FAQ's

Dependent Eligibility Audit Solution

What is a dependent eligibility audit?

Simply put, this means reviewing your employees' covered dependents, those on your organization’s benefits plans, to make sure they are eligible.

The audit requires that these employees to provide the necessary supporting documents (i.e. Birth certification, marriage certificate, adoption paperwork, etc.) to confirm the dependents they’ve enrolled are indeed eligible for coverage.

Why should a company perform a dependent eligibility audit?

The main reason for performing a dependent eligibility audit is to reduce healthcare costs.  Ineligible dependents covered on your organization’s benefits plans can cost your company more in premiums and potential claims throughout the year.

What kind of documents are required to support dependent eligibility?

The type of documentation required is dependent on the employee’s relationship to the enrolled dependent.  Below are a few examples:

Spouse/Domestic Partner/Common Law Marriage

  • Marriage Certificate
  • Federal Tax Return
  • Proof of Joint Ownership
 Child
  • Birth Certificate
  • Adoption Certificate
  • Court Ordered Document of Legal Custody

What does the EverythingBenefits’ solution offer?

The Dependent Audit solution allows employers to audit any dependents that have enrolled in benefits.  Your organization can identify if your entire dependent population should be audited, or just a percentage of random enrollees. Notifications are sent to your employees informing them of the audit, as well as the due date for submitting the supporting documents.  Our tracking tools allow you to quickly see who has passed the audit, who has failed, and who is still in progress. Employees will have access to a web portal to quickly upload the necessary documentation for their dependents.

Here's what the portal looks like:

dependent eligibility audit portal

Where can I learn more about EverythingBenefits' Dependent Eligibility Audit Solution?

The best way to get to know our Dependent Eligibility Reporting Solution is to Schedule a DEMO for a one-on-one with our product specialist. We look forward to solving all your Dependent Eligibility Audit needs!

Let us show you how our Dependent Eligibility Audit solution works. Send us a note to schedule a DEMO.

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