Division of State Group Insurance Dependent Eligibility Verification Audit 

 

The Division of State Group Insurance (DSGI) will soon begin an audit to ensure accuracy of dependent enrollments in the State Group Health Insurance Program.  The audit will begin on December 1, 2017 and will apply to subscribers with actively enrolled dependents.  DSGI will soon mail postcards to participants’ homes to alert participants of the upcoming audit and to confirm who is considered an eligible dependent

 

An amnesty period will occur beginning now through November 30, 2017.  If ineligible dependents are removed from coverage before December 1, 2017, the participant will be held harmless for past claims of ineligible dependents.  Ineligible dependents may be removed at any time by calling People First at 866-663-4735 or contacting Human Resources at 904-620-2903.

 

It is critical that you respond to any requests for documentation to verify the eligibility of dependents or you run the risk of dependent coverage being prospectively terminated.  Additional information will be provided in Open Enrollment packages, which will be mailed in October 2017.