FIGR / UI TEMPLATE
Compare benefit plans, add dependents, choose coverage, and confirm elections with clear cost and eligibility context.
This form reference covers hr & self-service. Its sample screen includes Medical plan selection and Dental and vision and the Review elections action. Adapt its workflow to your product and design system.

BUILD ON THIS
Explore this screen, then bring in your own product and design system to shape the next version.
Form
Review elections
Benefits enrollment
Default, loading, empty, error, permission, success
Adaptable product UI theme
The benefits enrollment screen supports “Review elections” while keeping plans and dependents in view. It should show the current state even when data is missing or access is restricted.
Plans → Dependents → Review elections → Review result
Benefits enrollment, Plans, Dependents, permission handling, error recovery
State input requirements before the user submits the form
In this example, Medical plan selection is one of the records worth checking. Keep the sample data clearly separate from a live system.
Keep progress and entered values when people move between steps
Show clear permission, validation, and recovery states near the affected control
Design a benefits enrollment screen for an existing hr & self-service product. Use our actual design system, components, and content rules. Cover Plans and Dependents, include believable records such as Medical plan selection, and make "Review elections" easy to find. Map empty, loading, error, permission, and success states. Keep the result editable in Figma.
KEEP EXPLORING
Browse other product UI examples, compare patterns, and pick the direction that suits your product.