dependent verificationplansource.com/collateral/plansource_dea.pdf · 2020-07-20 · billing...

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PLANSOURCE.COM | [email protected] | (877) 735-0468 One Source. Many Benefits. DEPENDENT VERIFICATION Why Dependent Verification? Premium Bundle Employee Contact Center Billing Reconciliation and Payment COBRA Administration Dependent Verification Employee Communications Benefits Outsourcing HSA / FSA / HRA Administration PlanSource Benefits Services Software + Services = A Better Benefits Experience At PlanSource, we believe that the best way to build a better benefits experience is by combining best-in-class software with a range of high-touch benefit services. This simple equation provides brokers and employers with a complete solution that can help busy HR departments work more efficiently and focus on strategic initiatives rather than tedious tactics. Dependent Verification Dependent verifications are a best practice in employee benefits. By ensuring that only eligible participants are receiving coverage, you can save money and stay compliant. If you’re self-funded, you can eliminate stop-loss exposure and Employee Retirement Income Security Act (ERISA) violations (if applicable) and Sarbanes-Oxley (SOX) issues (if you’re a public company). The monetary savings to the employer can be significant, with an average of 6% of covered dependents deemed ineligible for continued coverage. Save Money Reduce medical premiums for fully-insured plans and claims costs for self-insured plans. Improve Compliance Improve compliance with your Summary Plan Descriptions (SPDs), HR policies and rules. Minimize Risk Reduce stop-loss exposure and litigation risk related to ERISA, Sarbanes-Oxley and other regulations.

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Page 1: DEPENDENT VERIFICATIONplansource.com/collateral/PlanSource_DEA.pdf · 2020-07-20 · Billing Reconciliation and Payment COBRA Administration Dependent Verification Employee Communications

PLANSOURCE.COM | [email protected] | (877 ) 735-0468One Source. Many Benefits.

DEPENDENT VER IF ICAT ION

Why Dependent Verifi cation?

Premium

Bundle

Employee Contact Center

Billing Reconciliation and Payment

COBRA Administration

Dependent Verification

Employee Communications

Benefits Outsourcing

HSA / FSA / HRA Administration

PlanSource Benefits ServicesSoftware + Services = A Better Benefi ts Experience

At PlanSource, we believe that the best way to build a better benefi ts experience is by combining best-in-class software with a range of high-touch benefi t services. This simple equation provides brokers and employers with a complete solution that can help busy HR departments work more effi ciently and focus on strategic initiatives rather than tedious tactics.

Dependent Verifi cation

Dependent verifi cations are a best practice in employee benefi ts. By ensuring that only eligible participants are receiving coverage, you can save money and stay compliant. If you’re self-funded, you can eliminate stop-loss exposure and Employee Retirement Income Security Act (ERISA) violations (if applicable) and Sarbanes-Oxley (SOX) issues (if you’re a public company). The monetary savings to the employer can be signifi cant, with an average of 6% of covered dependents deemed ineligible for continued coverage.

Save MoneyReduce medical premiums for fully-insured plans and claims costs for self-insured plans.

Improve ComplianceImprove compliance with your Summary Plan Descriptions (SPDs), HR policies and rules.

Minimize RiskReduce stop-loss exposure and litigationrisk related to ERISA, Sarbanes-Oxley and other regulations.

Page 2: DEPENDENT VERIFICATIONplansource.com/collateral/PlanSource_DEA.pdf · 2020-07-20 · Billing Reconciliation and Payment COBRA Administration Dependent Verification Employee Communications

PLANSOURCE.COM | [email protected] | (877 ) 735-0468

Best Practices for Dependent Verification

What’s the Typical Process?

• Conduct an amnesty-styleaudit after you’ve concluded open enrollment

• Get buy-in from unions and other stakeholders in advance

• Use a third-party to conductthe audit to protect theemployee-employer relations

• Communicate clearly and often with employees about the audit process and deadlines

• Provide positive and clear communications to employees using multiple communication channels

Weeks 1-3Planning and Communication

PlanSource works with you to develop an audit plan and comprehensive communications strategy.

Weeks 4-10Documentation and Verifi cation

Employees submit documentation to validate dependent relationships. PlanSource manages the verifi cation process for you.

Weeks 4-10Appeals and Cancellations

PlanSource handles the appeals process and updates enrollments, removing dependents who can’t be verifi ed on your behalf.