Fred for health insurance.
Answer member and shopper questions, capture leads, and book your team around the clock. Configure guardrails for your business and reserve professional decisions for your team.
Every shopper, captured and routed.
Open enrollment is confusing and someone needs help understanding plans and deadlines. Fred answers the general questions, captures the lead, and books a licensed agent, while premiums, plan suitability, and benefit specifics stay with your team.
What Fred does
- Answers plan types, enrollment, and general questions
- Captures leads and enrollment interest
- Books appointments with a licensed agent, 24/7
- Routes benefit and eligibility questions to your team
When Fred hands off to you
- A request for a premium or rate
- A plan-suitability or benefit-interpretation question
- An eligibility or subsidy determination
- A shopper ready to enroll or talk to an agent
What Fred won’t do
- Quote a premium or rate estimate
- Interpret benefits or recommend a specific plan
- Determine eligibility or bind coverage
Pre-configured for health insurance: individual and group plan education and lead intake; quoting, eligibility, and benefit decisions handled by a licensed agent.
Enrollment is confusing. Fred makes it simple.
Talk to Fred.
Server-side guardrails
Example rules to review and configure for your deployment.
Insurance is sold on trust and regulated on every promise, so a wrong answer about coverage is a claim waiting to be denied. The panel below illustrates industry rules, custom rules, and intended boundaries. Configured checks target recognized patterns; they can miss context or flag harmless content. Confirm the active rules and test them for your deployment. Example messages are illustrative and must be adapted to your services and escalation workflow.
Automated Guardrail Actions
Pack rules enforced in addition to baseline protections.industry.insurance
| Rule ID | Action | Severity | Phase | Message | Triggers |
|---|---|---|---|---|---|
| ins-emergency-escalate | ESCALATE | S4 | input | I’m sorry this is happening. Contact your agent directly to start a claim and discuss the help available. | contains: just had an accident, house is flooding, car was stolen +12 |
| ins-no-binding | ESCALATE | S4 | input | I can't bind, cancel, or modify coverage — that requires a licensed agent. Let me connect you with one right away. | contains: bind my policy, cancel my policy, add a driver +12 |
| ins-fraud-escalate | ESCALATE | S3 | input | Please contact the fraud team directly through the published support channel. | contains: insurance fraud, report fraud, someone filed a fake claim +11 |
| ins-no-policy-interpretation | DENY | S3 | input | I can't interpret specific policy coverage. Your policy language and endorsements determine what's covered. Let me connect you with an agent who can review your policy with you. | contains: am I covered for, does my policy cover, does my insurance cover +13 |
| ins-no-guarantees | DENY | S3 | output | Only underwriting can guarantee coverage or claim approvals. Let me connect you to an agent who can review your situation. | contains: guarantee approval, claim approved, will be covered +10 |
| ins-no-premium-generation | DENY | S3 | output | I can't generate premium quotes or rate estimates. A licensed agent can provide an accurate quote based on your specific situation. | contains: your premium would be, your rate would be, estimated premium +9 |
| ins-claims-escalate | ESCALATE | S3 | input | Let me connect you with an agent to start your claim. They'll walk you through what's needed and next steps. | contains: file a claim, start a claim, open a claim +10 |
| ins-identity-verification | ESCALATE | S3 | input | I can't access or verify policy records here. I'll connect you with a licensed agent right away. | contains: policy status, claim status, coverage details +8 |
| ins-complaint-escalate | ESCALATE | S2 | input | I understand your frustration. Let me connect you with a supervisor or compliance team member who can address your concerns directly. | contains: file a complaint, department of insurance complaint, bad faith +10 |
| ins-lapse-reinstatement-escalate | ESCALATE | S2 | input | Policy reinstatement has specific timing and underwriting requirements. Let me connect you with an agent who can review your options. | contains: policy lapsed, reinstate my policy, coverage lapsed +9 |
| ins-quote-request-escalate | ESCALATE | S2 | input | I'd love to help you find the right coverage. Let me connect you with a licensed agent who can put together an accurate quote based on your needs. | contains: get a quote, how much is insurance, how much for coverage +12 |
| ins-disclaimer | DISCLAIMER | S2 | output | contains: coverage, claim, premium +6 |
Hard limits
Intended boundaries for the configured rules. Detection and handoff are not guaranteed.
- Do not bind, cancel, or modify coverage
- Do not quote a premium or rate estimate
- Do not interpret specific policy coverage or guarantee a claim
- Configure routing for claims, fraud, and emergencies to a licensed agent. Check receipt and follow-up.
Your custom rules
Layered on top of the pack, unique to your agency. No developer required.
The pack is the starting line, not the ceiling. Every deployment can add its own rules in the admin, block, warn, or just log on any phrase you choose, in either phase, with your own response message. They run right alongside the pack.
- BLOCKoff-topic requests that have nothing to do with your agency
- WARNbefore anyone is given a number that looks like a quote
- LOGwhen a caller asks whether something specific is covered
These industry rules stack on top of the always-on baseline, your state’s insurance and licensing rules, and macro overlays. See how the guardrail layers work
Know which lead to call back first.
With an enabled integration, Fred can send lead scores and conversation summaries to your system. For example, your team can prioritize the shopper near an enrollment deadline. Delivery depends on your configuration and the receiving system.
Health insurance questions.
Why won’t Fred just give me a quote?
Quoting and binding are licensed, regulated activities. Fred captures the details a quote needs and connects a licensed agent who can give you an accurate, compliant number. Configure and test the relevant rules; checks can miss phrasing or context.
Will Fred recommend a specific plan?
No. Plan suitability and benefit interpretation belong with a licensed agent. Fred shares general education and books your team.
Can Fred check my eligibility or subsidy?
No. Eligibility and subsidy determinations go to a licensed agent. Fred captures the lead and routes those questions.
Can it book time with an agent?
Fred captures inquiry details and sends them through your configured handoff. Delivery timing depends on the integration and receiving system. Direct calendar booking depends on the tools you already run. Our training videos show you how to connect them, or you can add a paid setup.
Answer every shopper. Stay in your lane.
Choose a plan, configure Fred for your business, and test before launch. Or ask Fred a question in the corner of this page.