What BenefitHelp Solutions does

BenefitHelp Solutions, Inc. is a Portland, Oregon-based third-party administrator (TPA) that manages tax-advantaged employee benefit accounts and related administrative services on behalf of employers and their workforces. Founded in 1994 and operating as a subsidiary of Moda, Inc., the firm administers Medical and Dependent Care Flexible Spending Accounts (FSA), Health Reimbursement Accounts (HRA), Health Savings Accounts (HSA), Commuter Expense Reimbursement Accounts (CERA), Lifestyle Spending Accounts (LSA), COBRA continuation coverage, and group/retiree premium administration. Its service footprint spans eight U.S. states (Oregon, Alaska, Washington, Idaho, Texas, Louisiana, Hawaii, and California), and its named group relationships center on Oregon public-sector pools including the Oregon Educators Benefit Board (OEBB), the Public Employees' Benefit Board (PEBB), and the Public Employees' Retirement System (PERS).

The technology stack is a platform-plus-modules architecture delivered primarily through WEX Health's TPA infrastructure, comprising separate consumer, employer, and COBRA portals, a benefits card system that adjudicates IRS 213(d) eligibility at the point of sale, automated claims processing with 3–5 business day reimbursement cycles, and native iOS/Android mobile applications that support photo-receipt submission, barcode-based eligibility verification, and HSA distributions. The firm distributes through direct sales, inbound quote requests, and an insurance broker/agent channel, with customer service operating as a post-sale retention layer.

The business model is recurring and contracted: employers pay administrative fees (per-participant or per-account pricing, multi-year contracts, quote-based and not publicly disclosed) for account administration, COBRA services, and premium billing/collection. Revenue streams combine subscription-style TPA fees with managed-services pricing for COBRA and premium administration. Pricing varies by participant count, account types selected, and service level requirements, and the firm derives its principal revenue from a mix of large Oregon public-sector group accounts and private-sector employer clients across its eight-state footprint.

Name

BenefitHelp Solutions

Legal name

BenefitHelp Solutions, Inc.

Website

https://benefithelpsolutions.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

51–100 employees

Short description

BenefitHelp Solutions is a Portland-based third-party administrator that manages FSA, HRA, HSA, commuter, dependent care, LSA, COBRA, and premium billing services for employers across eight U.S. states, with marquee Oregon public-sector clients including OEBB, PEBB, and PERS.

Ownership category

akta.pro rank

Product category

Third-party employee benefits administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (525120)

SIC

Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)

akta.pro primary industry

Benefits Administration (BPACAPAC)

akta.pro secondary industries

Flexible Benefits Administration (FSA/HSA/HRA) (HLAEALAK), COBRA & Retiree Continuation Administration (HLAEAAAJ), Workforce Benefits Administration (Enrollment & Deductions) (BPACAIAF)

Keywords

• Third-party benefits administration
• Consumer-directed healthcare accounts
• COBRA administration services
• Premium billing administration
• Tax-advantaged spending accounts

Headquarters

HQ city

Portland

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Third-Party Administration Fees: Administrative fees charged to employers for managing employee benefit accounts including FSA, HRA, HSA, Commuter, and Dependent Care reimbursement accounts. Revenue is recurring based on per-participant or per-account pricing contracted with employers.
2. Premium Administration Services: Fees for eligibility administration, premium calculation, consolidated billing, premium collection, and carrier payment services for group and retiree benefit programs.
3. COBRA Administration: Fees for COBRA continuation services including initial notification letters, qualifying event notices, premium collection and disbursement, eligibility management, and compliance reporting. Services include scanning documents into imaging system for audit purposes.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

BenefitHelp Solutions provides third-party administration of tax-advantaged employee benefit accounts, including Medical FSA, Commuter CERA, Dependent Care DCA, HRA, HSA, and Lifestyle Spending Account (LSA), plus COBRA continuation administration and group/retiree Premium Administration services. Employers contract the company to run these accounts end-to-end, including eligibility management, premium collection, claims adjudication, and compliance, while employees of those employers access accounts through web portals and a mobile app using a benefits debit card.

Product overview

BenefitHelp Solutions offers a comprehensive suite of tax-advantaged benefit accounts and administrative services delivered through a platform-plus-modules architecture. The core product portfolio includes six reimbursement account types—Medical FSA, Commuter CERA, Health Reimbursement Account (HRA), Dependent Care DCA, Health Savings Account (HSA), and Lifestyle Spending Account (LSA)—which employers can offer individually or in combination. Additional modules include COBRA continuation administration and Premium Administration (group and retiree). A companion mobile app provides members real-time account access. All accounts share a common member portal, benefits card infrastructure, and claims processing system, while employers access a separate partner portal for account management.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Flexible Spending Account (FSA) A pre-tax reimbursement account that allows employees to pay for eligible unreimbursed healthcare expenses, increasing their spendable income. Administered by BenefitHelp Solutions on behalf of employers.
• Commuter Expense Reimbursement Account (CERA) A pre-tax account that reimburses employees for parking and commuter costs including mass transit and carpooling expenses. Administered by BenefitHelp Solutions for employers.
• Health Reimbursement Account (HRA) An employer-funded benefit plan that reimburses employees for qualified out-of-pocket healthcare expenses such as deductibles, copays, or coinsurance. Administered by BenefitHelp Solutions for employers.
• Dependent Care Reimbursement Account (DCA) A pre-tax account that reimburses employees for eligible daycare expenses for children 12-and-under or for adult daycare expenses for disabled spouses or IRS tax dependents. Administered by BenefitHelp Solutions.
• Health Savings Account (HSA) A triple tax-advantaged employee-funded account for current and future medical expenses, designed to be coupled with a qualified High Deductible Health Plan (HDHP). Administered by BenefitHelp Solutions.
• Lifestyle Spending Account (LSA)

Named customers3 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Five partnerships are on record, tiered core.

• WEX Health Inc.coreTechnology or IntegrationWEX Health provides the COBRA administration portal technology (cobra.benefithelpsolutions.com) and member portal infrastructure. UI version 2026.6.4.1 with API 2018.7.19.1. Copyright 2004-2026 WEX Health Inc.
• Oregon Educators Benefit Board (OEBB)coreOthersBenefitHelp Solutions provides comprehensive eligibility administration and premium collection for OEBB, serving Oregon public school employees and educators with COBRA and retiree benefit management.
• Public Employees' Benefit Board (PEBB)coreOthersBenefitHelp Solutions manages COBRA and retiree benefits for PEBB, the State of Oregon's public employee benefit program. Services include eligibility administration and premium collection.
• Public Employees' Retirement System (PERS)coreOthersBenefitHelp Solutions provides benefit administration services for PERS retirees, managing eligibility and premium collection for retired public employees.
• IRS (Submits to regulatory requirements)coreOthersBenefitHelp Solutions operates under IRS regulations for 213(d) eligible expenses, CARES Act provisions, and cafeteria plan requirements (Section 125). All account types comply with IRS guidelines for tax-advantaged healthcare spending.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Further (formerly WageWorks/HealthEquity): Operates an integrated benefits administration platform for FSA, HRA, HSA, commuter, dependent care, and COBRA — overlapping directly with BenefitHelp's product line and target employer base.
• Ameriflex: Independent TPA offering FSA, HRA, HSA, COBRA, commuter, and Lifestyle Spending Account administration. Closely comparable in size and product breadth to BenefitHelp.
• American Benefits Group: Regional TPA offering COBRA, FSA, HRA, HSA, and premium administration to employers and public sector entities — closely comparable in product mix and customer type to BenefitHelp.
• HealthEquity: Largest U.S. HSA custodian and integrated benefits administrator offering HSA, FSA, HRA, COBRA, and commuter administration. Directly comparable to BenefitHelp's core product suite at significantly larger scale.
• WEX Health: Provides the technology platform BenefitHelp uses and also offers its own consumer-directed health administration services (HSA, FSA, HRA, COBRA, commuter), making it both a vendor and a competitor in the TPA market.
• National Benefits Group: Mid-sized TPA administering COBRA, FSA, HRA, HSA, and retiree billing services. Directly comparable in service offerings and in serving employer and government clients.

Emerging players

• Lively (Lively HSA): Modern HSA custodian and benefits administration platform targeting employers with a tech-forward experience; overlaps with BenefitHelp on HSA and increasingly on FSA/HRA administration.

Broad incumbents

• ADP TotalSource / ADP Benefits: National PEO and benefits administration provider bundling payroll, benefits, and COBRA administration; competes with BenefitHelp in the mid-market employer segment.
• Optum Financial: UnitedHealth Group's financial services arm offering HSA banking, COBRA, and consumer-directed benefit administration at national scale; competes for the same employer RFPs but with substantially broader resources.
• Fidelity HSA: Major HSA custodian and benefits provider with deep employer relationships; competes with BenefitHelp for HSA administration mandates, particularly among larger self-funded employers.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about BenefitHelp Solutions