Dependent Audit Services
With the rising costs of health care sky rocketing each year, companies are looking for more ways to control costs. One way to control costs is to ensure that your benefits are being offered only to eligible dependents as defined by your benefit policies. Auditing dependent data to request proof of dependent status is an intensive manual effort and requires much coordination between the employee and corporate.
Companies are grappling with rising healthcare costs and are putting their employees under scrutiny to find dependents claimed by employees who are not eligible for coverage.
The ADP Solution
With ADP Dependent Audit Services, ADP’s team of dedicated professionals acts on behalf of the employer and request proof of dependent status based on the types of audit you choose.
ADP will send letters to all employees who have enrolled dependents benefits coverage requesting documentation to substantiate their dependent’s eligibility. Employees will have a period of time to be determined by you (the audit period) to submit documentation. If they do not submit documentation within the audit period, coverage for their dependent can be terminated. ADP will image all documentation, provide follow up with the employee and produce a standard report for your company’s benefits team to review and make a determination to terminate coverage. Additionally our service includes customer service support to answer your employee’s questions about the audit.
Available services include:
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Full Dependent Audit – Audit all employees who have dependents enrolled in employer-sponsored benefit plans
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Full-Time Student – Audit the current status of all dependents currently flagged full-time students
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Overage Dependents – Audit all dependents who are over the maximum age for dependent coverage; request verification of student status or disability
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Family Status Change – Audit all FSCs to add or drop dependents from coverage
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Special Events – Audit of a special group or population (e.g., domestic partners or acquisitions)
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Dependent Add – Audit new hires or newly added dependents at open enrollment
Interested in learning more? Contact us or call 1.800.CALL.ADP, ext. 411 (1.800.225.5237, ext. 411).