HR Document Intelligence

The world's best benefits enrollment extraction

Streamline open enrollment and new hire benefits processing. Extract medical, dental, vision, and life insurance selections along with dependent information and coverage tiers. Validate elections against plan rules and flag incomplete enrollments.

benefits-enrollment.pdf

Viewer

JSON

employee_name

Jennifer Adams

employee_id

EMP-00789

enrollment_reason

New Hire

effective_date

2024-03-01

medical_plan

plan_name: PPO Gold, coverage_level: Employee + Family, monthly_premium: 650

dental_plan

plan_name: Delta Dental PPO, coverage_level: Employee + Family, monthly_premium: 85

vision_plan

plan_name: VSP Choice, coverage_level: Employee + Family, monthly_premium: 25

life_insurance

basic_coverage: 1x Salary, supplemental_coverage: 2x Salary, monthly_premium: 45

Dependents

2 items

name

relationship

date_of_birth

ssn_last_four

Michael Adams

Spouse

1988-07-22

4567

Emma Adams

Child

2015-03-10

8901

fsa_election

2500

employee_signature

[Signed]

signature_date

2024-02-15

{ "employee_name": "Jennifer Adams", "employee_id": "EMP-00789", "enrollment_reason": "New Hire", "effective_date": "2024-03-01", "medical_plan": { "plan_name": "PPO Gold", "coverage_level": "Employee + Family", "monthly_premium": 650 }, "dental_plan": { "plan_name": "Delta Dental PPO", "coverage_level": "Employee + Family", "monthly_premium": 85 }, "vision_plan": { "plan_name": "VSP Choice", "coverage_level": "Employee + Family", "monthly_premium": 25 }, "life_insurance": { "basic_coverage": "1x Salary", "supplemental_coverage": "2x Salary", "monthly_premium": 45 }, "dependents": [ { "name": "Michael Adams", "relationship": "Spouse", "date_of_birth": "1988-07-22", "ssn_last_four": "4567"}, { "name": "Emma Adams", "relationship": "Child", "date_of_birth": "2015-03-10", "ssn_last_four": "8901"} ], "fsa_election": 2500, "employee_signature": "[Signed]", "signature_date": "2024-02-15"}

benefits-enrollment.pdf

Viewer

JSON

employee_name

Jennifer Adams

employee_id

EMP-00789

enrollment_reason

New Hire

effective_date

2024-03-01

medical_plan

plan_name: PPO Gold, coverage_level: Employee + Family, monthly_premium: 650

dental_plan

plan_name: Delta Dental PPO, coverage_level: Employee + Family, monthly_premium: 85

vision_plan

plan_name: VSP Choice, coverage_level: Employee + Family, monthly_premium: 25

life_insurance

basic_coverage: 1x Salary, supplemental_coverage: 2x Salary, monthly_premium: 45

Dependents

2 items

name

relationship

date_of_birth

ssn_last_four

Michael Adams

Spouse

1988-07-22

4567

Emma Adams

Child

2015-03-10

8901

fsa_election

2500

employee_signature

[Signed]

signature_date

2024-02-15

{ "employee_name": "Jennifer Adams", "employee_id": "EMP-00789", "enrollment_reason": "New Hire", "effective_date": "2024-03-01", "medical_plan": { "plan_name": "PPO Gold", "coverage_level": "Employee + Family", "monthly_premium": 650 }, "dental_plan": { "plan_name": "Delta Dental PPO", "coverage_level": "Employee + Family", "monthly_premium": 85 }, "vision_plan": { "plan_name": "VSP Choice", "coverage_level": "Employee + Family", "monthly_premium": 25 }, "life_insurance": { "basic_coverage": "1x Salary", "supplemental_coverage": "2x Salary", "monthly_premium": 45 }, "dependents": [ { "name": "Michael Adams", "relationship": "Spouse", "date_of_birth": "1988-07-22", "ssn_last_four": "4567"}, { "name": "Emma Adams", "relationship": "Child", "date_of_birth": "2015-03-10", "ssn_last_four": "8901"} ], "fsa_election": 2500, "employee_signature": "[Signed]", "signature_date": "2024-02-15"}

Integrations

Connect Benefits enrollment forms across your stack

DocuPipe captures benefits enrollment forms from open enrollment packets, new hire onboarding, or qualifying life events. Extract plan selections, dependent details, and coverage levels, then sync to your benefits administration platform or HRIS.

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