benefitsFOCUS: Ongoing Medical Plan Dependent Eligibility Reviews Begin in May

Over the spring and summer of 2023, we required all employees covering dependents on our medical plan at that time to complete a Dependent Eligibility Review process. The review was conducted by Part D Advisors (PDA), an independent cost containment firm that specializes in conducting eligibility reviews. The purpose of the review was to ensure that all dependents enrolled on our plan met eligibility guidelines for coverage. All employees, retirees, and COBRA participants on our health plan who covered spouses/children were required to complete this process, which wrapped up in September. Since that time, all new dependents on the plan have undergone the same review process.

Beginning this month, PDA will begin random spot audits of dependents enrolled on our medical plan with the goal of reviewing all of our covered dependents at least once in a 3-year rolling period to ensure that we are continuing to cover eligible dependents in a fair and equitable manner. Continue reading