Is it time for your plan to conduct a dependent audit?
Dependent Eligibility Verification (DEV) audits are one of the best ways to reduce plan expenses without cutting benefits or increases member contributions. Health care benefits are the second-largest expense for organizations, with coverage for each spouse or child averaging $5,600 per year. Typically, 5-15% of those dependents are ineligible for that coverage.
Who should coduct a dependent audit?
Every organization that provides coverage (medical, dental, vision, etc.) to dependents can benefit from a dependent audit.
how often should we audit?
Best practice says that full dependent audits should be run every 3-5 years. However, organizations can avoid full-scale audits by enrolling in ongoing eligibility maintenance.
What do audits cost?
The cost of an audit will vary based on plan size and complexity. However, they generally pay for themselves by identifying and removing only a few ineligible dependents.
How much time will this take?
PDA’s proven approach takes about 7 months to complete from contracting to final reporting but can be customized to fit any time frame.
Why PDA?
Our proven, member-friendly approach, perfected over more than 30 years in the business, uses customized, pre-populated communications and dedicated Call Center support to collect documentation, answer member questions, and verify eligibility—helping plan sponsors reduce costs while maintaining positive employee relations. This “high touch” approach has resulted in the highest response rates in the industry, with zero employee appeals.
How do we get started?
Contact PDA today to get a free project proposal. Submit your information here or send us an email with the plan