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Introducing Findley Davies' New Suite of Dependent Eligibility Audit Services: TbV4
Date:8/15/2008

n and to ask

questions about their plan's eligibility provisions, including how a

working spouse rule operates;

-- Educate employees about their responsibilities to notify HR in the case

of divorce, or in what cases common law spouses are recognized; and

-- Provide information on sources of individual health insurance for

children reaching the limiting age.

Employers interested in conducting a dependent eligibility audit want flexibility in designing an approach that will best meet their needs; leverage their HR staff's experience; and fit within their budget. In response, Findley Davies developed the TbV4 suite of dependent eligibility audit services. TbV4 is based on the "trust but verify" philosophy and consists of four (4) options, enabling an employer to select the audit scope that best fits their needs and objectives. The modules are outlined below.

Option 1: Findley Davies designs a letter to employees, reminding them of their plan's eligibility requirements and providing a deadline to remove any ineligible dependents without penalty. The letter also indicates after the deadline, the employer reserves the right to request proof of dependency and to recover the cost of any claims paid on behalf of an ineligible dependent. Findley Davies also provides employees with education about their responsibilities for notifying HR in the event of a divorce, as well as resources for health insurance for dependent children reaching the limiting age.

Option 2: This is the same as Option 1, but with the added benefit of Findley Davies acquiring and comparing the carrier/TPA's membership file with the employer's eligibility data to identify any discrepancies, such as Joe Smith has enrolled for Employee + Spouse coverage, but the claims administrator's system indicates his children are also covered. In addition, we are able to send eligibility verification forms to those employees with spouses or children hav
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SOURCE Findley Davies, Inc.
Copyright©2008 PR Newswire.
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