Unum Eligibility API
Member eligibility management and verification
Member eligibility management and verification
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openapi: 3.2.0
info:
title: Unum HR Connect Authentication Eligibility API
description: The Unum HR Connect API provides a secure, real-time connection between Unum benefits and major HR platforms including Workday, ADP, and UKG. It automates eligibility checks, evidence of insurability (EOI) processing, premium billing calculations, leave and absence management, and enrollment data synchronization for employers and HR technology partners.
version: '1.0'
contact:
name: Unum Developer Support
url: https://developer.unum.com/s/
termsOfService: https://www.unum.com/legal
servers:
- url: https://api.unum.com/v1
description: Unum Production API
security:
- OAuth2:
- eligibility:read
- enrollment:read
- leave:read
- eoi:read
- billing:read
tags:
- name: Eligibility
description: Member eligibility management and verification
paths:
/eligibility/members:
get:
operationId: listEligibleMembers
summary: List Eligible Members
description: Retrieve a list of eligible members for a given employer group.
tags:
- Eligibility
parameters:
- name: groupId
in: query
required: true
schema:
type: string
description: Employer group identifier
- name: effectiveDate
in: query
schema:
type: string
format: date
description: Effective date for eligibility check (YYYY-MM-DD)
- name: page
in: query
schema:
type: integer
default: 1
description: Page number for pagination
- name: limit
in: query
schema:
type: integer
default: 100
maximum: 500
description: Number of records per page
responses:
'200':
description: List of eligible members
content:
application/json:
schema:
$ref: '#/components/schemas/MemberList'
'401':
$ref: '#/components/responses/Unauthorized'
'404':
$ref: '#/components/responses/NotFound'
post:
operationId: submitMemberEligibility
summary: Submit Member Eligibility
description: Submit or update member eligibility information for a group.
tags:
- Eligibility
requestBody:
required: true
content:
application/json:
schema:
$ref: '#/components/schemas/MemberEligibilityRequest'
responses:
'201':
description: Member eligibility created
content:
application/json:
schema:
$ref: '#/components/schemas/Member'
'400':
$ref: '#/components/responses/BadRequest'
'401':
$ref: '#/components/responses/Unauthorized'
/eligibility/members/{memberId}:
get:
operationId: getMemberEligibility
summary: Get Member Eligibility
description: Retrieve eligibility details for a specific member.
tags:
- Eligibility
parameters:
- name: memberId
in: path
required: true
schema:
type: string
description: Unique member identifier
responses:
'200':
description: Member eligibility details
content:
application/json:
schema:
$ref: '#/components/schemas/Member'
'401':
$ref: '#/components/responses/Unauthorized'
'404':
$ref: '#/components/responses/NotFound'
put:
operationId: updateMemberEligibility
summary: Update Member Eligibility
description: Update eligibility information for an existing member.
tags:
- Eligibility
parameters:
- name: memberId
in: path
required: true
schema:
type: string
description: Unique member identifier
requestBody:
required: true
content:
application/json:
schema:
$ref: '#/components/schemas/MemberEligibilityRequest'
responses:
'200':
description: Member eligibility updated
content:
application/json:
schema:
$ref: '#/components/schemas/Member'
'400':
$ref: '#/components/responses/BadRequest'
'401':
$ref: '#/components/responses/Unauthorized'
'404':
$ref: '#/components/responses/NotFound'
delete:
operationId: terminateMemberEligibility
summary: Terminate Member Eligibility
description: Terminate eligibility for a member (life event, termination, etc.).
tags:
- Eligibility
parameters:
- name: memberId
in: path
required: true
schema:
type: string
description: Unique member identifier
- name: terminationDate
in: query
required: true
schema:
type: string
format: date
description: Effective termination date
- name: terminationReason
in: query
schema:
type: string
description: Reason for termination
responses:
'204':
description: Member eligibility terminated
'401':
$ref: '#/components/responses/Unauthorized'
'404':
$ref: '#/components/responses/NotFound'
components:
schemas:
Member:
type: object
properties:
memberId:
type: string
description: Unique member identifier
groupId:
type: string
description: Employer group identifier
firstName:
type: string
lastName:
type: string
dateOfBirth:
type: string
format: date
employeeId:
type: string
description: Employer-assigned employee ID
hireDate:
type: string
format: date
employmentStatus:
type: string
enum:
- active
- terminated
- on-leave
coverages:
type: array
items:
$ref: '#/components/schemas/Coverage'
effectiveDate:
type: string
format: date
terminationDate:
type: string
format: date
createdAt:
type: string
format: date-time
updatedAt:
type: string
format: date-time
MemberEligibilityRequest:
type: object
required:
- groupId
- firstName
- lastName
- dateOfBirth
- employeeId
- hireDate
- employmentStatus
- effectiveDate
properties:
groupId:
type: string
firstName:
type: string
lastName:
type: string
dateOfBirth:
type: string
format: date
employeeId:
type: string
hireDate:
type: string
format: date
employmentStatus:
type: string
enum:
- active
- terminated
- on-leave
effectiveDate:
type: string
format: date
MemberList:
type: object
properties:
data:
type: array
items:
$ref: '#/components/schemas/Member'
total:
type: integer
page:
type: integer
limit:
type: integer
Coverage:
type: object
properties:
productType:
type: string
enum:
- disability
- life
- dental
- vision
- critical-illness
- accident
planCode:
type: string
benefitAmount:
type: number
format: double
effectiveDate:
type: string
format: date
terminationDate:
type: string
format: date
status:
type: string
enum:
- active
- pending
- terminated
Error:
type: object
properties:
code:
type: string
description: Error code
message:
type: string
description: Human-readable error message
details:
type: array
items:
type: object
properties:
field:
type: string
message:
type: string
responses:
BadRequest:
description: Invalid request parameters
content:
application/json:
schema:
$ref: '#/components/schemas/Error'
Unauthorized:
description: Authentication credentials missing or invalid
content:
application/json:
schema:
$ref: '#/components/schemas/Error'
NotFound:
description: Resource not found
content:
application/json:
schema:
$ref: '#/components/schemas/Error'
securitySchemes:
OAuth2:
type: oauth2
flows:
clientCredentials:
tokenUrl: https://api.unum.com/v1/oauth/token
scopes:
eligibility:read: Read member eligibility
eligibility:write: Write member eligibility
enrollment:read: Read enrollment elections
enrollment:write: Write enrollment elections
leave:read: Read leave requests
leave:write: Write leave requests
eoi:read: Read EOI submissions
eoi:write: Write EOI submissions
billing:read: Read billing invoices