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 is a Senior Vice President and serves as the Employee Benefits Department Manager for Gregory & Appel. Sheri has 30 years of experience in the employee benefits consulting and brokerage field with a primary focus in the healthcare industry (hospitals, retirement communities, physician groups, etc.).
In addition to her extensive experience with traditional employee benefits plans, Sheri has expertise in direct-contracting, managed care organizations, provider excess risk placements, and worksite marketing programs.
Sheri is an active member of the Board of Directors of the Little Red Door Cancer Agency, the Cancer Support Community, United Healthcare Children’s Foundation, and Gregory & Appel. She currently sits on the Advisory Boards of Anthem 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, ASHHRA, and the Executive Women in Healthcare chapter in Indianapolis.
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