Sample Scenario

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

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Industries Include:

• Automotive
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• Financial
• Healthcare
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• Insurance
• Manufacturing
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• Technology
• Transportation