Posts in Dependent Eligibility
How a Large Healthcare Employer Saved $2.9M with Dependent Eligibility Verification

A large healthcare employer saved nearly $3 million in one year simply by verifying who actually belonged on their health plan. With over 11,000 dependents enrolled, a Dependent Eligibility Verification Audit uncovered hundreds of ineligible individuals, driving nearly 3,000% ROI. This real-world case study shows how proactive verification not only reduces waste but strengthens compliance and protects long-term benefit sustainability.

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Over $2.2 Million Saved by Removing Ineligible Dependents

A consortium of regional school districts working together to save taxpayer dollars engaged BMI to verify the eligibility of 3,735 total spouses and children on their health plans. Plan eligibility rules contained a “working spouse” provision which meant any of the 1,207 spouses who had other coverage available to them through employment were ineligible.

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Major Savings with Periodic Dependent Verification

This transportation and logistics company periodically engages with BMI for dependent eligibility verification. Their previous audit was completed in 2017 and resulted in 180 dependents removed which equated to $630,000 in annual savings.

This most recent audit included the verification of 1,390 enrolled dependents to ensure there were no changes in eligibility and that all newly enrolled dependents were eligible for benefits.

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