Retiree Dependent Eligibility Audit

Important: Dependent Eligibility Verification Program for Retirees has been delayed until August

The Division of Retirement and Benefits works hard to preserve the benefits we offer to you and your dependents under AlaskaCare health plans. In order to continue to do this, we will conduct a Dependent Eligibility Verification Program through HMS Employer Solutions, an independent cost containment firm. All retirees who have dependents enrolled in our plans will be required to participate.

The purpose of this Program is to ensure all dependents enrolled in our plans meet eligibility guidelines so that only eligible dependents are covered.

In late July, early August you should have received a letter at home with detailed instructions on what you will need to do to complete the requirements of the program by the due date.

If you have any questions regarding the documents required or to verify receipt of the documents, please contact HMS once the audit begins.

Documentation may include a marriage certificate or birth certificate. If you do not have these documents available you may contact the appropriate State's Vital Records to request copies. Additional information on where to request Vital Records can be found at www.cdc.gov/nchs/w2w.htm.

Thank you for cooperating in this important program, which will benefit all of us.

Frequently Asked Questions

What happens after if the documents are not submitted by the deadline?

Coverage for unverified dependents will be terminated.

How will I know if my dependent is verified and won’t be dropped?

Once the audit begins you may check the status of each of your dependents with HMS by logging on to www.AuditOS.com or by calling 1-877-606-0506 Monday – Friday, 7am to 7pm AKST. In addition, you will receive a written communication indicating that you have completed the dependent verification process or if additional information is needed. Ultimately, it is your responsibility to ensure that your documents were successfully received.

How will I be notified if my dependent is dropped?

If you have notified HMS that your dependent should be terminated, a confirmation letter will be issued to you. If your dependent is terminated from coverage due to a failure to respond to the audit, a notice of rights for continuation of coverage under COBRA will be issued to the address of record.

Can I send the documents to the Division?

No, the only way to ensure that all documents are logged appropriately and eligibility of your dependents is verified is to submit your supporting documentation to HMS.

If my dependent is deleted in error, what can I do?

HMS representatives will be available to review the information submitted for a period of time after the deadline (TBA). After that date, you may contact the Division of Retirement and Benefits so that your specific situation may be reviewed.

Why is the AlaskaCare Retiree Health Plan conducting a Dependent Eligibility Verification?

AlaskaCare is sensitive to the rising costs of healthcare for its employees and feels this verification program is necessary to help make sure its health benefit plans are compliant with state law, competitive, and cost effective. This program also helps AlaskaCare manage overall plan costs, which benefits all retirees.

Who is HMS Employer Solutions (HMS)?

HMS Employer Solutions is an independent third-party cost containment company with whom AlaskaCare has contracted to verify the eligibility of dependents covered under its health benefit plans. HMS specializes in verifying health plan eligibility and has reviewed verification documentation for millions of dependents for some of the largest employers in the United States. Experience and expertise are necessary to complete this program accurately and successfully, and to limit inconvenience to participants.

The documentation required contains sensitive information. Is this process secure?

Protecting personal information is a priority to AlaskaCare and HMS. In compliance with applicable U.S. (federal) and state regulations, information and documentation submitted to HMS for the Dependent Eligibility Verification program is stored, processed, and protected by physical, electronic, and procedural safeguards. When submitting your tax documentation, only the top portion which includes the names of the employee, spouse, and any dependent child(ren) is required. Please mark out Social Security Numbers, as well as any income information.

All documents are securely stored for six months following completion of the verification program. Upon expiration of the retention period, all documents and electronic files will be securely destroyed by HMS, and a Certificate of Destruction will be supplied to AlaskaCare. Please note that documents provided will NOT be returned. HMS meets all of the professional and legal standards associated with providing service to employers, including the Health Insurance Portability and Accountability Act (HIPAA), Employee Retirement Income Security Act (ERISA), and disposal rules as enforced by the Federal Trade Commission. In addition, every employee of HMS submits to a thorough and multi-tiered background check. Only HMS employees directly involved in the AlaskaCare dependent verification program will have access to these documents.

Do I need to send original documents?

Please do not send your original documents; a copy is sufficient. If the document is two-sided or has multiple pages, ensure you copy all pages and both sides of the paper.

Where do I go for more information regarding the Dependent Eligibility Verification program or to find out where I can obtain copies of the documents I need?

Visit us online at www.AuditOS.com for details regarding the program, tools to assist you in locating and submitting your documentation, and more. This secure site is compatible with your mobile device.

How will I know if my information has been accepted and my dependents are verified?

Once your documentation has been received by HMS, you may check the status of each of your dependents by logging on to www.AuditOS.com. In addition, you will receive a written communication indicating that you have completed the dependent verification process or if additional information is needed. Ultimately, it is your responsibility to ensure that your documents were successfully received.

What happens if I do not submit all required documents by the verification deadline?

If you do not submit complete documentation for your dependents by the deadline, or if you knowingly submit false information for enrolled dependents, one or all of the following actions may occur:

  • The affected dependent(s) for whom complete documentation has not been submitted will be removed from coverage.
  • AlaskaCare may seek to recover claims paid during the period that the ineligible dependent was covered.

AlaskaCare is ultimately responsible for determining how best to handle each individual case.

Can an exception be granted to allow my ineligible dependent to stay covered?

No. Only dependents that currently satisfy the plan’s eligibility definition can remain covered.

If the dependent is no longer eligible because of a “qualifying event,” (e.g., divorce, child reaches age limit), please contact a Division of Retirement and Benefits representative for COBRA details. COBRA, or the Consolidated Omnibus Budget Reconciliation Act, gives retirees and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances.

I prefer email communications rather than mailed letters. Can I elect to receive follow up communications about the verification process through email instead?

Yes. To go green and receive all future communications electronically, please go to the “My Account” tab at www.AuditOS.com and enter your email address in the “My Information” section. Once you validate your email address as correct, you will be prompted to log back into the site where you may then click on the “Enable Paperless” button to activate electronic communications.