A dependent eligibility audit and verification is your solution to preserving the integrity of your benefit plan(s) by identifying incorrectly enrolled dependents. Sometimes these enrollments are simple oversights by the subscriber or plan administrator, other times they are an intentional attempt to gain benefits for someone who should not be covered. Either way, these enrollments cost the plan and the plan participants significant dollars and create a liability exposure for the plan fiduciary.

Your organization can realize significant health plan savings immediately and limit liability. Based on current trends, a dependent eligibility audit is likely to reveal 5% to 15% of your employees carry ineligible dependents on the corporate health plan.

We know your employees are the most valuable asset within your company and communication is critical to a successful outcome. Our flexible solution ensures the audit and verification process is designed and tailored to meet each organization's specific needs, while minimizing the internal time commitment and cost associated with the project. Our goal is simple: provide maximum return with minimum headaches for our clients while ensuring that each participant is treated in a fair and helpful manner.

Comprehensive Dependent Eligibility Audit & Verification Components

Plan-Smart allows you to take action NOW with a customized solution that fits your organization. Everyone in your company benefits from a financially fit health plan and there’s never a bad time to conduct a comprehensive dependent eligibility audit. The sooner you initiate Plan-Smart’s audit and verification, the sooner your plan can start to reduce claims, loss ratios and liability.