Dependent Eligibility Audits
Are you currently covering ineligible health plan members? Through a dependent eligibility audit, we can identify issues and make recommendations for ERISA and Sarbanes Oxley compliance.
We begin with a review of your current enrollment practices and set a strategy for cost savings and compliance. Then, we assist with vendor selection, employee education, and implementation. In some cases, we are able to help clients realize savings of hundreds of thousands of dollars.
Client Anecdote: With 300 employees across the U.S., our client was concerned that ineligible dependents were being covered under their health, dental and vision plans. We arranged a dependent eligibility audit and found that 5% of the dependents covered under the plan were ineligible. One of these ineligible dependents had incurred $250,000 in claims. As a result of the audit, the employer was able to eliminate all ineligible dependents from their plan and pursue reimbursement for their losses with the help of the medical plan administrator.
Sheri Alexander, FLMI, GBA, HIA is a Senior Vice President and serves as the Employee Benefits Division Manager for Gregory & Appel. Sheri has over 30 years of experience in the employee benefits consulting and brokerage field with primary focuses in the healthcare industry (hospitals, physician groups and senior living) and higher education (colleges and universities).
In addition to her extensive experience with traditional employee benefits plans, Sheri has expertise in alternative funding arrangements, direct-contracting, managed care organizations, provider excess risk placements, on-site and near-site clinics, and value based benefits design.
Sheri is an active member of the Board of Directors of the Little Red Door Cancer Agency, the Cancer Support Community of Central Indiana and Gregory & Appel. She currently sits on the Advisory Boards of Anthem Blue Cross and Blue Shield and United Healthcare. She is a longstanding member of the local and national CEBS (Certified Employee Benefits Specialist) chapters as well as the State and National Associations of Health Underwriters. Sheri is also a member of ISHHRA (Indiana Society for Healthcare Human Resources Administration) and the Executive Women in Healthcare chapter in Indianapolis. She was recently named to the Indianapolis Business Journal’s 2011 Who’s Who in Health Care and Benefits.
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