Reining in medical costs is an ongoing issue for employer clients. One way to address rising costs is to ensure everyone who is on the health plan is eligible to receive those benefits.
“Dependent audits are important for two reasons,” says John Garner, chief compliance officer at Pasadena, Calif.-based Bolton & Company. “The most obvious one is to hold down costs,” he says. “Perhaps more importantly, plan administrators have a fiduciary duty to administer the plan in accordance with the plan documents, which means that only eligible dependents should receive benefits.”
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