Audio Conferences

  September 20, 2006 at 02:00PM ET

Savvy HR professionals are taking a closer look at their benefit plan participant eligibility rules and finding ways to cut benefit plan member costs by up to $3,000 per person per year.

By relying on a basic honor system of enrollment, most employers are unknowingly carrying thousands of non-eligible dependents, such as ex-spouses, adult children, and others. These extra people translate directly into higher costs, co-pays and deductibles for all.

A carefully planned audit of dependents can help you uncover these ineligibles – and potentially find big savings. Large plans can generally expect a 10-15% reduction in the number of covered dependents after an eligibility audit; smaller plans may see a 5% reduction (which can result in a savings of up to $100,000).

Join IOMA for this invaluable audio program that will lay out all the elements of an effective eligibility audit. In just 90 minutes, we’ll show you how to reduce your health plan costs by learning:

• How to get started: who should be involved, how long it should take, data collection, what to plan for, etc.
• Examples of audit plans that have netted employers significant savings
• How to assess your current validation and documentation processes
• Next steps and options (what if they don’t disenroll? exceptions, random and amnesty audits, and more)
• Best practices for communicating dependent eligibility – is it clear to employees who are eligible for health plan coverage? What about under COBRA?
• Ongoing management: keeping records current, handling new enrollees, requesting proof of eligibility
• What level of savings your plan can expect
• Considerations for recovering payments already made for ineligible dependents
• How to effectively communicate the purpose and benefits of the audit

Plus, get answers to all your questions in the live Q&A session following the discussion.

Featured Faculty

MaryAnne L. Watson, HIA, MHP
Vice President, Claims Auditing Services
SEGAL
Ms. Watson has led Segal's Claims Auditing Division as Vice President since 1997 and is responsible for all aspects related to coordination of claims audits. Her 25+ years of experience as a group benefit analyst, auditor, and claims examiner provide her with both a clear understanding of employee benefits and vital knowledge of an administrative office’s responsibilities and workflow.

J. Stephen Ashley
Senior Vice President of Client Consulting Services
UltraLink
With more than 26 years of experience in the managed care, healthcare and accounting industries, Mr. Ashley has built a career developing innovative solutions throughout the healthcare supply-chain. In addition, he currently holds executive and committee positions with the American Association of Preferred Provider Organizations (AAPPO) and Self-Insured Institute of America (SIIA).

Register today! Unable to attend? Order the CD now!