Cut costs now with a dependent eligibility audit

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Save money with a dependent eligibility audit

Performing eligibility verification audits to ensure that all individuals covered under an employer’s health plan are eligible for coverage can result in substantial savings.

  • Statistics show that up to 15% of a typical employer’s dependent population is ineligible for coverage.
  • An EVS audit can generate net savings for the employer of up to 8% of plan expenses.

Free up your team's time and budget with our efficient dependent eligibility verification audits

Significant Cost Savings

Proven Results: Audits identify ineligible dependents and can reduce employer plan expenses by 3-8%

Maximized Efficiency: Our streamlined process minimizes employee disruption and maximizes results

Simple, Convenient Administration

Effective Communication: We contact employees up to six times to ensure they understand the audit and the key role they play

Easy Document Upload: Employees can quickly upload documents or images of documents via phone, tablet or computer

Expert Guidance and Support

Personalized Plan: We work closely with employers to respect and reflect their culture, tone, and policies

Experience You Can Rely On: Our dedicated team offers expert guidance and support throughout the audit process

Targeted Solutions

Complete: One-time comprehensive eligibility audit of every employee with spouse or dependent on plan

Select: Ongoing comprehensive eligibility audit of every employee with spouse or dependent who gains eligibility for coverage throughout the plan year

One-time or ongoing audits to save you money

WEX’s comprehensive eligibility audits are designed to minimize employee and staff disruption. We provide two levels of service to meet your needs

Complete

One-time audit of every employee who currently covers a spouse or dependent under your plan(s).

Select

Ongoing audit for every employee who covers a spouse or dependent and gains eligibility for coverage throughout the plan year (e.g., new hires).

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Our clients can save millions of dollars!

Here’s how we helped PIH Health save $3 million and ensure compliance with a dependent eligibility audit:

  • Extensive Planning to tailor the audit to meet PIH Health’s objectives
  • Conducted a comprehensive eligibility audit of every employee who covers a spouse or dependent
  • Utilized our easy-to-use, customizable website to inform employees of requirements, track progress, and upload documents
  • Implemented electronic eligibility reporting to facilitate and verify the correct termination of ineligible dependents

Take a deeper dive

More to explore

Top 4 reasons why you should add a dependent eligibility audit to your benefits strategy

Eligibility Verification solution overview