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Affordable Care Act

Removal of Ineligible Dependents Saves Organization Thousands of Dollars

Business Situation:

As one of many efforts to reduce overall health care costs, this client engaged BMI to conduct an audit of 1,033 enrolled dependents in medical, dental and vision plans in order to verify eligibility. 

Solution:

BMI customized an audit plan to meet the following objectives:

  • Communicate the purpose
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BMI Audit Finding of the Month: Dependents Fail Full-Time Student Status Eligibility Requirement

Business Situation:
After implementing changes required by the Affordable Care Act, including the requirement to allow dependent children up to age 26 to enroll in company sponsored health care plans, our client chose to conduct an audit as one of the ways to control the increase of costs associated with …

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