With spousal exclusions or surcharges gaining popularity as a best practice to help organizations control the cost of benefits for everyone, the growing interest in spousal coverage audits (SCAs) makes sense.

In our experience, these audits regularly identify a significant number of spouses with access to other coverage, but who may not understand or accurately report that status. As you may imagine, the resulting cost savings from removing this financial burden can be substantial.

Performed as part of a full Dependent Eligibility Audit or as a stand-alone service, a SCA requires all employees who have a spouse enrolled in your plan to provide proper documentation to verify their spouse’s eligibility for coverage under the plan.

Through our Center for Benefits Management, Chelko has provided eligibility audits since 2007. For more information, please contact Lynn Linder at 440-892-2600, ext. 103.