Why Continue to Determine Eligibility?
A turnkey solution to eliminate ineligible dependents
Ongoing dependent verification through eligibility audits is a significant means to control your company's health care costs. Everyone pays for ineligible dependents: plan sponsors, employees and the health plans, rightfully eliminating ineligible participants keeps companies from paying out claim dollars for dependents that do not belong on their health plans.
Ongoing eligibility
average reduction:
14%
Ongoing eligibility assessments typically uncover double or more ineligible dependents than what is found in the initial review. On average, 14% ineligibility is revealed with ongoing audits. Our experience shows that every three years ineligibles increase back to original levels unless further assessments are continued.
In addition to major cost savings, continued eligibility verifications:
- Demonstrate fiduciary responsibility
- Reduce compliance risk under Sarbanes-Oxley, ERISA and DOL guidelines
- Provide fair treatment to all employees
- Keep benefit premiums as low as possible
- Demonstrate that employee fraud is not acceptable at your company