Benefits Brief: Group Health Plan Dependent Eligibility Audit
As many as one in ten dependents covered under a group health plan, according to some estimates, may be ineligible for the group health benefits they are receiving. That’s why more employers, looking to cut health care costs where they can, are turning to dependent eligibility verification audits (DEVA – as some may call them). And while the audits used to be more prevalent in the large group market, now smaller businesses are seeing the value in performing them too. Many employers like this approach to help save on health care costs because it is one way that doesn’t involve increasing cost-share (like copays, deductibles, and contributions) to its employees. This Benefits Brief outlines the steps an employer should follow when preparing for an audit.