May
15

Pros and Cons of Working Spouse Health Plan Provisions

Posted on: May 15th, 2012 by hmshealthcare

In an effort to save money, many employers are now including working spouse provisions in their health plans. Working spouse provisions are directed at employees whose spouse is eligible for employer-sponsored insurance (ESI) through his/her own employer. This provision can be designed one of two ways: either the employer transfers part of the premium cost [...]

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May
08

How to handle late proof of dependent eligibility documents

Posted on: May 8th, 2012 by hmshealthcare

Employers will occasionally receive required proof of dependent eligibility documentation from their employees after their dependent eligibility verification audit (DEVA) has already ended and ineligible dependents have been removed from the plan. Employers should develop a strategy for handling this situation prior to beginning a DEVA. Click here to learn more about best practices for [...]

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May
01

What Makes a Strong Subrogation Statute?

Posted on: May 1st, 2012 by hmshealthcare

As policymakers search for ways to save money during these difficult economic times, many are looking at state and municipal employee health plans for budget cuts. Subrogation is a highly effective technique that states can use to save healthcare costs without cutting benefits or increasing premiums. Subrogation means if a member of a state employee [...]

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Apr
26

Typical Length of a Dependent Eligibility Audit

Posted on: April 26th, 2012 by hmshealthcare

For most employers who have never conducted a dependent eligibility verification audit (DEVA) before, the process typically takes 14 weeks. However, the timeline of the audit can be tailored to suit an employer’s needs, and may be shortened for employers who have conducted audits in the past. Click here for a breakdown of the standard [...]

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