As Employers and HR Department across the Country face increasing pressure to control costs inside their Benefit Programs, many are taking a good look at the Eligibility and Administration of their Dependent Population.

Did You Know?

That various Industry Studies report that on average approximately 8% to 12% of enrolled dependents are ineligible for healthcare coverage?

As a result, Dependent Eligibility Audits have quickly become the most popular and effective way to reduce costs inside Employee Benefit Programs without reducing benefits. With a Return On Investment (ROI) commonly exceeding 250% there are few other ways to impact the trajectory of healthcare inflation more considerably then conducting an audit and implementing ongoing eligibility administration.

How Can We Help?

Winston Benefits has the combined resources of our benefits administration technology and employee service center to implement a thorough Dependent Eligibility Audit, plus, ongoing services for integration into every enrollment transaction.

Fortunately, Winston Benefits has the experience, resources and capabilities required to help you execute a thorough and exact Dependent Eligibility Audit, plus, implement the necessary ongoing eligibility verification processes to keep you and your plans compliant.

Results of recent Dependent Eligibility Audits conducted for our clients:

Case Study 1:

A children’s clothing retailer with more than 5,000 benefit eligible employees across all 50 states.

• 8.8% of the dependent population ineligible for coverage and removed from the plan
• First year savings of nearly $700,000
• Five-year projected savings of more than $3.2 million dollars
• First year Return on Investment (ROI) of more than 500%.

Case Study 2:

A jewelry retailer with more than 11,000 benefit eligible employees across all 50 states.

• 17% of the dependent population found ineligible and removed from plan
• Five-year projected savings of more than $2,000,000
• Estimated Return on Investment (ROI) of more than 1,000%.

To learn how you can improve your bottom line and make your Department a winner with the CFO, contact us today at sales@winstonfinancial.com