The Audit Front Line – The Call Center

As we discussed in our last blog post, communication is the key to an employee-friendly audit experience. The call center plays a critical role in this process. In this post, we will explore the characteristics of our call center that helps your employees navigate the audit process as smoothly as possible.…

Green (Paper Free) Audits

Beyond the audit approach, success in dependent eligibility verification comes down to three things—communication, communication, and communication. Crafting and distributing customized, data-driven employee communications drives audit compliance and creates a more employee-friendly audit experience.…

2016 Trend - Continued Adoption of Working Spouse Provisions

As widely predicted, the adoption of working spouse provisions is continuing to climb. A study by PwC (Health and Well-being Touchstone Survey Results) found a slight decline (1%) in the adoption of exclusion rules (carve-outs) but a sharp increase in the adoption of spousal surcharges.…

2016 Trend - Growth in Self-Insured Plans

Given the cost burden of the ACA, state taxes, and state mandates on fully insured plans, the industry is seeing a shift to self-funding at small to mid-sized organizations. According to an industry study, 66% of employers with 500-1,000 employees are self-insured, up from 59% in 2014.…

2016 Trend - ACA Compliance Costs

The cost impact of the ACA (new employee eligibility, fees, reporting, etc.) is creating urgency to identify new areas for cost containment. In the Health and Well-being Touchstone Survey Resuls by PWC, 83% of employers are re-evaluating their benefits strategies as a way of mitigating the ACA burden. In many instances, the CFO is looking to HR to take actions now to curb these growing costs.…

Cadillac Tax Delayed

December’s omnibus budget package contained a measure to delay the “Cadillac Tax” provision of the Affordable Care Act that by two years. The tax on high-cost employee health plans, often referred to as the “Cadillac Tax”, imposes a 40% tax on any excess cost of health plans above certain thresholds.…

Mitigating the Risks of Open Enrollment

It’s open enrollment season for many employer sponsored health plans. As employers implement new plan designs, it’s important to take measures to control possible risks.…

Conducting Dependent Eligibility Audits: Optimizing Data Security

Throughout the dependent eligibility audit, staff members are required to submit a large amount of sensitive data for verification purposes. These documents can include birth certificates, marriage licenses, divorce decrees, tax documents and many other documents of identification. One of the main concerns facing employees during the auditing process is the security involved in keeping this sensitive data safe – while keeping all audit requirements up-to-date.…

Why Private Benefit Plans can Help Attract Talent

For businesses hoping to maximize their ability to attract talent, recognizing the value of a position is important. In fact, for many top rated businesses, the value stems beyond the original job description and salary, and encompasses the entire company, brand and unique perks as a viable option to new talents. In fact, although many leadership teams recognize the value of a competitive salary, top performing companies have mastered the ability of recognizing the value of health plan benefits, as it relates to desirability within a company—which can either entice or deter qualified talent exponentially.…

Pre-Audit Employee Communications

When it comes to Dependent Eligibility Verification Audits, there are several key performance indicators that one can track to evaluate the success of the initiative. One such KPI is participation rate. For over a decade, ConSova has been leading the industry in employee participation rates. It has been our experience that a comprehensive employee communication plan is one of the most effective ways to boost participation.…