Solution
Working Spouse Verification
The adoption of working spouse provisions, such as a spouse surcharge or carve out/exclusion, continues to be a valuable benefit modification when working to reduce expense and improve plan performance.
Audit Participant
If you received a letter or email regarding a dependent eligibility audit and need assistance, please visit our help center.
Sample Scenario
Generate 30% Participation in Your Working Spouse Rule
2,500
Spouses Enrolled
Exclusion Rule
Working Spouse Provision
30%
Conversion Rate
$7,200
Average Annual Cost per Spouse
750
Spouses Converted
$5.4M
First Year Savings
Working Spouse Verification
Rising healthcare costs have sparked a new interest in “working spouse” rules by employer sponsored health plans looking for alternative modalities of cost containment. These provisions, when implemented correctly, mitigate some or all of the cost associated with providing healthcare coverage for a dependent spouse who has coverage through his or her respective employer. However, often times these provisions experience poor participation due to a lack of verification of the spouse’s access to other coverage. The end result is a cost containment initiative that fails to realize its maximum effectiveness.
Consova working spouse verification relies on the actual confirmation of other coverage with the spouse’s employer, assuages cost and mitigates risk for employer-sponsored health plans regardless of the type of provision. Through enhanced enforcement of these provisions, on average our clients realize over 300 percent greater program participation in the established working spouse rule and thus offset more of the risk and liability of spousal dependents.
30%
Spouses Converted
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