EVA (ELIGIBILITY VERIFICATION AUDIT)

The Monitor Benefits Eligibility Verification Audit (EVA, pronounced Ee-vah) 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:

1. The paperwork tracking (i.e., type of verification provided)
2. The status of the dependent (e.g., eligible, ineligible, inactive, not-verified)
3. The list creation to generate notification letters
4. The transmittal of dropped coverage to carriers, and
5. The calculation and analysis of the financial impact of removing ineligible dependents from your plans.

Americans spend nearly 20% of the total $2.5-trillion costs of health benefits on administration -- over $500-billion in 2005! Major portions of the administrative costs are errors:

• Errors in eligibility handling
• Errors in enrollment
• Errors in billing and payment handling

Monitor Benefits dramatically and quickly reduces these errors through our EVA service -- guaranteed. We charge no upfront fees for our services and for the tools we provide to you and your broker. We earn our fees from direct cash savings -- you literally pay us after the fact with a modest share of the actual money (hard dollars) you save.

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 of hard dollars (e.g., incorrect enrollments) as well as soft costs (e.g., time spent reconciling data, liability exposure, etc.).

Once the initial analysis has been done -- and the system setup for usage -- we deliver a detailed on the actual eligibility data itself.

Results have shown that we typically find 3-7% hard-dollar savings in the first year alone!