What is a Dependent Verification Audit?
A dependent verification audit identifies dependent eligibility through a systematic review of all dependents enrolled in an employer-sponsored or Taft-Hartley benefits plan. Employers of all sizes often discover that ineligible dependents—such as ex-spouses, over-age children, or unqualified individuals—are mistakenly receiving benefits, driving up healthcare costs. A well-executed audit ensures that only those who truly qualify for coverage remain on the plan, preventing unnecessary plan and subsequent claims expenses while promoting fair distribution of benefits.
Our Approach to Dependent Eligibility Verification: Ensuring Accuracy and Savings
Accretive provides a comprehensive Dependent Eligibility Verification (DEV) service designed to efficiently confirm the health plan participation eligibility of your employees' dependents. through:
- Employee Coverage Qualifications: We meticulously verify dependent eligibility against your plan's specific requirements, ensuring only qualified individuals receive coverage.
- Proactive Communications: Our high-quality, high-tech, high-touch method involves customized, pre-populated communications to employees with dependents, clearly outlining the verification process and required documentation.
- Multi-Channel Outreach: To maximize participation and minimize disruption, we offer multiple convenient submission options for required documentation.
- Reporting on Cost Savings: We provide regular weekly briefings on the dependent verification progress, culminating in a robust final report detailing the outcomes and potential cost savings achieved.
We work with clients who are looking to:
- Reduce healthcare spending by identifying and removing ineligible dependents from their benefit plans.
- Ensure regulatory compliance by verifying dependent eligibility in accordance with ERISA and other relevant laws.
- Promote fairness in benefits administration by ensuring that only eligible individuals receive coverage, thus preventing cost burdens on eligible employees.
- Improve the accuracy of their benefit plan records leading to more efficient and streamlined administration.
Connect with an Accretive Dependent Verification Specialist
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