Dependent Verification Services
Verify dependent eligibility across your entire workforce.
Verify dependent eligibility across your entire population.
Verify dependent eligibility across your entire population.
Why you need dependent verification
As an employer, you want to protect the health and well-being of your employees and their families by offering the best healthcare coverage at the best possible cost. But covering ineligible dependents can leave you exposed.
Our hassle-free verification removes the guesswork from determining dependent eligibility. Once an employee elects their benefits, we pend their enrollment and notify them with the necessary information required for verifying their dependents. Then, they can upload the documentation to our secure portal to complete the verification process.
5-8%
Average annual total health plan costs we help employers save through our dependent verification services.
Reduce unnecessary costs
Paying for ineligible dependents can have a serious impact on your bottom line. On average, we help save employers 5-8% of annual total health plan costs by putting safeguards in place to keep ineligible dependents from enrolling in coverage.
Minimize compliance risk
As the plan sponsor, you have fiduciary responsibilities to the plan participants to ensure that only eligible dependents, as defined in your Summary Plan Description, receive benefits from the plan. Our services make it easy for you to consistently fulfill this responsibility.
Keep good vibes
Usually the reasons for enrolling ineligible dependents aren’t intentional, but can sometimes lead to difficult conversations. Outsourcing dependent verification helps you protect the employee-employer relationship by keeping eligibility assessments objective.
Why you need to verify
As an employer, you want to protect the health and well-being of your employees and their families by offering the best healthcare coverage at the best possible cost. But covering ineligible dependents can leave you exposed.
5-8%
Average annual total health plan costs we help employers save through our dependent verification services.
Reduce unnecessary costs
Paying for ineligible dependents can have a serious impact on your bottom line. On average, we help save employers 5-8% of annual total health plan costs by putting safeguards in place to keep ineligible dependents from enrolling in coverage.
Minimize compliance risk
As the plan sponsor, you have fiduciary responsibilities to the plan participants to ensure that only eligible dependents, as defined in your Summary Plan Description, receive benefits from the plan. Our services make it easy for you to consistently fulfill this responsibility.
Keep good vibes
Usually the reasons for enrolling ineligible dependents aren’t intentional, but can sometimes lead to difficult conversations. Outsourcing dependent verification helps you protect the employee-employer relationship by keeping eligibility assessments objective.
Why you need to verify
As an employer, you want to protect the health and well-being of your employees and their families by offering the best healthcare coverage at the best possible cost. But covering ineligible dependents can leave you exposed.
Reduce unnecessary costs
Paying for ineligible dependents can have a serious impact on your bottom line. On average, we help save employers 3-5% of annual total health plan costs by putting safeguards in place to keep ineligible dependents from enrolling in coverage.
Minimize compliance risk
As the plan sponsor, you have fiduciary responsibilities to the plan participants to ensure that only eligible dependents, as defined in your Summary Plan Description, receive benefits from the plan. Our services make it easy for you to consistently fulfill this responsibility.
Keep good vibes
Usually the reasons for enrolling ineligible dependents aren’t intentional, but can sometimes lead to difficult conversations. Outsourcing dependent verification helps you protect the employee-employer relationship by keeping eligibility assessments objective.
5-8%
Average annual total health plan costs we help employers save through our dependent verification services.
Hassle-free dependent verification, for you and your employees.
No more paperwork. No manual tracking.
Adding supporting documentation is simple for employees, and becomes automated for HR. The entire process takes place through our secure web portal and can be completed using any computer, laptop, tablet, or mobile device.
01. Elect benefits
When employees add dependents to their benefit elections during enrollment, previously unverified dependents are flagged and coverage is pended. The verification process is then automatically kicked off without any additional manual intervention.
02. Upload documentation
Upon completing enrollment, the employee receives a notification detailing the information required in order to verify the dependent’s eligibility for coverage. To complete the verification process, the employee takes a photo of the supporting documentation and uploads it to the portal directly from their mobile device.
03. Verify eligibility
Documents are reviewed for validity. Incorrect or missing documentation prompts a follow up to the employee for further action.
04. Approvals and rejections
Dependents with valid documentation are approved and enrolled into coverage; dependents that fail the verification process are rejected and removed from coverage.
Hassle-free dependent verification services, for you and your employees.
No more paperwork. No manual tracking.
Adding supporting documentation is simple for employees, and becomes automated for HR. The entire process takes place through our secure web portal and can be completed using any computer, laptop, tablet, or mobile device.
01. Elect benefits
When employees add dependents to their benefit elections during enrollment, previously unverified dependents are flagged and coverage is pended. The verification process is then automatically kicked off without any additional manual intervention.
02. Upload documentation
Upon completing enrollment, the employee receives a notification detailing the information required in order to verify the dependent’s eligibility for coverage. To complete the verification process, the employee takes a photo of the supporting documentation and uploads it to the portal directly from their mobile device.
03. Verify eligibility
Documents are reviewed for validity. Incorrect or missing documentation prompts a follow up to the employee for further action.
04. Approvals and rejections
Dependents with valid documentation are approved and enrolled into coverage; dependents that fail the verification process are rejected and removed from coverage.
Dashboards updated in real-time make it easy for HR to keep a pulse on progress and view detailed records of verification status.
Dashboards updated in real-time make it easy for HR to keep a pulse on progress and view detailed records of verification status.
Service breakdown
01. Comprehensive Dependent Verification Audit
A point-in-time audit of your entire enrolled population with the purpose of identifying and removing ineligible dependents from coverage.
01. Comprehensive Dependent Audit
A point-in-time audit of your entire enrolled population with the purpose of identifying and removing ineligible dependents from coverage.
02. Perpetual Dependent Eligibility Verification
Ongoing verification service for newly added dependents with the purpose of preventing ineligible dependents from enrolling into coverage.
02. Perpetual Dependent Eligibility Verification
Ongoing verification service for newly added dependents with the purpose of preventing ineligible dependents from enrolling into coverage.
Why should you consider a dependent eligibility verification audit?
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Keep healthcare spending under control
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Compliance with ERISA & Sarbanes-Oxley Act
How our dependent verification services help
With the cost of benefits rising, it’s challenging for employers to provide the best healthcare coverage possible. Our dependent verification services help keep your costs under control by making sure non-eligible dependent aren’t being covered.
Our mobile responsive portal makes it easy for employees to upload dependent documentation, while equipping HR with real-time updated dashboards to keep a pulse on the progress and status of verification records.
FAQs: Dependent Verification Services
What is a dependent verification audit?
A dependent verification audit determines if someone qualifies as a dependent and is eligible to be covered under a group health insurance plan
What is the difference between a dependent verification audit and a dependent eligibility audit?
There is no difference between a dependent verification audit and a dependent eligibility audit. Both terms are often used interchangeably.
Why perform dependent verification?
When ineligible dependents are covered under healthcare, employers are not acting in compliance with the ERISA & Sarbanes-Oxley Acts. Covering ineligible dependents also affects a company’s bottom line, as they’re spending money covering dependents that shouldn’t be covered.
Why are ineligible dependents enrolled?
Ineligible dependents often become covered unintentionally because plan participants are not aware that they are enrolling an ineligible dependent.
Who is an ineligible dependent?
Ineligible dependents vary by plan sponsor. Typically, ineligible dependents can be ex-spouses, ex-step children, parents, siblings, etc.
What types of dependent verification services are there?
There are two ways to perform dependent verification: a one-time audit and ongoing eligibility verification. A one-time audit reviews all dependents that are currently enrolled in a company’s health plan. Ongoing verification is completed as a proactive measure to verify new dependents during the enrollment process before plan coverage becomes active.
What documentation is required in a dependent verification audit?
Documentation required for dependent verification audits vary depending on who the dependent is. For example, a spouse will provide a marriage certificate, but a parent will need to provide a birth or adoption certificate for their child.