In Mercer’s experience providing dependent eligibility verification services, we have found the average annual incurred medical cost per dependent exceeds $4570 with 3% - 10% dependents removed.
Most employers have a fiduciary responsibility to ensure that their plans operate according to the terms in the plan documents, including enrollment and eligibility provisions. Eligibility verification procedures can help minimize legal risks.
Facilitates a proper understanding of who is eligible under a group health plan. This learning process increases employee accountability for their benefit elections.
Minimizes concerns about insurers and stop-loss carriers refusing coverage for medical expenses of ineligible dependents.
Identify and minimize exposure for tax reporting violations.
Address implications for financial controls and anti-fraud provisions under Sarbanes-Oxley.
High quality contact center support
Web-based DEV system
Strategy based on your needs
Ready to live better,