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Eligibility Determination & Maintenance
Enrollment - Open and Ongoing
Employer Change Process
Employee Assistance
Dependent Eligibility Audit
Retiree Administration
  DEPENDENT ELIGIBILITY AUDIT (Standalone Available)    

With health care costs continuing to rise, many employers are turning to their health plans to cut costs. Making sure their health plans cover only those who are eligible can be a significant cost saver for employers. Often, employers will conduct a dependent eligibility audit to do just that.

The purpose of a dependent eligibility audit is to identify dependents that should not be covered by the plan and terminate the coverage of these individuals.

Examples include:

  • Children that have reached the maximum age limit
  • Divorced spouses
  • Friends, roommates or other relatives ineligible for coverage
  Keep in mind that the Affordable Care Act requires health plans with family coverage to cover children up until age 26.    
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