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Benefits Logic for Product Managers
Welcome/Introduction
Hello Friends! Thanks for joining! (3:16)
Why This Course Exists
Who’s Actually in the Room (6:29)
Why Domain Knowledge Matters in Benefits Tech (6:09)
How We Got Here — The History (and Future) of Employer-Sponsored Benefits (6:55)
Which Benefits PM Are You — and How Much Do You Actually Need to Know? (8:04)
Module 1 Homework
The Benefits Package: What It Is, How It Works, and Why It's Never Simple
Types of Benefits Offered by Employers (6:08)
Rules and Timelines Behind Benefits Enrollment — Why Open Enrollment is a Year-Round Job (5:19)
How to Read A Summary Plan Description (SPD) (6:07)
Effective Dates, Premium Timing, and the Question of Which Check It Comes Out Of (6:44)
Benefits Cost Reduction Strategies and What They Mean for Platform Design (6:54)
Evidence of Insurability, Guarantee Issue, and What Happens When the Carrier Says No (5:53)
FSAs, HSAs, HRAs, and MSAs — The Account-Based Benefits Every PM Needs to Understand (9:22)
Module 2 Homework
The Role of Benefits Admins
What Benefits Administrators Actually Do (5:55)
How Upstream Product Decisions Affect Downstream Processes (5:21)
Common Pain Points and Sources of Data Re-entry (6:36)
Module 3 Homework
Regulatory Landscape in Benefits Tech
The Regulatory Timeline — How We Got the Rules We Have (8:24)
ACA Deep Dive — Reporting, Audits, Risks and Penalties (7:22)
COBRA, QMCSO, ADA, HIPAA — The Regulations Nobody Builds For Until Someone Complains (8:07)
How to Read an IRS Notice Without a Law Degree (9:26)
Staying Current — Sources, Cadence, and Building Regulatory Awareness Into Your Roadmap (7:49)
Module 4 Homework
The Other Rule Makers - When Policy Lives Outside the Law
Union Agreements and Collective Bargaining — When the Contract Overrides the Handbook (6:40)
Employee Handbooks, Civil Service Rules, and Company Policy as a Benefits Driver (5:49)
Carrier Requirements and Vendor File Specifications — The Rules That Aren't Written in Law (6:30)
Court Orders, QMCSOs, and What Happens When Benefits Becomes a Legal Matter (6:31)
When the Software Is on the Hook — Vendor Liability, Fiduciary Risk, and the Question Nobody Wants to Answer (5:59)
Third Party Administrators, Open Enrollment Outsourcing, and Access Management (6:19)
Module 5 Homework
Integrations and Data
How Benefits Integrations Work — the Data Highway (6:55)
When Integrations Break — and How to Build for Failure (6:00)
The 834 File — What It Is, What It Does, and What to Do When the Carrier Sends It Back (6:39)
Module 6 Homework
Building Benefits Features with Confidence
Scoping Features Based on Domain Knowledge (5:47)
Asking Smarter Questions to Stakeholders and Partners (5:30)
Avoiding Surprises in UAT Through Early Validation (6:49)
Building for Mobile — Open Enrollment Is Not a Desktop Problem Anymore (6:25)
Module 7 Homework
AI and the Future of Benefits Technology
Where AI Actually Belongs in Benefits Tech-and Where It Doesn't (6:35)
Regulatory Intelligence — Using AI to Monitor Compliance in Real Time (7:14)
AI for Error Prevention and Admin Workflow — The Back Office Opportunity (6:25)
Decision Support, HIPAA, and Fiduciary Risk — Why the Employee-Facing AI Play Is More Complicated Than It Looks (6:20)
Building AI Features for a Risk-Averse Buyer — What Benefits Admins Will Actually Adopt (7:15)
Module 8 Homework
Case Studies and Practical Applications
The Most Expensive Mistakes PMs Make in Benefits Tech (5:09)
Diagnosing a Carrier Feed Breakdown Before Open Enrollment (11:12)
Improving Enrollment Flow to Reduce Admin Data Re-entry (5:52)
Sprint Planning with Benefits Logic in Mind (5:22)
When the System Goes Silent — Medicare Coordination and the Gaps That Cost People Money (5:27)
Beneficiary Audits (5:01)
Module 9 Homework
What You Do Monday Morning
Recap of Key Learnings (6:05)
Resources for Ongoing Learning in Benefits Tech (5:53)
Applying Benefits Logic to Your Product Management Practice (5:10)
Module 10 Homework
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Module 3 Homework
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