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2013-03-08 9:44 PM

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Veteran
930
50010010010010025
Morgan Hill, California
Subject: Company audit of dependent insurance or "Your Papers Please"

So, my employer has decided to contract with a third party to do an audit of dependents claimed on our employer provided insurance plan.  In essence, we have to prove that our claimed spouses and children are, in fact, our spouses and children.  In order to do so, for our spouses, we have to provide a copy of our marriage license AND a copy of the 2011 tax return showing we claimed as a spouse (separate provision for couples filing separately).  For the children, we have to provide a copy of their birth certificates.  We are instructed to redact financial information (though what isn't financial info on a tax return?) and all but last four digits of SS#. 

Now, I believe this is legal, so my question is not about whether they can do this.  However, I think this is outrageous.  That is more "proof" than I have to provide on my tax return.  I think this is a pretty incredible invasion of employee privacy and demonstrates a pretty clear statement that the company doesn't trust its employees.  This came with no statement or explanation about whether this is a significant problem for the company, or how much the company anticipates saving.  As I think about it, perhaps there could have been a way to message this to make it better received, but this came with very little explanation other than some vague statement that dependent coverage is intended for dependents. 

So, my questions are (1) has anyone ever had their company do this? and (2) would you feel the same level of outrage that I am feeling? 

Thanks COJ Nation.



2013-03-08 11:35 PM
in reply to: #4652813

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Veteran
416
100100100100
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
This seems to be a "newer" phenomenon, but my husband's former company required this about six years ago. We had to provide our marriage license and my birth certificate (no kids), but not the tax return. I think it was a bit much, but might have saved the company some money since several of his co-workers had been providing health insurance for the children of live-in girlfriends not legally attached to the employee. The sad part is in my opinion at least, disallowing children or significant others on health insurance has the potential to drive-up everyone's costs if it leaves these people uninsured. So the company saves, but the rest of society ends up paying.
2013-03-09 6:14 AM
in reply to: #4652813

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489
100100100100252525
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
There's one person they suspect of committing fraud and this is how external legal advisors have told them to deal with it.  Probably.
2013-03-09 6:19 AM
in reply to: #4652813

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Pro
6767
500010005001001002525
the Alabama part of Pennsylvania
Subject: RE: Company audit of dependent insurance or "Your Papers Please"

We had to provide proof that our daughters were still eligible for coverage when they were in college (prior to the change in the law that allowed them to stay on until 26) - and my wife and I have our own coverages through our jobs. 

But I think your outrage is misplaced. The comparison to your tax return misses the point that you had to proved identifiers (SSN) for everyone, and so there is a built in check on the system to some degree when the entire country has to (theoretically) identify themselves. And as to "invasion of privacy", you are asking your employer to cover people that are not you - so it is certainly within their rights to ask for proof that they are legitimately eligible. Sort of like a store requiring a receipt for a return, or the IRS to require a SSN for all your kids you claim as dependents, or the ICE requiring you to have a passport to re-enter the country.

Given the costs to companies of providing insurance, I am not surprised they are asking this as a savings measure. In fact, it is surprising that MORE companies don't.

If you are upset, then what you really want is a change to the system - one that takes the business of providing insurance away from your employer. Ideally one that has a single provider that covers everyone so that the risk pool is adequately spread to keep costs low (administrative costs, outliers of usage, bargaining power for purchasing drugs, etc). You know, the kind of system every other country in the western world uses...

2013-03-09 6:21 AM
in reply to: #4652813

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Veteran
740
50010010025
The Woodlands, TX
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
I go through this all the time....not with audits, but with new hires. We require the same two forms of "proof" for initial enrollment in our insurance programs (marriage or birth certificates + recent tax return). I think it's ridiculous, but I don't make the rules. My practice is to let new hires know what they'll have to provide a few weeks before they start, just in case they have to get copies rounded up. For new hires, they have 30-days to provide document copies.....if they miss the deadline, their dependents can not enroll until the next open enrollment period, which could be quite a few months away. I encourage people to take those deadline seriously.
2013-03-09 6:46 AM
in reply to: #4652813

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Resident Curmudgeon
25290
50005000500050005000100100252525
The Road Back
Gold member
Subject: RE: Company audit of dependent insurance or "Your Papers Please"

1) No, and 2) No

Here's my question though: Exactly what proof does an income tax return provide in this instance? Couldn't someone just get a blank 1040 and type in whatever information they wanted it to say? Or even do so on Turbo Tax or similar? There is nothing on the 1040 that indicates that particular document was the one that was filed, nothing to "prove" that the information contained therein is correct and valid.

If someone was to fraudulently claim someone as a dependent on their insurance it would be no big deal to create a fraudulent 1040.



2013-03-09 12:42 PM
in reply to: #4652813

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Elite
4547
2000200050025
Subject: RE: Company audit of dependent insurance or "Your Papers Please"

1:  No, and 2) No.

Personally, I believe the penalties for cheating the system are way too lenient.  

2013-03-09 1:11 PM
in reply to: #4652813

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Veteran
930
50010010010010025
Morgan Hill, California
Subject: RE: Company audit of dependent insurance or "Your Papers Please"

Good thing I checked with COJ!  I am a little surprised at the answers, but I think I've calmed down some and gotten a different perspective from the comments.  Obviously, I don't condone those who are claiming something they aren't entitled to, and my wife is my wive and my kids are my kids, so I"m not hiding anything. 

FWIW, I would have no problem providing proof at the time of signing up.  For whatever reason, after being with the company for 8 years, this struck a cord with me. 

Now to figure out how to copy my marriage license, which is 18 x 24 doc and in a frame.

2013-03-09 1:24 PM
in reply to: #4653130

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Master
2946
200050010010010010025
Centennial, CO
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
This is just the way of the world now.  I have had to do this at my last 2 jobs. (20 year span).  Just started a new job, and it doesn't phase me anymore, and my wife and I know right where the papers are.
2013-03-09 2:13 PM
in reply to: #4652813

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Champion
10668
500050005001002525
Tacoma, Washington
Subject: RE: Company audit of dependent insurance or "Your Papers Please"

My employer (or more properly the insurance company my employer uses) started doing this just a few years ago. Annoying as heck.

Something I'm catching wind of that's coming soon -- employer is going to ONLY cover the employee, and dependend. NOT spouse/SO. Period. Spouse/SO has to either get THEIR employers' insurance, or private.

2013-03-10 12:51 PM
in reply to: #4652813

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Champion
7821
50002000500100100100
Brooklyn, NY
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
1) Yes.
2) No.
My company did a similar audit a few years ago and saved tens of thousands of dollars by eliminating from their insurance roles a bunch of employees' so-called-relatives. Some of them were probably honest mistakes ( a woman had gotten divorced a year or two prior, but "forgot" to remove her husband from her insurance), but a lot of them were outright fraud.

For me, this falls under the heading of "trust, but verify".


2013-03-10 1:35 PM
in reply to: #4652813

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Master
2504
2000500
Southwest Iowa
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
I had to do this over 12 years ago.  Nothing new to big business and new insurance.
2013-03-10 2:05 PM
in reply to: #4652813

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Expert
1146
100010025
Johns Creek, Georgia
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
I thought insurance was free for everyone now.
2013-03-10 2:58 PM
in reply to: #4652813

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Champion
11989
500050001000500100100100100252525
Philly 'burbs
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
kmac1346 - 2013-03-08 10:44 PM

 

 

So, my questions are (1) has anyone ever had their company do this? and (2) would you feel the same level of outrage that I am feeling? 

 

1. Yes

2. No outrage at all

2013-03-10 3:45 PM
in reply to: #4652813

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Royal(PITA)
14270
50005000200020001001002525
West Chester, Ohio
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
Unfortunately, there are a lot of people who commit insurance fraud by claiming others on their policies who are not appropriate.  It is a real cause of WHY your premiums can be higher too.  While it seems invasive and all that......it becomes necessary to be sure the claims paid by the plan are appropriate to those insured on the plan.  If your insurance is "self insured" it means everyone in your group bears the financial cost of the policy and one false claim can cost you several thousand (or more) dollars.
2013-03-10 3:52 PM
in reply to: #4652813

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Expert
1036
100025
Subject: RE: Company audit of dependent insurance or "Your Papers Please"

1. yes

2.  yes

 

Because I have been with the same company for 25 years and everyone knows my/ our status.  It is again, punishing the law abiding in order to catch the law breakers rather than come flat out and confront the lawbreakers.  I have been married 31 years to the same woman and had no idea where my marriage docs were.  So I had to send off and pay for copies to prove that I am not trying to cheat the company.  That's the sort of outrage I am talking about.

I work for a great company, so I didn't stay outraged for very long, after all they did pay my entry fee into most of my races over the last several years.....no matter how slow I was!



2013-03-10 4:28 PM
in reply to: #4653130

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Champion
10018
50005000
, Minnesota
Bronze member
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
kmac1346 - 2013-03-09 1:11 PM

Now to figure out how to copy my marriage license, which is 18 x 24 doc and in a frame.

Did you do it yet?  If not, I would take a picture, download to my computer, resize appropriately, print.  Well, I would do the printing, etc, at work since it's for them of course

Take the picture somewhere with enough light that you don't need a flash, to eliminate glare on the frame glass.

2013-03-10 5:14 PM
in reply to: #4652813

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Master
1890
1000500100100100252525
Cypress, CA
Subject: RE: Company audit of dependent insurance or "Your Papers Please"

I think some of this inreasing scrutiny is a function of the Affordable Care Act kicking in.  According to this article, the per-person fee that your company pays for insurance coverage goes up substantially in 2014 under ACA. 

So the first step in saving money is to make sure they're not covering anyone who's not eligible under their current policies (i.e. non-spouses or non-current spouses).   Since ACA requires your company to cover children up to age 26 but not spouses, the next step for many companies will be to discourage you from covering your spouse under your plan, or simply exclude spouses altogether and only cover employees and their children.

2013-03-10 6:03 PM
in reply to: #4652813

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Expert
1215
1000100100
Austin, TX
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
Probably he reason the employer is asking all employees to provide verification is to avoid being accused of descrmination. The way labor laws are set up is if you ask of one, you must ask of all.
As a business owner, I've learned this the hard way. It sucks, but that is how the government/law chooses to enforce things.
2013-03-10 6:20 PM
in reply to: #4653886

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Champion
7821
50002000500100100100
Brooklyn, NY
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
elcaminobill - 2013-03-10 3:52 PM

1. yes

2.  yes

 

Because I have been with the same company for 25 years and everyone knows my/ our status.  It is again, punishing the law abiding in order to catch the law breakers rather than come flat out and confront the lawbreakers.  I have been married 31 years to the same woman and had no idea where my marriage docs were.  So I had to send off and pay for copies to prove that I am not trying to cheat the company.  That's the sort of outrage I am talking about.

I work for a great company, so I didn't stay outraged for very long, after all they did pay my entry fee into most of my races over the last several years.....no matter how slow I was!



How does a company "confront law breakers" unless they know who they are, and how do they figure out who they are unless they ask for verification?
2013-03-11 6:41 AM
in reply to: #4652813

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Expert
1036
100025
Subject: RE: Company audit of dependent insurance or "Your Papers Please"

Whistleblowers.  We all know who is cheating here and who is cheating there.  It seems that everywhere we go, laws or procedures are put in place that restrict or penalize the law abiding inorder to stop or catch the law breaking.  That's just my opinion. 

I am aware that our company was trying to comply with the new affordable care act, but was to busy to look up the code that made this procedure necessary.

 

 



2013-03-11 8:34 AM
in reply to: #4654047

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Pro
6767
500010005001001002525
the Alabama part of Pennsylvania
Subject: RE: Company audit of dependent insurance or "Your Papers Please"
jmk-brooklyn - 2013-03-10 7:20 PM
elcaminobill - 2013-03-10 3:52 PM

1. yes

2.  yes

 

Because I have been with the same company for 25 years and everyone knows my/ our status.  It is again, punishing the law abiding in order to catch the law breakers rather than come flat out and confront the lawbreakers.  I have been married 31 years to the same woman and had no idea where my marriage docs were.  So I had to send off and pay for copies to prove that I am not trying to cheat the company.  That's the sort of outrage I am talking about.

I work for a great company, so I didn't stay outraged for very long, after all they did pay my entry fee into most of my races over the last several years.....no matter how slow I was!

How does a company "confront law breakers" unless they know who they are, and how do they figure out who they are unless they ask for verification?

x2. And to take it one step further, how does a company justify asking some people but not others for that verification, at least without leaving themselves open to charges of discrimination?

2013-03-11 8:46 AM
in reply to: #4652813

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Pro
4313
20002000100100100
McKinney, TX
Subject: RE: Company audit of dependent insurance or "Your Papers Please"


This is the norm. The outrage is one that most employees feel when they have to do this, but from a company standpoint, you should be okay with having to prove this....in the end, it's better for you and your company.

We saved around $140,000 doing an audit. You'd be surprised what people will claim.....

2013-03-11 10:03 AM
in reply to: #4652813

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Expert
3126
2000100010025
Boise, ID
Subject: RE: Company audit of dependent insurance or "Your Papers Please"

 

I suppose they could just stop providing insurance all together and save lots o money!

 

From someone who doesn't have employer provided health insurance, it seems a bit ridiculous to get worked up over having to provide a few papers.

2013-03-11 10:09 AM
in reply to: #4654470

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Subject: RE: Company audit of dependent insurance or "Your Papers Please"
elcaminobill - 2013-03-11 4:41 AM

Whistleblowers.  We all know who is cheating here and who is cheating there.  It seems that everywhere we go, laws or procedures are put in place that restrict or penalize the law abiding inorder to stop or catch the law breaking.  That's just my opinion. 

I am aware that our company was trying to comply with the new affordable care act, but was to busy to look up the code that made this procedure necessary.

 

 

How do "we all know"?

How are the law abiding being penalized?

 

I think JMK & GB pretty much covered what my thoughts are on it.

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