Close

Spousal surcharge audit

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

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

Small Investment for Dependent Eligibility Audit Produces Meaningful Results

Business Situation:

To help reduce health care expenditures, this client chose to conduct a dependent eligibility audit to verify whether or not enrolled dependents met eligibility requirements for the company’s two medical plans.

 Client Profile:

  • Aviation Operator
  • 303 Employees Covering 693 Dependents 

Audit Finding:

The client achieved a 100% employee …

Read More

Investing in an Audit Produces Big Returns

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

Client Profile:
  • Chemical Products Distributer and Supplier
Read More

Spousal Surcharge Audit – An Effective Strategy to Reduce Costs.

Business Situation:
With the steadily increasing costs of health care, our client engaged us to conduct a Spousal Surcharge audit to ensure that spouses who are eligible for other employer-sponsored coverage are subject to an additional premium if they chose not to enroll.  The audit was also designed to

Read More