Benefits Decision Support

The Individual Benefits Guidance Every Employee Needs, Delivered at Scale. 

Cascade’s Benefits Decision Support Agent walks every employee through their plan options, step by step, personalized to their role, location, and family situation, connected to your benefits data and trained on your plan documents, so the guidance employees receive reflects their actual situation and your team is ready before Open Enrollment opens. 

When employees can reason through their own situation, they make better decisions for both of you. 

Benefits teams have always faced a structural limit at the center of Open Enrollment: as plan fiduciaries, they cannot tell an individual employee which plan is right for their situation. The hardest part of the decision gets left to the employee alone, and most made do with whatever they had last year or whatever looked cheapest on paper. 

53%
OF EMPLOYEES 

regretted last year’s benefits decisions, citing missed deadlines, misunderstood options, and life changes they didn’t account for 

30-60 MIN
AVERAGE TIME SPENT

on a benefits decision that affects healthcare costs, out-of-pocket exposure, and financial security for the full year

85%
OF EMPLOYEES

do not take full advantage of employer-provided  mental health and wellness benefits 

1 IN 3
OE QUESTIONS

are about cost, coverage, and care access:  questions a side-by-side plan comparison chart was never built to answer

The Individual Guidance Employees Need, Delivered Without Fiduciary Risk. 

With the Benefits Decision Support Agent, employees get the one thing you can’t personally provide at scale: guidance that reasons through their specific situation. As plan fiduciaries, employers cannot tell an individual employee which plan is right for them, which has historically left the hardest part of the decision to the employee alone. AI closes that gap, because every response is grounded in the employer’s own plan documents and governed by the employer’s own configurations, with no advisory liability attached. When employees had access to that kind of support during OE 2025, health plan comparison questions grew from 38% to 55% of all OE activity in a single year, because employees who can reason through their own situation with their own numbers stop defaulting and start deciding. 

The experience is a guided, step-by-step workflow: Medical, Dental, HSA, Supplemental, Review. At every step, a personalized AI assistant is available in the same window to answer anything that comes up, from basic coverage questions to the ones employees would never raise with a colleague. Personalization runs on your actual data, pulling role, location, employment type, and enrollment history from your HRIS and benefits admin. Organizations managing hundreds of plan permutations across employee groups and geographies deploy full decision support in under a week. 

Because benefits data is among the most sensitive in any enterprise, Cascade is built with governance at the architecture level: identity-first access, least-privilege permissions, and full audit trails on every interaction, with responses grounded exclusively in your documentation. Cascade is SOC2 Type 2, GDPR, and CCPA compliant. 

One platform. The view from both sides. 

Cascade walks every employee through a personalized benefits decision and captures everything that happens along the way. What each employee experiences as a private, guided conversation becomes, for the benefits team, a real-time picture of how the workforce understands its options. 

What employees experience 

Available in Teams, Slack, or mobile, at the hours employees actually have time to think through their benefits, not just during the workday 
Personalized to their actual situation: role, location, family status, and enrollment history, so the guidance reflects their life rather than a generic profile 
Private by design, so employees ask about cancer diagnoses, fertility treatments, and mental health coverage without attaching their name to the question. When the conversation is anonymous, they stop asking safe questions and start asking real ones 
Guided through complex situations like leave planning and qualified life events, step by step, at whatever pace they need

What Benefits teams see

Real-time analytics on which plans are generating questions, which benefits categories are landing, and where confusion is costing utilization 
Documentation gap flags generated from what employees ask, so the benefits team knows what to update before the next cycle, without a manual audit 
Visibility into which point solutions employees are engaging with through the workflow, and which ones are going unnoticed despite being available 
OE readiness tracking: the agent is trainable on new carrier documents as soon as they arrive 

Works with the systems you already run.

Cascade layers on top of your existing infrastructure without replacing it. Out-of-the-box integrations with your HRIS, benefits admin, identity, ticketing, and collaboration platforms mean your team is live in weeks, not quarters. 

Integrations

By the Numbers

What our customers see in the first year.

%
INQUIRIES RESOLVED
WITHOUT ESCALATION

of Open Enrollment questions fully resolved by the agent with no human intervention required 
x
MORE EMPLOYEE ENGAGEMENT

increase in OE question volume for organizations that deploy Cascade, compared to prior years without AI support 
2- wks
AVERAGE TIME TO DEPLOYMENT 

from contract to live deployment, with no custom engineering and minimal HR team lift

Customers including OneOncology, Siteimprove, and CLEAResult are live and resolving employee requests through Cascade today. 

Live before Open Enrollment opens. 

Cascade ingests your carrier documents, plan configurations, and benefits policies without replacing your existing systems. Your team can have decision support ready for employees in two to four weeks, with no custom engineering and no more than six hours of your benefits team’s time before the agent goes live. 

Week 1

Data ingestion and initial training 

Week 2

Model evaluation and integrations setup

Week 3

Pilot testing with select employee groups

Week 4

Full deployment and monitoring 

Resource requirements: 4 to 6 hours from your HR team, 1 hour from IT. 

Deploy AI Agents
Across Your Operations,
in Weeks 

See what Cascade can resolve, execute, and automate across your enterprise. 

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