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With the continued increase in healthcare costs, employers are becoming
increasingly interested in cost containment measures.
Studies show that between 5 – 14% of dependents on a plan are
ineligible for coverage. With estimates placing the annual
savings at more that $2,000 per plan participant, it is becoming
increasingly clear that companies need to look at performing an
Eligibility Audit.
The benefits of an Eligibility Audit are clear. First and most
important, is a reduction in annual premium due to
eliminating employees and dependents who should not be covered on your
health plan. Second, there is a reduction in claims expenses that
would be generated for these ineligible employees. The reduction in
premium costs and claims expenses produce a significant savings on your
health premiums at renewal.
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