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The Health Care Authority’s School and Public Employee Benefits Office of Audit Operations is conducting our annual audit of dependent verification on behalf of the PEBB Program. This audit was designed to determine if sufficient, appropriate documentation exists to support the eligibility of dependents enrolled for benefits through the Public Employee Benefits Board (PEBB) Program, to include state agencies, higher education entities and employer groups.
The initial phase consisted of the review of available documents in PEBB Benefits 24/7. The team was able to verify eligibility for the majority of the randomly selected dependents. For the final phase of the audit, employees will be required to provide dependent verification documents for dependents that could not be verified during the initial audit phase. The inability to verify the dependents during the initial phase was due to either dependent verification documents being insufficient or not being available in PEBB Benefits 24/7 for review.
The audit is currently in the final phase.
Beginning tomorrow, letters will be mailed to employees requesting dependent verification documents. Employees will be required to provide documentation within 30 days of the date in the letter. Instructions for providing the documents will be included in the letter.
Benefit Administrators that have affected employees who need to submit dependent verification documents will be notified by email. The email will include the list of employees with the dependent to be verified and a copy of the letter.
Questions may be directed to hcasebb-pebbaudit@hca.wa.gov.
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