In an effort to save money, many employers are now including working spouse provisions in their health plans. Working spouse provisions are directed at employees whose spouse is eligible for employer-sponsored insurance (ESI) through his/her own employer. This provision can be designed one of two ways: either the employer transfers part of the premium cost [...]
For most employers who have never conducted a dependent eligibility verification audit (DEVA) before, the process typically takes 14 weeks. However, the timeline of the audit can be tailored to suit an employer’s needs, and may be shortened for employers who have conducted audits in the past. Click here for a breakdown of the standard [...]
In this tough economic climate, employers around the country are feeling the pressure to reduce expenses. Claim audits are a very effective tool that self-funded plans can use to save on the costs associated with providing healthcare to employees. Claim audits retrospectively look at claims the administrator has already paid to identify potential processing errors [...]
In general, it’s a good idea for employers to conduct dependent eligibility verification audits (DEVAs) of all plan enrollees every three years. However, to ensure that ineligible dependents aren’t added back onto the plan in the interim, employers should consider conducting ongoing reviews throughout the year. Find out more about follow-up and ongoing audits on [...]
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