AI Agents for Health & Life Insurance Screening and Enrollment

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“We’ve made the enrollment experience for Medicare Advantage beneficiaries faster and simpler with Regal. The screener agent scales instantly when demand surges, with after-hours calls performing on par with our best agents.”

Ketan Babaria
Chief Digital and AI Officer

Trusted by Insurance Leaders

Why Regal for Health & Life Insurance?

SCALE QUALIFICATION FOR PEAK ENROLLMENT

Regal reaches every lead within seconds and keeps working calls, texts, and emails through AEP volume spikes, so no one sits cold during open enrollment's busiest weeks.

AI agents scale for seasonal surges, so you're not hiring and training a temporary licensed team every year.

HAND OFF QUALIFIED APPLICANTS, NOT COLD LEADS

AI agents confirm eligibility, ask the right health and coverage questions, and transfer to a licensed agent with context, so your team spends the day closing instead of qualifying.

Guardrails keep plan details, premiums, and eligibility answers accurate.

INSURANCE INTEGRATIONS, BUILT-IN COMPLIANCE

Regal connects directly to your quoting engines, CRM, and policy administration systems, so eligibility data and call outcomes sync without manual exports.

Every integration runs on HIPAA- and SOC 2-compliant infrastructure, with TCPA-compliant dialing built in.

In Numbers

With Regal, eHealth’s AI agent earned exceptional ratings, increasing purchase interest compared to previous screener agents.

100%
Answer Rate

Eliminating After-hours
Wait Times
77%
"Exceptional"
Rating from Callers
27%
Increase in Purchase Interest Among After-hours Callers Assisted by AI vs. Human Screeners*

*Internal eHealth analysis of after-hours Medicare calls served by AI agents, 2025

USE CASES

From the first enrollment call to a missed premium payment, Regal's AI agents handle the full range of policyholder conversations. Below are four real use cases, the scripts they run, and the exact journey logic behind each one.

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QUALIFY NEW Policyholder leads

Follow up with new leads, gather the details needed to qualify and price the policy, and route to a specialist when it's ready to close.
Example: A prospect submits a quote request through the website, and the agent calls to qualify the property before handing off for a final quote.

Trigger Quote Requested New lead from website form Do not call Route to email only Conditional match DNC Check Action Warm Transfer To licensed agent, with context YES YES NO NO Send SMS Send Confirmation Text Recaps call + agent intro Conditional match Interest in Proceeding? Send SMS Thank you Text Provide number and survey Call Task AI Agent: Qualifies Property type, year built, sq footage Captured context Single Family; Built in 2005, 2,200 Square Feet
Do not call Route to email only YES NO Conditional match DNC Check Call Task AI Agent: Qualifies Property type, year built, sq footage Trigger Quote Requested New lead from website form
Action Warm Transfer To licensed agent, with context Conditional match Interest in Proceeding? YES NO Send SMS Send Confirmation Text Recaps call + agent intro Send SMS Thank you Text Provide number and survey Captured context Single Family; Built in 2005, 2,200 Square Feet

Policy Update Outreach

When a CRM trigger flags a life change, like a new vehicle purchase, proactively reach out to update the policyholder's coverage and process the change without waiting for them to call in.
Example: A policyholder recently financed a new car, and the agent calls to confirm coverage details and add the vehicle to their existing auto policy.

Captured context New vehicle: 2026 Honda CR-V Trigger Contact Attribute Changed New vehicle financed Auto policy Filter: Vertical: Do not call Route to email only Conditional match DNC Check Action Webhook: Update Policy PATCH to Duck Creek: add vehicle NO YES YES NO Conditional match Wants Coverage Added? Call Task AI Agent: Coverage Update Confirms vehicle, offers to add it Send SMS Confirmation Text Confirms update + new premium No action taken
Trigger Contact Attribute Changed New vehicle financed Auto policy Filter: Vertical: Conditional match DNC Check Call Task AI Agent: Coverage Update Confirms vehicle, offers to add it NO YES Do not call Route to email only Captured context New vehicle: 2026 Honda CR-V
NO YES No action taken Conditional match Wants Coverage Added? Action Webhook: Update Policy PATCH to Duck Creek: add vehicle Send SMS Confirmation Text Confirms update + new premium

Renewal & Billing Outreach

Proactively reach out ahead of a policy renewal to flag a premium change, confirm payment details, and offer to connect the policyholder with a specialist if they want to adjust coverage.
Example: A policyholder's bundled home and auto policy is renewing with a rate increase, and the agent calls ahead of the renewal date to explain the change and confirm payment details.

Send SMS Renewal Notice Bundled policy has a premium 
 change, renewal in one month. Captured context New premium: $2,150 Reason: Rebuilding costs NO YES Action Warm Transfer To specialist, with context Action Webhook: Renew Policy Sync to Applied Epic: renew policy Send SMS Follow-Up Confirmation Confirms renewal + next steps Trigger Dynamic Segment Renewal ≤ 30 days Bundled home + auto Filter: Vertical: Call Task AI Agent: Renewal Review Reviews premium change, offers options AI Decision Interest in Renewing? Wants to discuss options? Send SMS Send Close-Out Text Thanks contact, confirms renewal as-is Conditional match Approves Renewal? Or wants to make changes?
NO YES Trigger Dynamic Segment Renewal ≤ 30 days Bundled home + auto Filter: Vertical: Send SMS Renewal Notice Bundled policy has a premium change, renewal in one month. AI Decision Interest in Renewing? Wants to discuss options? Send SMS Send Close-Out Text Thanks contact, confirms renewal as-is Call Task AI Agent: Renewal Review Reviews premium change, offers options Captured context New premium: $2,150 Reason: Rebuilding costs
NO YES Conditional match Approves Renewal? Or wants to make changes? Action Warm Transfer To specialist, with context Send SMS Follow-Up Confirmation Confirms renewal + next steps Action Webhook: Renew Policy Sync to Applied Epic: renew policy

End-to-End FNOL Follow-Up

Follow up when a claim is started online but left incomplete, gather the missing liability and incident details, and finish filing it without a human agent.
Example: A customer starts a claim through the mobile app after a collision but doesn't finish the form, and the agent calls to complete the first notice of loss.

Captured context Location: I-35 collision Injuries: none reported Trigger Dynamic Segment Claim incomplete > 2hrs Auto & property claims Filter: Vertical: Do not call Route to email only Conditional match DNC Check Action Update Contact Logs claim, flags liability Webhook Assign Claim Number POST to BriteCore NO NO YES YES Conditional match Interest in Renewing? Call Task AI Agent: FNOL Completion Verifies identity, gathers incident and liability details Action Warm Transfer Immediate human escalation Send SMS Confirmation Text Claim number + adjuster contact info
Trigger Dynamic Segment Claim incomplete > 2hrs Auto & property claims Filter: Vertical: Conditional match DNC Check Call Task AI Agent: FNOL Completion Verifies identity, gathers incident and liability details NO YES Do not call Route to email only Captured context I-35 collision none reported Location: Injuries:
NO YES Action Warm Transfer Immediate human escalation Conditional match Interest in Renewing? Webhook Assign Claim Number POST to BriteCore Action Update Contact Logs claim, flags liability Send SMS Confirmation Text Claim number + adjuster contact info

Platform Capabilities

Convert intent into action

Remove friction from the conversations that matter most in the  enrollment journey. AI agents handle complexity, navigating screening, plan comparisons, and enrollment workflows, responding naturally and guiding prospects toward a bound policy.

Personalize Conversations

Design AI agents that represent your brand, with control over tone, persona, and interruption handling. Customer data drives dynamic responses before, during, and after every call.

Multi-Channel Orchestration

Rooted in years of voice-first innovation, Regal's AI Agents speak 30+ languages. Build once and deploy across calls, SMS, and chat, with unlimited capacity for insurance leads, applicants, and policyholders.

Native CCaaS Platform

Orchestrate AI and human calls in a centralized interface with built-in IVR and routing, then optimize with A/B testing, Branded Caller ID, and suggested improvements.

Conversation Memory

With a Unified Customer Profile, every caller interaction picks up where the last left off: prior hardships, promises to pay, escalation history.

Compliance by Default

FDCPA, TCPA, CFPB, HIPAA, SOC 2, PCI, GDPR coverage built in, not bolted on. Includes real-time regulatory audit against 100% of interactions.

we work with your tech stack

See some of our 40+ integrations with CCaaS, CRMs and more, as well as intuitive APIs and webhooks to connect to any solution you need.
View Our Integrations
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Enterprise-Grade Security

Regal meets enterprise data and privacy standards you can trust.

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Our agreements with LLM partners prevent them from training on your data or storing your data.

Treat your customers like royalty

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