Save Healthcare Dollars with a Dependent Eligibility Audit

As employers continue to struggle with controlling their benefit plans’ costs, it becomes even more important to be sure that the people they have covered under their plans are actually eligible for coverage. The impact of The Patient Protection and Affordable Care Act (PPACA) and The Health Care and Education Affordability Reconciliation Act (HCEARA) have changed the landscape of dependent eligibility for employer-based health coverage. With the increasing number of allowable covered dependents comes increasing health care costs. Now more than ever, employers need to find ways to contain costs and spend wisely. One way to accomplish this is to perform a Dependent Eligibility Audit. With annual healthcare costs ranging from an average of $3,000 to $5,000 per dependent, removing ineligible dependents can save significant health care dollars for employers and their employees. Savings can be even greater if the plan is paying substantial claims for an ineligible dependent. Below is an example of the savings that can occur with a small percentage of ineligible dependents removed from the employers’ health plan:

Employers of all sizes should consider performing a dependent eligibility audit as a way to control wasteful spending, comply with the law, reduce rate increases and promote employee satisfaction. 

INNOVA BENEFIT Services is an ideal partner to assist with this important process. Our staff is both sensitive to the employer’s needs to ensure that it cover only legitimate dependents as well as the employee’s concerns of privacy, fairness and against intrusion. Having an audit performed by an independent third party can greatly assist the employer with achieving relief from inappropriate expenses, as well as removing Human Resources from direct actions with employees in sensitive discovery and follow-up activities. INNOVA BENEFIT Services’ staff averages over 20 years of experience in Health and Welfare administration and compliance.

For more information about saving your healthcare benefit dollars with a Dependent Eligibility Audit, please contact INNOVA BENEFIT Services at This e-mail address is being protected from spambots. You need JavaScript enabled to view it or 1-866-993-7702 x 8244.