Eligibility review of employee health benefits will begin this month
All faculty, staff and retirees who have family members enrolled in UC-sponsored medical, dental and/or vision plans will receive materials asking them to verify their family members’ eligibility for UC insurance beginning the week of March 19.
UC Human Resources has selected Secova, Inc. to complete the verification project in order to identify ineligible family members.
Faculty and staff with enrolled family members will receive an information packet with a list of enrolled family members, a list of acceptable documents that can be submitted to confirm the dependents’ eligibility, and instructions for completing submission of documents electronically or via U.S. mail. All materials are clearly identified as coming from the University of California.
Employees will have until May 17, 2012, to submit the required documents. Those who do not submit documents will be de-enrolled from UC-sponsored insurance. Family members found to be ineligible for insurance through the verification process will also be de-enrolled.
"While the majority of our people enroll only eligible dependents, previous random reviews have uncovered a percentage of people who either knowingly or unknowingly enroll ineligible people or fail to de-enroll dependents who are no longer eligible," said Christopher Simon, director of systemwide HR compliance.
"It’s in the best interest of the University and our faculty, staff and retirees to be sure only eligible people are covered," Simon said.
UC Human Resources selected Secova to administer the dependent eligibility review based on their price, state-of-the-art security and privacy procedures and commitment to customer service, including a call center, which is open 24 hours a day, 7 days a week.
"Secova has tools, resources and expertise to help people locate hard-to–find documents,” Simon said. "They also had excellent recommendations from other universities who used them for similar projects."
This project is part of a larger effort, which includes verifying family member eligibility for all new employees and all new dependents added to current employees’ and retirees’ health insurance coverage. Secova will administer the ongoing verification process as well.
Faculty, staff and retirees who receive the mailing should submit copies, not original documents, and financial information on tax returns or bank statements should be blacked out, as only the filing or account-holder information is needed.
If you have questions about the verification process, the Secova call center will be available beginning March 16 and will be able to assist in multiple languages. Contact information will be included in the initial verification packet being mailed out beginning March 16.