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Benefit Plan Standard

✅ Latest release: v1.1.0 (May 2026)  · v1.2.0 draft: CARIN alignment and Medicare Advantage

Open, vendor-neutral schema for health benefit plans. Normalize data, enable interoperability, and extend with custom modules.

How It Works, in 90 SecondsRead the SpecificationGet StartedView Schema on GitHub

Key Features

Normalize Benefit Data

Eliminate manual extraction and reconcile differences across carriers with a unified schema that defines every field, limit and cost share.

Enable Interoperability

Use a common language to compare plans, build analytics and integrate systems, from brokers and TPAs to digital health platforms.

Modular & Extensible

Extend the core schema with modules for pharmacy, behavioral health, dental, vision and more. Grow without breaking your integrations.

Activity

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101 commits across the Benefit Plan Standard repositories in the last 12 months. Last change October 7, 2026.

Why Benefit Plan Standard?

  • Unlock comparability across carriers to empower transparent plan selection.
  • Reduce extraction costs and time by relying on a single canonical schema.
  • Enable analytics, decision support and interoperability with clean, machine-readable data.
  • Facilitate regulatory compliance and simplify integrations across the benefits ecosystem.

Get Started

Begin your journey with the Benefit Plan Standard in just three steps:

  1. Read the Specification Overview.
  2. Explore sample plan files.
  3. Install and implement the schema using our installation guide.

Join the Community

Benefit Plan Standard thrives on collaboration. Contribute to the schema, discuss enhancements, and help define the future of benefits interoperability. Connect with us on GitHub or follow us on LinkedIn for updates.

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