:: Proliance Resource Group - Dependent Eligibility ::

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dependent eligibility

Our new Dependent Eligibility Management Service initially identifies, reports, and removes
spouses and children who are NOT ELIGIBLE for your organization's medical plan.

Examples may be:

	Ex-spouses
	Spouses covered under other plans (COB)
	Domestic partners, common law spouses
	Step-children, foster children, or married
	Students not enrolled in an accredited educational institution
	Full-time students over a specified age

Statistics confirm that 5% to 15% of your covered dependents are not eligible for medical coverage. That coverage costs you $2,000 to $5,000 per dependent annually. And that means wasted healthcare dollars.

You can solve this problem immediately, and stay on top of it in the future with our Dependent Eligibility Management Service. Here are the key reasons why our process is more effective and more efficient than other types of audit programs:

It's an Electronic, Web-Based Process Employees complete the audit questionnaire primarily online (supplemented by call center/paper, if necessary). They update their dependent data currently on file, and answer additional questions about their family situations.

Their information is aggregated into a single unified database. And you can monitor audit progress (employees finished, in-process, and ineligible) in real time.

Proliance Guiding Principles

	Leadership: “The essential quality for leadership is not perfection, but credibility.”
	Provide “Choice”
	Full disclosure in advance—”know the deal”
	Voluntary alliance participation (provider and distributor)
	Success-sharing revenue formula with provider
	Active oversight of providers and distributors (due diligence after-the-fact)
	Consistent and predictable delivery
	Constantly seek improvement
	Assess opportunities objectively and without prejudice

Key Benefits to you...

Our innovative, technology-driven Dependent
Eligibility Management Service delivers important benefits to you. It decreases your legal, financial, and claim risks. It reduces your current and future healthcare costs. It meets your fiduciary and Sarbanes-Oxley obligations. And it allows you to outsource the management of dependent eligibility.