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4�a benefitex rens <br />Indian River County, FL <br />Dependent Eligibility Verification Audit <br />Employers have generally relied on the honor system for health plan enrollment; by doing so, they have unknowingly covered many <br />non -eligible dependents, such as ex -spouses, adult children, and others. This practice has translated directly into higher costs. <br />A carefully planned audit of dependents can help employers uncover ineligible members and potentially significant cost savings. Large <br />plans can generally expect a 3% to 5% reduction in the number of covered dependents after an eligibility audit. This translates into a <br />cost savings of up to $2,000 - $4,000 per plan member per year. <br />At benefitexpress, we provide tools and support to verify the eligibility of enrolled dependents to help employers and other plans <br />manage their risks. We provide the following Dependent Eligibility Screening services: <br />e Comprehensive planning to tailor the audit to meet the employer's audit objectives, including whether to use an amnesty <br />period and how to handle non -responders: <br />c Multiple methods to communicate with your population including an easy to use, customizable website, inbound and <br />outbound call center with IVR capability, and a multi -mailing letter campaign; <br />e Preparation of Eligibility Verification Site and signature form for employee completion; <br />o Validation of required documents, including marriage licenses, birth certificates and full-time student affidavits; <br />e Application of spouse eligibility rules for employed spouses; <br />o Call Center to support employee education about the audit and the plan's eligibility requirements; <br />o Documentation management including retention during the audit, as well as option to destroy, digitize or return; <br />e Customized reports to facilitate termination of ineligible claimants; and <br />c Electronic eligibility auditing to verify coverage is terminated correctly with the carrier. <br />We offer these services so Indian River County can minimize the risks associated with allowing ineligible dependents to enroll and <br />continue utilizing health plan assets. <br />Copyright 2018 - Not to be reproduced without express written consent of Benefit Express Services, LLC 166 <br />