Close

spousal carve-out

Combined Savings: Audit of Dependent Eligibility & Spousal Surcharge

Business Situation & Client Profile:  

A small employer group with 259 employees covering 600 dependents contacted BMI to: 1) verify the eligibility of all dependents and 2) determine whether or not enrolled spouses should be paying a spousal surcharge per the plan.

Solution:

BMI customized an audit plan to meet …

Read More

Savings Follow Verification of Spousal Eligibility

Business Situation & Client Profile:  

To ease the burden of rising health care costs, this manufacturer enlisted BMI’s assistance to verify if 344 enrolled spouses were eligible under their employer’s health plan and therefore ineligible on the manufacturer’s plan. The employer also elected to verify the eligibility of 623 dependent …

Read More

Small Employer Achieves Big Savings through Dependent Eligibility Audit

Business Situation & Client Profile:  

Facing rising costs to provide employee benefits, this institute of higher education contacted BMI to verify the eligibility of all 484 dependents enrolled in their health care plans.

 Solution:

BMI customized a dependent eligibility audit plan to meet the following goals:

  • Communicate the purpose of
Read More

Audit of Dependent and Spousal Surcharge Eligibility Achieve Combined Savings

Business Situation & Client Profile:  

A regional hospital and healthcare center with 650 employees covering 1,480 dependents contacted BMI to: 1) verify the eligibility of all dependents and 2) determine whether or not enrolled spouses should be paying a spousal surcharge per the plan. Verification was previously performed internally.

 

Solution:

Read More

Two Objectives Completed Using One Dependent Eligibility Audit

Business Situation:
This group health plan sponsor wished to 1) conduct a dependent eligibility audit of all enrolled dependents and 2) verify whether or not working spouses are eligible to be covered under plans sponsored by their own employer (spousal carve-out).

 Client Profile:
  • Regional heath care provider with multiple
Read More