Dependent Eligibility Audits

On average, 4–10% of an organization’s dependents are ineligible. Minimize your company’s risk by conducting a dependent eligibility audit.

 
 
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Immediate Measurable ROI

Our Dependent Eligibility Audits result in an average ROI of 100% to over 5,000% in the first year alone.

 

A surprising number of dependents on your healthcare plan may not be eligible — but trying to figure out which ones can be difficult and unnerving. The solution? Conduct a dependent eligibility audit to ensure compliance and drive ROI. You deserve to rest easy when your healthcare bills arrive, knowing you are paying what you are supposed to while providing the best care to your employees and their dependents.

As a nationally recognized audit firm, BMI is well equipped to assess your company’s plan and provide you with ways to ensure eligibility in the future. Serving clients in all industries, all locations, and in all sizes, we understand the sensitive and oftentimes complicated nature of these audits. Combining advanced technology, proven processes, and quality customer service at competitive pricing, our dependent eligibility services stand apart in a market full of competitors.

Let us help you prevent potential loss and stay in compliance.


 

Dependent Eligibility Savings Calculator

Savings that are easy to see

On average, 9.2%* of enrolled dependents are ineligible for coverage.

 
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* Based on BMI audits conducted in 2021-2023.
Rates vary based on industry and employer verification processes.

 
 

Why Conduct a Dependent Audit?

You have enough on your plate without trying to keep track of which dependents on your plan should be there. A Dependent Eligibility Audit offers peace of mind, clarity, and the knowledge you need to move forward for the good of your organization.

Problems We Solve

Are you trying to be the best plan fiduciary and stay in compliance? Are you looking for ways you can save on your healthcare costs? Do you wish you had an easy way to keep track of the dependents on your plan? Our dependent verification services can help with all of these concerns.

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With you every step of the way

 

Our Dependent Eligibility Audits keep you in mind. Whether you want to be very involved in every step or let us do the heavy lifting, we can customize your audit to your needs. See below for a quick overview of how we work with you.

 

PLANNING | 2-4 WEEKS

3 hours to plan the audit with BMI

3 hours to plan the audit with BMI

DOCUMENT SUBMISSION | 10-12 WEEKS

4 hours to review during the audit

4 hours to review during the audit

FINAL REPORTING | 1-2 WEEKS

3 hours to implement recommendations

3 hours to implement recommendations

Together, we’ll customize your audit to achieve the least amount of friction and highest outcome.

Don’t worry about collecting documents from employees - we handle that for you and share the results with you every week.

You’ll receive an executive report for your audit. Our team will explain the results to you and answer all your questions.

 
 

 Ongoing Dependent Verification

New hires, open enrollment and life events can all lead to ineligible dependents on your plans. Stay up to date by capturing and verifying dependents before dollars have been spent.

Using the same process as a comprehensive audit, BMI will send an initial letter to your employees and one follow-up letter after several weeks. You receive progress updates throughout the project.

A comprehensive, retroactive audit followed by ongoing services gives you the best insight into plan members’ eligibility.

 

Contact us for a quote

Propel your organization forward by investing in Dependent Verification. We are excited about the opportunity to partner with you!

If you are a Dependent Eligibility Audit participant, please call 877.634.7780 for immediate assistance or visit www.bmiverify.com.

Not quite ready for a quote, but want to connect with someone to discuss options? Contact us here.

 
 
 

 Are you an associate going through a Dependent Eligibility Audit?

 
 
 

BMI Verify Portal is your hub during the auditing process. Login to the BMI Verify page to upload documents and see your current activity log.

Want to know what documents are required and how we keep your information safe? Check out our FAQ page to learn more.