Dependent Eligibility: Consider This Before Your Next Open Enrollment

Held September 27, 2007

Order a CD-ROM (includes handouts)
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To control health plan costs, some employers are changing their plans to more carefully target which of an employee’s dependents are eligible for health plan coverage. They are also taking steps to make sure that individuals who are not eligible for dependent coverage are not enrolled in the plan. In this teleweb, we will review some of the problems that employers encounter when health plans provide dependent coverage, including

  • Identifying which family members to cover and defining them in plan documents
    • Who qualifies as a spouse? Is a same-sex spouse eligible?
    • Who qualifies as a child of an employee? Is it possible to rely on Tax Code dependent definition?
    • What about students?
  • Considering which dependent coverage mandates apply
  • Administering the consequences of dependent coverage
  • Dealing with ineligible individuals enrolled as dependents.
Presenter
Elizabeth E. Vollmar
Vice President and Principle Employee Benefits Attorney
Willis Americas
Legal and Research Group
Employee Benefits—North America
Clayton, Missouri


Related Reading

Health Insurance Answer Book, Seventh Edition
by John C. Garner