Dependent Audit. In 2014, the EMPLOYER conducted a dependent audit. The parties understand that new employees will continue to be required to provide evidence to establish dependent status.
Dependent Audit. The parties understand that new employees will continue to be required to provide evidence to establish dependent status.
Dependent Audit. In order to verify that only eligible individuals are covered under the County’s medical, dental and vision plans, the County will be conducting an audit of all persons enrolled as dependents under the employee’s plan. The County, at its own expense, will utilize broadly accepted, industry-standard processes to determine if covered dependents meet the requirements as outlined in the County’s Summary Plan Description. These processes may include, but are not limited to: – Collection of legal documents (e.g. birth certificates, marriage certificates, legally binding adoption agreements, etc.) – Obtaining dependent eligibility information from Medicare or health insurance companies – Completion of sworn affidavit by County employee and/or dependents – The purpose of this audit is to determine if only eligible dependents are enrolled
Dependent Audit. The County, at its own expense, will develop a dependent audit program. Before the County administers or implements the process, the County will meet and confer with SEIU 521 over the effects of the audit process.: In order to verify that only eligible individuals are covered under the County’s medical, dental and vision plans, the County will be conducting an audit of all persons enrolled as dependents under the employee’s plan. The County, at its own expense, will utilize broadly accepted, industry-standard processes to determine if covered dependents meet the requirements as outlined in the County’s Summary Plan Description. These processes may include, but are not limited to: – Collection of legal documents (e.g. birth certificates, marriage certificates, legally binding adoption agreements, death certificates, divorce decree, etc.) – Obtaining dependent eligibility information from Medicare or health insurance companies as a result of claims processing by the County’s claims administrator – Completion of sworn affidavit by County employee and/or adult dependents – The purpose of this audit is to determine dependent eligibility. Data collected by the County shall be used to determine dependent eligibility and may be used as applicable to Article 11 of this agreement – Information related to the plan participant’s health will not be a determinant for audit selection
