Six Ways to Lower Rising Health Costs for Companies
Read more

The short version: Email alone doesn't reach a frontline or multilingual workforce during insurance open enrollment. This post shows how one Medefy client drove a 10 to 12% jump in adoption with a paycheck stuffer and a QR code, gives you three steps to run the play yourself, and explains which workforces it fits best.

Insurance open enrollment gives you a few weeks of your employees' attention, and most of your communication goes through one channel: email. For a desk-based team, that works. For a workforce spread across plants, shifts and job sites, it covers only part of the court.
If you manage benefits for frontline, multi-site or multilingual employees, you have probably seen the pattern. The announcement goes out, the reminders follow, and a share of your people never open any of them. They aren't ignoring their benefits. They simply aren't in the inbox.
The gap between employees who enrolled and employees who use what they enrolled in is where a benefits program loses its value.
Open enrollment communication is usually built around the inbox: an announcement, a reminder and a last call. That design assumes every employee has a work email address, checks it, and reads past the subject line. On a production floor, in a warehouse or across a dozen sites, none of that is a safe assumption.
For employees who communicate first in a language other than English, an English-only email compounds the problem. The message may be right, but it never reaches the person it was written for.
A national food manufacturer with a distributed frontline workforce, a Medefy client, built their open enrollment push around one question. Where does our workforce already spend its attention? The answer wasn't the inbox.
They ran custom graphics in break rooms and offices, swag employees wanted, and employee materials in Spanish across every channel. The tactic that stood out most was almost old-fashioned: a paycheck stuffer with a QR code. Employees found the code in their paycheck, scanned it, and landed straight in the Member app. No searching for a login page, no separate sign-in to track down. The paycheck stuffers alone drove a 10 to 12% jump in adoption.
This play earns the most where part of your workforce isn't reliably reading email. If most of your people are desk-based and already open email, treat this play as a supplement to a required step inside the Member app. That's the approach a Tulsa-based nonprofit with 600+ employees used to see a 63% increase in registrations. See all three plays side by side.
You helped your clients choose the plan. The question that follows is whether their employees use it. For clients with frontline teams who rarely open email, a paycheck stuffer with a QR code gives you something tangible to bring them before their enrollment window closes.
Use the physical touchpoints they pass every day, such as paychecks and break rooms, and give them a direct path into the Member app in the languages they speak.
It depends on the type of coverage. Employer-sponsored plans set their own enrollment windows, which your carrier or benefits consultant can confirm. Marketplace and Medicare coverage follow their own published dates. If you run your own program, set your end date early enough to leave time for physical outreach like the play above.
Get the OE Playbook for the full breakdown of Play 2 and the toolkit to run it with your own team before your insurance open enrollment window closes.