aflac Eligibility API

openapi: 3.2.0
info:
  title: Aflac Enterprise Connect Claims Eligibility API
  description: The Aflac Enterprise Connect (AEC) API enables benefits administrators, HR platforms, and third-party enrollment systems to integrate with Aflac's supplemental insurance platform. It provides REST API access to benefits enrollment, policy management, claims status, and eligibility verification for group and individual supplemental insurance products.
  version: '1.0'
  contact:
    name: Aflac Enterprise Connect Support
    url: https://docs.enterprise-connect.aflac.com
  x-generated-from: documentation
servers:
- url: https://api.enterprise-connect.aflac.com/v1
  description: Production Server
- url: https://sandbox.enterprise-connect.aflac.com/v1
  description: Sandbox Server
security:
- oauth2: []
tags:
- name: Eligibility
  description: Employee eligibility verification operations.
paths:
  /eligibility/verify:
    post:
      operationId: verifyEligibility
      summary: Aflac Verify Eligibility
      description: Verify an employee's eligibility for Aflac supplemental insurance products in real time.
      tags:
      - Eligibility
      requestBody:
        required: true
        description: Eligibility verification request.
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/EligibilityRequest'
            examples:
              verifyEligibilityRequestExample:
                summary: Default verifyEligibility request
                x-microcks-default: true
                value:
                  employee_id: '500123'
                  group_id: '500123'
                  product_type: example_value
      responses:
        '200':
          description: Eligibility verification result.
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/EligibilityResponse'
              examples:
                verifyEligibility200Example:
                  summary: Default verifyEligibility 200 response
                  x-microcks-default: true
                  value:
                    eligible: true
                    employee_id: '500123'
                    group_id: '500123'
                    product_type: example_value
                    ineligibility_reason: example_value
        '400':
          description: Invalid request data.
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Error'
              examples:
                verifyEligibility400Example:
                  summary: Default verifyEligibility 400 response
                  x-microcks-default: true
                  value:
                    error: example_value
                    message: example_value
                    request_id: '500123'
        '401':
          description: Unauthorized.
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Error'
              examples:
                verifyEligibility401Example:
                  summary: Default verifyEligibility 401 response
                  x-microcks-default: true
                  value:
                    error: example_value
                    message: example_value
                    request_id: '500123'
      x-microcks-operation:
        delay: 0
        dispatcher: FALLBACK
components:
  schemas:
    EligibilityResponse:
      type: object
      description: Result of an eligibility verification check.
      properties:
        eligible:
          type: boolean
          description: Whether the employee is eligible for the product.
          example: true
        employee_id:
          type: string
          description: Verified employee identifier.
          example: EMP-789012
        group_id:
          type: string
          description: Employer group identifier.
          example: GRP-123456
        product_type:
          type: string
          description: Product type checked.
          example: accident
        ineligibility_reason:
          type: string
          description: Reason for ineligibility if not eligible.
          example: Employee not in an eligible employment class.
    Error:
      type: object
      description: API error response.
      properties:
        error:
          type: string
          description: Error code.
          example: not_found
        message:
          type: string
          description: Human-readable error description.
          example: The requested resource was not found.
        request_id:
          type: string
          description: Unique request ID for support reference.
          example: req-a1b2c3d4e5
    EligibilityRequest:
      type: object
      description: Request payload for eligibility verification.
      required:
      - employee_id
      - group_id
      - product_type
      properties:
        employee_id:
          type: string
          description: Employee identifier to verify.
          example: EMP-789012
        group_id:
          type: string
          description: Employer group identifier.
          example: GRP-123456
        product_type:
          type: string
          description: Supplemental insurance product to check eligibility for.
          example: accident
  securitySchemes:
    oauth2:
      type: oauth2
      description: OAuth 2.0 client credentials flow for server-to-server API access.
      flows:
        clientCredentials:
          tokenUrl: https://auth.enterprise-connect.aflac.com/oauth/token
          scopes:
            enrollment:read: Read enrollment records
            enrollment:write: Create and update enrollments
            claims:read: Read claim records
            claims:write: Submit claims
            eligibility:read: Verify eligibility
            groups:read: Read group records