But for over 85 million uninsured and underinsured Americans — the cashiers, drivers, home health aides, and construction workers who keep this country running — getting care is complicated, expensive, and often out of reach. Onboarding and offboarding, end to end — offer letters, orientation scheduling, Rippling setup, equipment shipping, and on the other side, termination processing, access deprovisioning within SLA, COBRA notices, and separation paperwork.