April 2020 – Academic HealthPlans
 

Dependent Eligibility Audits

Costs and Coverage

When it comes to student health insurance, some universities and colleges have specific, school-sponsored plan eligibility requirements, not just for students, but for dependents as well. Contingent upon the plan, schools may or may not be able to cover dependents.

A dependent is a person(s) relying on the policyholder (the student) for support. Dependents could fall into various categories; this person could be a spouse, parent, child (under the age of 26 per the Affordable Care Act), or even a domestic partner.

Dependent coverage is only available if the student is also insured and dependent enrollment must take place at the time of student enrollment unless there is a qualifying event such as a marriage, birth, etc.

dependent eligibility audit is a process used by organizations to verify that all dependents enrolled in a benefit plan are eligible for coverage.

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