A dependent eligibility audit can provide a typical ROI of nearly 15% and millions of dollars in cost savings. In this new age of health care under the Patient Protection and Affordable Care Act, most industry experts say audits will continue - and all say they will remain an important way to reduce overall health care spend.

"There aren't many places in benefit plans that you can in a few short months turn up 10% savings," says Karl Ahlrichs, a senior consultant at Indianapolis-based Gregory & Appel Insurance. "From a financial standpoint, it's worth doing; just make sure you have the cultural ducks in a row before you do it, because if people have gotten away with [ineligible dependents], it's become an entitlement to them."

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