Posts in verification audit
Periodic Dependent Verification = Major Savings

An organization in the banking and financial industry asked BMI to verify the eligibility for 1,181 enrolled dependents on their medical plans. Previous checks by BMI in 2016 and 2019 resulted in the removal of 71 ineligible dependents, saving over $250,000.

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Dependent Verification Identifies Ineligible Relationships

A city government was exploring several options to keep healthcare benefit costs from increasingly unnecessarily and engaged BMI to verify the eligibility of 1,495 dependents enrolled in the group’s health plans.

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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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Dependent Eligibility Verification Achieves Large ROI

An electrical and telecommunication distributor contracted with BMI to ask employees to provide documentation to verify the eligibility of their 728 enrolled dependents on the group’s health plans.

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Periodic Dependent Eligibility Verification Proves Valuable

Through regular collaboration with BMI, a municipal government has identified first-year savings totaling $775,000. Even with prior audits, the latest verification process resulted in savings of $375,000 with the discovery that 6.3% of enrolled dependents were not eligible for healthcare benefits.

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Dependent and Spousal Surcharge Verification Saves Money

A food and beverage retailer with 709 employees engaged BMI to verify whether any of the 1,383 enrolled dependents met the plan’s eligibility and spousal surcharge criteria.

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Dependent Audit Highlights Importance of Frequent Verification

A large regional hospital with over 1,200 employees engaged BMI to verify if 2,643 enrolled dependents were eligible according to plan eligibility requirements. Their last dependent verification audit was conducted over 5 years ago.

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Huge ROI Following Dependent Eligibility Verification

To ensure only eligible dependents were enrolled for health benefits, this manufacturer engaged BMI to verify whether any of the 809 dependents were eligible according to plan eligibility requirements.

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Eligibility Verification Achieves Over $150k in Savings

Looking to help combat rising health insurance costs, a construction company with 159 employees approached BMI to confirm that only eligible dependent children and spouses were enrolled in the company’s health plans.

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Eligibility Verification Finds Unreported Employee Divorces

A school district with 259 employees approached BMI to conduct a dependent eligibility audit after discovering that an employee’s ex-spouse was incurring costs on their health plans.

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Over $180,000 Saved Following Ineligible Dependent Removal

A manufacturer with 358 employees approached BMI to conduct a dependent eligibility audit after suspecting ineligible dependents were enrolled on the plan causing costs to increase unnecessarily.

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Millions Saved with Periodic Dependent Eligibility Audits

A previous audit by BMI led to the identification of over 100 ineligible dependents resulting in hundreds of thousands of dollars in savings.

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Dependent Audit Results in Huge Return on Investment

A national retailer with 470 employees approached BMI to conduct a review of dependent coverage elected by plan participants and to validate whether enrolled dependents met the plan’s eligibility requirements.

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$100,000 Saved Following Ineligible Dependent Removal

After merging two companies into one benefit plan offering, this food and beverage company engaged BMI to verify whether 329 enrolled dependents were eligible for the company’s health plans.

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Savings Continue with Ongoing Dependent Eligibility Audits

This healthcare organization relied on BMI for ongoing dependent eligibility audits to help manage eligibility and spousal surcharge verification in circumstances such as life events or new hires. This independent expert verification can prevent ineligible dependents from continuing to enroll in the plan while reducing an employer’s administrative burden.

An initial audit by BMI led to the removal of over 1,000 dependents and annual savings of over 4 million dollars.

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Dependent Verification – An Effective Cost Containment Strategy

To help combat rising health insurance costs, the internal audit department of a global engineering and manufacturing company engaged BMI to verify whether 511 enrolled dependents were eligible for the company’s medical and dental health plans.

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Dependent Verification Saves Employer over $1 Million

To help combat rising health insurance costs, this electric motor manufacturer and their employee benefits broker engaged BMI to verify whether 3,425 enrolled dependents were eligible for health plan benefits.

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Removal of Ineligible Dependents Saves Thousands

To help combat rising health insurance costs, this food manufacturer and their employee benefit broker engaged BMI to verify whether or not the 1,475 enrolled dependents were eligible for health plan benefits.

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Combined Savings: Audit of Dependent Eligibility & Spousal Surcharge

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.

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Small Group Achieves Big Savings with Dependent Eligibility Verification

Following successful claims audits conducted with this organization’s affiliate, this small manufacturer approached BMI to help confirm if enrolled dependents actually met the organization’s self-funded medical plan eligibility requirements. 

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