Dependent Verification

Imagine…having a process in place that will easily verify the eligibility of all covered dependents in your benefit plans.

Most employers have already increased employee contributions for benefits and changed their benefit structure in terms of higher deductibles and co-pays. What more can you do to decrease the cost? A dependent eligibility audit is one answer.

Unless you have been diligent about requiring proof, you may be paying claims for ineligible dependents. Typically, 4-8% of dependents in employer-sponsored health plans do not meet the plan’s eligibility definitions.8 These could be ex-spouses left on the program, individuals who were never spouses in the first place, step-children following the divorce of natural parents, grandchildren, nieces, nephews, and others. Conducting a dependent eligibility audit could help see a potential savings of 10% or more from your benefit plan dependent costs.9

EOI will work with you to develop and implement a dependent eligibility audit that will reduce or eliminate claims for ineligible dependents.

If you would like to discuss a specific case or have questions about our services, please call (800) 229-4364 or email info@eoiservice.com.