Dependent Eligibility Audit

The Dependent Audit Process

A Dependent Eligibility Audit typically removes between 5 and 12 percent of the dependents from your health plan. With annual healthcare costs ranging from an average of $3,000 to $5,000 per dependent, the savings add up quickly.

As part of our comprehensive process, we:

• Customize an employee communication plan to explain the audit and the reasons for it
• Educate employees about eligibility requirements
• Review required documentation
• Identify ineligible dependents
• Outline an appeals process

To deliver even more value to employers, we also:

• Provide detailed reporting and analysis of an employer’s employee and dependent population
• Build an accurate centralized database of eligible participants
• Recommend ways to improve eligibility verification and administration processes