WTF? Hubby's employer hired Secova to audit dependent insurance coverage [View All]

[54anickel]

In order to perform this audit, Secova is requiring employees who pay for spouse or family coverage to provide proof of relationships and eligibility, including but not limited to income tax forms, marriage certificates, proof of home ownership, and birth certificates.

We sent them a copy of our marriage certificate...not good enough. So, I made a duplicate of our tax return, blacked out the amounts and SS#s, but was just informed by the union steward they have me marked for dropping from the insurance. We need to call and find out wtf is going on.

If I had the $$$ I'd just call a lawyer and be done with it. Since our marital status is a matter of public record. This is a 2nd marriage for both of us, we've only been married since 2005, we do not have any bills in both names. We were 2 separate households under one roof for freakin' 14 years before making it "legal".

I can't believe this is even legal!!! I HATE fucking insurance companies! Found out that if they do drop me, it will cost $$$ to be reinstated, I'll have to fill out a health questionaire and there is the risk that they can turn down covering me.

On edit, found this on their website:

http://www.secova.com/company/news/releases/20090916.asp

NEWPORT BEACH, CA, September 16, 2009 - Secova Inc., a leading provider of human resource and benefits management services, today announced their success in reducing liability for their government clients through dependent eligibility verification resulting in cost savings and compliance with plan rules and fiduciary duties. Based on actual results in the Public sector, ineligible dependents range from 5 % - 15%, resulting in the public sector over spending on total claims costs for their dependents who no longer meet eligibility requirements.

In the 60’s and 70’s Medicare was supposed to cost 4 million, and it ended up costing 5 million. In the 1990’s healthcare grew to be about 12% of the GDP. In 2009 President Obama has reinvigorated the call for universal healthcare. The question is how much is this going to cost? Given the ever increasing nature of healthcare costs (2009 estimated average of $9,552 per employee, an increase of 6% from 2008), there is a clear mandate for tighter controls (Source: Towers Perrin). Further broken down, the public sector spends on average $4,400 per year per dependent enrolled in a healthcare plan. With spiraling health care costs threatening the financial well-being of public institutions, controlling benefit expenses year round is a pressing issue.

Dependent eligibility audits are gaining momentum among the public sector. The bottom line is that dependent eligibility verification has proven itself valuable in identifying ineligible dependents and removing the associated cost to public institutions. On average, Secova’s Public clients realized a savings equal to over 7% of their total claims expenditures, net of the audit costs. As healthcare reform heightens, Secova continues to realign its strategies to adapt to the ever changing healthcare reform. The congressional office is predicting a cost of over 1.4 trillion dollars over the next 10 years marking the need for the public sector to weed out their ineligible dependents to minimize costs.

“Secova’s growth this past year is evidence of the acceptance of our unique value proposition for entry into the public sector. We are extremely pleased to have been chosen as the dependent eligibility audit service provider for such a large number of public entities and see this as a strong indicator of our continued leadership role in the public sector,” says Venkat Tadanki, Co-Founder and Chief Executive Officer of Secova. “Secova draws heavily on People, Platform (technology) and Processes to better drill down on health benefit services for Dependent Eligibility Verification, and for Benefits Administration services."

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