Platform/Research and Compliance

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Healthcare regulatory changes, tracked on autopilot.

Agents continuously monitor federal and state regulatory sources and ingest the underlying documents into a citable reference library.

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Regs, carrier docs, and your own uploads are the source. Each answer links back to the exact passage it came from.

Reg changes, watched

When a rule shifts, Coverly tells you which clients and classes it actually touches, not a generic news blast.

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Tax treatment, compliance deadlines, plan-design rules, state-by-state nuance. Ask in plain English and get a precise answer with the source attached, so you can quote it with confidence.

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Research

How long does COBRA coverage last after an employee is terminated?

Up to 18 months for a termination or reduction in hours, extendable to 36 for events like divorce or a dependent aging out. The employee has 60 days to elect.

ERISA §602 (COBRA)DOL FAQ
Reg-impact analysis

What a rule change means for your book.

A new affordability percentage or filing deadline drops. Coverly maps it onto the clients and classes you actually manage and tells you what to do next.

Reg-impact

Change detected

2026 affordability % → 9.96%

Clients affected in your book:

Riverside Co

Hourly class now over line

Beacon Health

Within threshold

Acme Logistics

Re-check at renewal

Client briefing

A briefing before every meeting.

One prompt produces a tight, cited one-pager on the client, their plan, and the open questions, so you walk in already knowing the answer.

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CoverlyOctober · 2026
01Client briefing

Apex Manufacturing

Level-funded exploration for 1/1/2027 renewal · Apex finance / HR decision-makers

Client snapshot

Group75 eligible · avg age 46.2
LocationColorado (ZIP3 802 / 800)
IncumbentFully-insured group · ~$850 PEPM
Renewal1/1/2027 · +13% as offered
DirectionExploring level-funded for the 2027 plan year

Why this meeting matters

A +13% renewal on a 75-life CO group makes level-funded a real conversation. The room needs to walk out knowing what they’re trading fully-insured pooling for.

What to walk the room through

  • The +13% is the unlock, not the answer. Claims experience and a healthy census drive level-funded savings, not the label.[1]
  • Stop-loss is the actual product. Attachment points, not the PEPM, determine whether a bad year is survivable.[1]
  • 75 lives is near the NAIC stop-loss floor. CO carriers price near the floors, so quote terms matter as much as the rate.[2]

Suggested questions

  • What’s driving the +13%: block trend or group utilization?
  • How much month-to-month cash-flow variability can Apex absorb?

Recommended next steps

  • Request 24 months of incumbent claims experience.[1]
  • Model $20K vs. $30K specific attachment scenarios.[2]
Coverly · ConfidentialApex · 1/1/2027 RenewalPage 01 / 09

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