Posts in Spousal Carve-out
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.

Read More
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.

Read More