benefit Solutions offers a cloud‑native, AI‑enhanced platform that consolidates consumer‑driven spending accounts (HSAs, HRAs, FSAs, dependent‑care, commuter, and lifestyle accounts), COBRA administration, and full benefits administration into a single, configurable ecosystem. The system provides instant claims processing, real‑time account updates, and automated compliance reporting, reducing manual effort and error rates. Integrated RESTful APIs enable seamless connectivity with carriers, payroll providers, and third‑party vendors, while a dedicated specialist supports each client from onboarding onward. A bundled pricing model (single PEPM fee) allows employers to mix and match services, scaling the solution as the workforce grows.
Target Audience
Primary customers are mid‑size to large employers, benefits brokers, and third‑party administrators seeking an integrated, automated solution for health spending accounts, COBRA, and overall benefits management.
Features
- AI‑driven instant claims processing with >90% of claims approved and paid immediately
- Cloud‑based, fully auditable COBRA platform with same‑day enrollment and automated carrier reporting
- Unified API suite for brandable, modular integration with carriers, payroll systems, and vendors
- Real‑time balance management and QR‑code receipt capture for all spending account types
- Dedicated specialist assigned at onboarding to provide personalized support and rapid issue resolution
- Scalable, single‑fee PEPM pricing that bundles benefits administration, spending accounts, and compliance services
- Comprehensive compliance tools including ACA reporting, ERISA documentation, and direct‑bill processing