AUDIT

The Monitor Benefits audit process includes two key steps:

1. First, we perform a complete review of your health benefits program -- census data, enrollment data and your eligibility and enrollment policies. We compare information across data sources (from different carriers, to internal client systems, to spreadsheets, etc.). We not only compare the data for completeness and accuracy, but we subject it your specific eligibility policy to see if all enrollees conform. On average, we find that 3-5% of client data is inaccurate -- and these inaccuracies can be costly both in the form hard dollars (e.g., incorrect enrollments) as well as soft costs (e.g., time spent reconciling data, liability exposure, etc.).
   
2. Once the initial analysis has been done -- and the system setup for usage -- we deliver a detailed audit through our EVA program. EVA, pronounced Ee-vah, stands for Eligibility Verification Audit. This service enables a full review of the supporting paperwork verifying your employee eligibility (and, if desired, your retirees) to include dependents on their health benefit plans. The EVA system manages the paperwork tracking (i.e., type of verification provided) and the status of the dependent (e.g., eligible, ineligible, inactive, not-verified), and calculates the financial impact of removing ineligible dependents from a plan.

The Monitor Benefits Audit Process will save you 3-5% of your total health benefits costs based on our experience with other school districts