Save more and steer clear of risks

Our eligibility, verification and compliance solution helps reduce costs and risk, and delivers a great employee experience.

We’re here to help

Benefits administration relies on information – accurate information. User error, forgotten forms and missed dates are just a few of the ways that dependent eligibility and life event verification can slip through the cracks. Our eligibility and compliance solutions are easy to implement and help you stay on top of required regulations through accurate and timely confirmation of information – even when things change.

Here’s the Challenge: Your employees' lives are changing…and so is their benefits eligibility

Between evolving regulations and life-altering events, it’s getting more complicated to keep track of who is eligible for benefits.

Here’s how we solve it: Stay ahead of twists and turns

Technology and experts that track, update and adjust eligibility and keep employees informed for you. We help manage your costs and deliver great service.

Spot the savings

The average dependent cost (over $3,226.44 a year) and healthcare costs are rising — fast. Our dependent audits find an average 5-7% of dependents ineligible in one-time audits, jumping to 10-14% in ongoing verification. The result? An average 2086% ROI on the cost of an audit.

Spend your dollars where it counts

There’s a lot of avoidable expenses out there. Thousands to millions. Our dependent audits confirm eligibility, allowing you to reinvest healthcare dollars, in programs or premiums, that go back to your people.

One platform for the job

Say goodbye to the complicated vendor landscape. Our solution integrates on our cloud-based platform to secure data in one place, make audits seamless and allow employees to process any required forms online.

Accuracy and reliability

Ensure that changes to your employees’ benefits are accurate, compliant, based on real events and processed efficiently.

Commitment to service excellence

We’ve got representatives dedicated to life event and dependent verification with English and Spanish language support available. Our relay service for TTY users accommodates the hearing impaired, and our 24/7 interactive voice response system ensures that your employees get help when they need it.

More of what’s possible with Eligibility and Compliance

Eligibility

We’ve spent years finding savings for you, auditing more than 12 million dependents from one-time audits and verifying over a million dependents each year for hundreds of our ongoing verification clients.  Benefits

• Reduce your spend and increase net profitability
• Demonstrate fiduciary responsibility and reduce risk
• Deliver user-friendly experience and support

Compliance

We get in the weeds, so you don’t have to. That means minimized legal risk, less admin stress and compliance that’s finally under control. Benefits

• Support on Form 5500 administration
• Support on POA / QDRO / QMCSO administration
• Support processing claims and appeals