How does it work?

We make it easy.

Our dependent eligibility verification process is designed to be simple and stress-free, making it easy for participants to verify their dependents. With BMI’s user-friendly system, members know what to do and when to do it. The process provides a quick and efficient experience with live in-house support if needed.

Because we do the hard work, you can be as hands-off or involved as you want. Our clients report they spend an average of one hour per week on project-related activities. Here’s what to expect:

Our dependent eligibility verification process is designed to be simple and stress-free, making it easy for participants to verify their dependents.
 
1. Planning + Setup
 

Planning a dependent verification audit starts with defining which dependents need to be verified and what documents are required. BMI then helps to establish a timeline, communication plan, and secure ways for members to submit documents. Systems and processes are put in place to ensure a smooth and efficient audit.

 
 

what you do

  • Share eligibility rules

  • Participate in a kick-off call with BMI experts

  • Approve communication templates

  • Announce the verification internally to members

  • Send enrollment file to BMI

What we do

  • Assign a project manager to be your designated consultant and guide throughout the project

  • Analyze eligibility rules

  • Create a timeline using key dates received from client

  • Conduct a kick-off call with the plan sponsor and/or the broker consultant to review project timing, communication plan and confirm document requirements

  • Configure BMI’s software according to client eligibility criteria

  • Verify enrollment file for accuracy and completeness

  • Import and process the enrollment file in accordance with the project requirements

  • Tailor communications to the specifics of the campaign

  • Train BMI call center and document processing teams on specific eligibility rules and documents being requested

  • Grant access to and provide a demo of BMI’s Verification Portal and dashboard reporting

 
2. Communicate + Verify
 

Once the dependent verification effort has been communicated to members, BMI collects and reviews documentation submitted by members for authenticity and compliance with the plan’s eligibility rules. If more information is needed, members receive follow-up communications with additional instructions.

 
 

What you do

  • Monitor progress and review updates

  • Refer member questions to BMI

  • Provide updated addresses for returned communications

  • Give feedback to BMI on unique member scenarios

  • Participate in a status call with the BMI team

What we do

  • Send the audit notification to all members included in the enrollment file with instructions on how to complete the verification process and what documents are needed

  • Provide live human support to members needing assistance through our US-based, multilingual in-house call center, or by email

  • Give each member access to BMI Verify to submit documents, view their current status in the process, and complete the verification form

  • Review each document received from members to verify accuracy and ensure it meets your eligibility requirements

  • Request additional information from members who:

    • submit partial responses

    • have not responded

  • Conduct a status call with the plan sponsor and/or the broker consultant to review progress, explain reporting, and discuss what to expect for the remainder of the project

 
3. Reporting + Results
 

BMI keeps you informed throughout the verification process, making it easy to see who is eligible and ineligible. The insights gained from the dependent audit help organizations improve benefits administration, control costs, and establish guidelines for future ongoing verification.

 
 

What you do

  • Participate in a wrap-up call with BMI experts

  • Send termination letters using a template provided by BMI

  • Remove ineligible dependents from coverage

What we do

  • Provide clients with 24/7 access to progress reports through our online dashboard. The dashboard will be available throughout the entire project and includes information such as:

    • Progress towards completion

    • Family and dependent status

    • Ineligible and incomplete reasons

    • Alerts

  • Compile verified results, flag ineligible dependents, and provide a final detailed report to the employer for action

  • Conduct a wrap-up call to review the final results and consult with the client on how to move forward with next steps for the removal of ineligible dependents

  • Deliver an Executive Report including statistics and summarization of the final results, return on investment, and recommendations for future verification