Dependent Eligibility Verification Services

Ensure the eligibility of dependents for benefits coverage to prevent ineligible dependents from receiving benefits. 

Manage costs and uphold the integrity of your benefits program.

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Services we offer
Customised communication
Customized communication
Program
Participant web portal
Program
Client management platform
Program
Contact center support
Program
Document submission/review
Program
Documentation support
Program
Full program management
Why should you consider a dependent eligibility verification audit?
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Financial benefits
Financial benefits
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The average annual gross incurred medical cost per dependent exceeds $6,860 with 3% - 10% dependents removed.

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Fiduciary
Fiduciary obligations
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Mitigate legal risks and ensure compliance with eligibility verification. Uphold fiduciary responsibility to adhere to plan and enrollment provisions.

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Improved accountability
Improved accountability
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Promote understanding of group health plan eligibility, fostering employee accountability for benefit elections.

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Fewer denied claims
Fewer denied claims
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Reduce coverage concerns for ineligible dependents by minimizing insurer and stop-loss carrier refusals of medical expenses.

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Fewer tax issues
Fewer tax issues
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Identify and reduce the risk of tax reporting violations.

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Sarbanes-Oxley compliance
Sarbanes-Oxley compliance
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Manage the impact on financial controls and anti-fraud measures in accordance with Sarbanes-Oxley.

Proven results
  • Typically, 3% - 10% of dependents are identified as ineligible and removed as a result of an audit
  • Upon notification of an audit, approximately 2% of employees self-identify as carrying an ineligible dependent on the plan
  • Our clients typically experience 2,000% - 5,000% ROI 
The Aptia Difference
Consultative approach
Consultative approach
Customization to meet your needs
Customization to meet your needs
Exceptional service
Exceptional service
Proven track record
Proven track record
Unparalleled expertise
Unparalleled expertise
Learn more
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Submission
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