A best practice that protects the plan - and you.
It's estimated that nearly 10% of enrolled dependents are ineligible for coverage.
To avoid the financial and potential legal ramifications of having ineligible dependents on our plan, it's always a good practice to obtain proof of eligibility before approving a dependent's enrollment. However, the ongoing process of securing and approving dependent documentation can be a challenge for HR teams already burdened with other responsibilities.
Optavise's dependent verification services can relieve this burden by providing:
- Employee outreach: Whether for a new hire, qualifying life event or open enrollment, we'll notify employees that documentation is required before their dependents can be enrolled in the plan and will follow-up with them until the necessary documentation has been received or the deadline has expired.
- Documentation management: We'll collect, validate and process documentation to approve or deny coverage according to your plan provisions.
- Call center: Our team of member service representatives are available to help address employee questions about eligibility rules and required documentation.