Solution

Ongoing Dependent Eligibility Verification

Preserve the integrity of your benefit plan on an ongoing basis by verifying the eligibility of all dependents enrolling in the plan. Conducted after an initial audit or as a stand-alone service, Consova’s ongoing services ensure that only eligible dependents are enrolling in coverage.

Audit Participant

If you received a letter or email regarding a dependent eligibility audit and need assistance, please visit our help center.

Sample Scenario

Maintain Plan Integrity Between Full Audits

2,134

Dependent Covering Employees

3,690

Dependents Reviewed

$5,000

Average Cost per Dependent

97%

Participation Rate

437

Ineligibles Identified

$1.2M

First Year Savings

Ongoing Dependent Eligibility Verification

New dependents are added to employer benefit plans for a variety of reasons, including the dependents of new hires, those with qualifying event changes, open enrollment and acquisitions. To address these new plan additions, many employers elect to implement ongoing verification to ensure dependent eligibility records remain accurate. In many cases, ongoing dependent eligibility verification begins immediately after a full dependent population audit.

Consova helps organizations conduct ongoing dependent eligibility verification audits to ensure that only eligible dependents are added to benefit plans over the course of a year. It is our experience that a significant percentage of dependents that are identified as ineligible during an initial dependent audit are re-enrolled by the employee at some point in the future. Approximately 80% of these individuals still do not qualify as legal dependents. Not only does this erode the savings garnered from the initial audit, it exposes employers to unnecessary risk.

When is the Best Time to Verify Newly Added Dependents?

  • Directly after Open Enrollment
  • Periodic Basis throughout POE (Post Open Enrollment)
  • Real Time – As dependents are enrolled

9-11%

Ineligible Dependents of New Hires

5 Million Dependents Reviewed

$1 Billion in Client Savings

98% Employee Response Rate

10:1 Return on Investment

Recent

Clients

Consova is dedicated to the goal of driving unnecessary costs out of healthcare. Working with household names such as Nokia, Sony, Sprint and many others, Consova has delivered over a billion dollars in healthcare savings to our clients.

Industries Include:

 

  • Automotive
  • Education
  • Financial
  • Healthcare
  • Hospitality

 

  • Insurance
  • Manufacturing
  • Retail
  • Technology
  • Transportation

Begin Your Journey Today!

866.529.9107