The aggregate
$1.6T
U.S. private health insurance spending hit $1.6 trillion in 2024, and most of it runs through employer-sponsored plans.
CMS · 2024You bought great benefits.
We make sure people use them.
Introducing Benefits IQ: the engine that meets employees where they are that can instantly answer their benefits and health questions, and gives benefits leaders visibility and insights into their portfolio of benefits.
Benefits sprawl is expensive, and nobody can see it.
Hover any number to see what it means for your company.
The trajectory
10%
Employer healthcare costs are projected to rise 10% in 2026, the steepest increase in 15 years.
IFEBP · 2026Family coverage
$26,993
The average premium for employer family coverage now tops $26,993 a year, rising faster than wages or inflation.
KFF · 2025The confusion
86%
of employees say they're confused by the benefits their employer offers them.
HR Morning · 2024The burden
8 hrs
a month the average U.S. adult spends coordinating care for themselves or their family.
AAPA · 2023Your commitment to your employees is there. They just can't find it.
Simplify takes the benefits you already pay for and makes them findable, usable, and measurable.
How we're different
Simplify Health created Benefits IQ, the engine that helps employees know before they navigate.
Every other tool helps someone who already knows what they need. Benefits IQ starts a step earlier, at the moment of confusion, before the search begins.
Everyone else
Benefits navigation
Routes people once they already know what they need, or when they call in. Information retrieval that lacks any understanding of the next best step.
Simplify Health with Benefits IQ
Know before you navigate
Meets employees and dependents at the moment of confusion, before they know what to ask, then turns those moments into intelligence the team can act on.
Simpler for everyone.
We start a step before navigation does. Your team finally sees what's actually happening across the stack, we coordinate information and actions, and your employees finally understand what to do about it.
The View
For the team running benefits
Your operating system for your portfolio of benefits: utilization, performance, and the admin lift, all in one place.
- Real-time benefits analytics. Utilization, outcomes, and gaps across your full stack, by population.
- Automated reporting & comms. Vendor reports, invoice reconciliation, and employee comms, drafted for you.
- Care-gap detection from claims. Surfaces the employees your stack is missing before renewal.
The Guide
For every employee on the plan
A conversational front door that meets employees right when they're stuck, and already knows what their plan covers.
- Answers from their plan. Not the open internet. "Your plan covers 12 PT visits, no referral needed."
- Routes to the right option. Including the $0 paths your plan design already pays for.
- Default place to start across every vendor your plan offers instead of multiple logins and giant PDF's.
One feeds the other. Every conversation in The Guide sharpens what leaders see in The View, so the platform compounds with use.
Meet employees where they already work.
The Guide isn't a portal employees have to log into. It plugs into the surfaces your workforce already uses and talks directly to the systems on the other side.
Messaging
In the channels they already use.
Email, SMS, Slack, and Microsoft Teams. The same plan-aware intelligence, native to whatever your team checks every day.
Email
SMS
Slack
Teams
Teams
Embedded
Inside the apps you already run.
Drop the Guide into your intranet, payroll portal, or HRIS via SDK and API. No second login, no migration project.
Intranet
Payroll
HRIS
Custom app
Interop
Agent to agent.
Talks directly to vendor and benefits-admin agents on the employee's behalf. It books the visit, checks eligibility, and finishes the task instead of handing it back.
Built around your incentives.
We're not another point solution adding to your stack. We're the layer that makes the rest of it work harder.
Aligned, not conflicted.
We don't own care delivery and don't have lock-in vendor arrangements. Our incentives match yours: route to the right solution and prove the savings.
One layer, every system.
Brings ben admin, vendor analytics, eligibility, and claims into a single intelligence layer that powers day-to-day operations, not just renewal slides.
Days, not months.
Plug in your existing vendor reports and the platform starts working. It deepens as you connect claims and additional feeds.
Your members' privacy comes first.
We care first about the people on the plan. Their data is used only to deliver better care and clearer answers.
HIPAA-compliant
SOC 2
in progress
Our mission
Health and benefits have lived apart.
We believe they belong together.
Helping someone use their health plan has always taken a whole team: a nurse for triage, a navigator for routing, a benefits desk for coverage, a billing desk for the numbers. Different systems, different vendors, different logins. But you don't get one without the other. There's no health decision that isn't also a benefits decision and most of the time, it's also a money decision.
Patients skip the screenings, put off the therapies, or leave the prescriptions at the counter. Sometimes it's because the system is confusing, sometimes it's inconvenient and sometimes because they're scared of the bill. No one should have to choose between the care they need and their groceries.
Our mission is to make that whole experience simple. One place, always at your fingertips, where employees and their families can see the options they really have, get their questions answered instantly, and find the $0 or lowest-cost option that doesn't cut corners on care. No PhD in healthcare required.
The goal is a happier, healthier population that makes better decisions with less effort, and a benefits team that can roll all of it out without the usual friction.
Our experts and advisors
Bruce Perlman
Fortune 100 Brand Marketing Leader
Formerly at Progressive
Sherri Samuels-Fuerst
Former VP Total Rewards at Sargento & RN
Michael ParkinsonMD, MPH, FACPM
Former Sr. Medical Director, UPMC
Rich Krutsch
Formerly ArcBest Benefits Leader
Phoebe SouzaMSW, LCSW, MPH, OSW-C, APHSW-C
Clinical Program Development Lead at OncoHealth
Josh Sturm
Chief Revenue Officer at Color
Teri Wisness
Partner at IronStreet Advisors
Formerly Director of Benefits at Google
Matt Harmon
Benefits Producer at Higginbotham
Formerly VP of Benefits at AutoZone
Manny Menendez
Former Willis Towers Watson & Aon Strategy Leader
See it on YOUR benefits.
A 30-minute walkthrough on your vendors, your population, your numbers. We'll show you what's hiding in the data and how the Guide behaves on your plan design.