Dependent Eligibility Audit: What happens if I don't verify my dependents?
There may be consequences to not verifying your dependents. The final outcome/consequences are at the discretion of your employer. Best practice - if your dependents are eligible - provide the required documentation to verify their eligibility by the audit deadline.
What happens if I don’t respond at all, or don’t provide all
of the necessary documentation?
If you do not
respond in full, including all
required documents, by the submission deadline
date (which will be stated in the Audit package you
receive from Benetech), all unverified
dependents will be removed retroactively
from our benefit programs (either back to the coverage effective date or the audit "as of" date - whichever may apply for the audit engagement). When that termination
will be effective, and what other actions we might take, will
depend on individual circumstances.
What happens to MY coverage if I do not respond
in full, including all
necessary documentation?
Your own coverage will
not be terminated. However, as stated above, coverage
for
all unverified dependent(s) will be dropped retroactively. Additionally, if a dependent(s) incurred any claims on/after their
retroactive termination date, you will
be
solely responsible for the
full amount of all
outstanding charges
billed by the provider(s).
What happens if I have covered a dependent that was not eligible
for coverage. Will
I be subject to
disciplinary action?
This audit process is intended to ensure
that all dependents
listed on your insurance
are
valid. However, in situations
where fraudulent information has knowingly
been provided, your employer will determine, solely at their discretion, how best
to
handle each individual case.