We published an article in January’s publication of The School Administrator. Below is an excerpt:
“In late 2007, an employee of Macomb County, Mich., carefully tabulated the health care claims paid on behalf of one individual and her two dependents during the last eight years. The total came to nearly a quarter of a million dollars.
With the rising cost of health care, the figure wasn’t astounding at first glance. What made this situation remarkable was that this individual worked for the county for only eight days, and that was more than seven years ago! The county had stopped her paycheck upon termination, but they unknowingly continued to pay her health benefits.
Unfortunately for employers, paying for the health benefits of individuals who are not eligible is far too common. Yet former employees represent only a small number of these individuals. It is dependents of current employees who account for the majority of ineligible persons receiving health care benefits. This is a result of employees who list them as eligible for coverage, despite the fact they do not meet the requirements of the plan. Because of this reality, school districts are turning to dependent eligibility audits to ensure benefits are only paid on behalf of eligible dependents….”
Read the remainder of the article by following this link to their website.
