Benefits Plan Advisor Agent

The Benefits Plan Advisor is your AI-powered digital assistant for the employee benefits domain. This digital worker helps employees confidently compare eligible benefit plans, estimate HSA, FSA, and Dependent Care FSA contributions, and navigate complex policy details.

The Benefits Plan Advisor agent delivers in-depth plan information, answers policy and eligibility questions, and provides step-by-step guidance during open enrollment, new hire events, or any benefits-related life event—ensuring compliance and informed decision-making at all times.

Powered by Oracle’s AI Agent framework and advanced large language models (LLMs), the Benefits Plan Advisor interprets natural language instructions, analyzes enrollment, electable choices, and delivers accurate, role-based recommendations and actions within your security permissions. 

With the Benefits Plan Advisor Agent, you can: 

  • Instantly view your current benefit enrollments (medical, dental, vision, retirement, and other coverages) 
  • Access detailed plan and provider information, including coverage, policy features, costs, and disclaimers.
  • Estimate tax savings and contribution impacts with built-in HSA, FSA, and Dependent Care FSA calculators.
  • See coverage start dates, enrollment periods, dependents, and coverage tiers at a glance.
  • Get step-by-step support during life events and enrollment windows. The life event must be in started status for this agent to work so the best place for the agent is within the enrollment guided process.
  • Securely email a benefits representative for additional help.

This assistant is: 

  • Preconfigured: Ready to use immediately—no setup or configuration required other than uploading PDF documents to the document tool.
  • Secure: Strictly enforces data access controls to protect sensitive employee and dependent information.
  • Compliance-focused: Keeps benefit enrollments aligned with legal requirements. 
  • Conversational: Responds to your requests in natural language, making it easy and intuitive to find information.

By putting benefits details and provider information at your fingertips, the Benefits Plan Advisor saves employees time, improves decision-making and satisfaction, and eliminates the need to navigate multiple screens or systems for answers.

Example Questions the Benefits Plan Advisor Agent Can Answer: 

  • Which health plan can I enroll in that costs under $400 per paycheck, has a low deductible, covers out-of-network care, and includes mental health coverage?  
  • What benefits am I currently enrolled in? 
  • Can you compare the yearly costs of the medical plans available to me? 
  • What’s the maximum I can contribute to my HSA this year? 
  • Are my dependents covered in my medical plan? 
  • Who is my dental plan provider and how do I contact them? 

Real-Time, Role-Based Data Access: 

  • Provides secure, accurate reconciliation results based on each user’s role and permissions. 

Accessible Anytime with Natural Language: 

  • Always available to answer compliance questions in plain language, making it easy for Benefits analysts and legal teams to use. 

Steps to Enable

  • Your environment must have the appropriate services for Oracle Applications Platform deployed. For more information, see FAQ2521 on My Oracle Cloud Support. 
  • Set the Enable Security Console External Application Integration (ORA_ASE_SAS_INTEGRATION_ENABLED) profile option to Yes, and enable permission groups for the appropriate roles. See Access Requirements for AI Agent Studio.
  • If you have questions on HSA, FSA, or DCFSA and if you haven’t  set up the calculators, you need to set up lookups by tax year to receive responses from the agent. To learn how to set up lookups, see Configure the Display of FSA and HSA Calculators.

To learn how to set up AI agents, see Create AI Agents Using Preconfigured Agent Team Templates.

Key Resources

Access Requirements

The agents you can view depend on the roles and privileges assigned to you. To access this agent, your role must be explicitly granted access to it by an AI Studio Administrator. See How can I give users access to AI agents and Access Requirements for AI Agent Studio.