Risks of Not Auditing

Often employers only hear about the huge financial windfalls to be gained by performing a dependent eligibility audit; however there are also significant risks associated with NOT performing such an audit.

Fully Insured – If you fully insure your plans, having an ineligible dependent incur a large claim can spell disaster. The Bottom Line is that this claim will not be covered by your insurance carrier, which leaves an interesting question: Who must pay the claim? With current court trends in favor of employees against their employers, the financial risk of ineligible dependents on your fully insured plans is significant.