Eligibility Audit
To insure that CPS is only covering eligible members, CPS has contracted with Mercer Consultants to perform an Eligibility Audit of the CPS Health Care plan, as negotiated in April 2007.    In the next month, all employees will receive a letter from Mercer listing they type of plan you carry and everyone you are covering.  It will ask you to verify that all listed are in fact eligible for health care coverage through CPS.  You will be asked to sign the letter and send it back.  By signing the letter, you are confirming that the members listed are valid. If there are members listed on this letter, that are not valid recipients of coverage, now is the time to exclude them from the list as the time period for amnesty is only a brief window.  If you ignore the initial letter or do not sign it within the time allotted, you will be sent another letter, this time requiring proof of marriage, birth, adoption, full time students, etc…in the form of marriage certificates, birth certificates and so on.  It will be mandatory that every employee with health care coverage through CPS complete the eligibility audit.

CPS has over 4000 employees enrolled in our health plan with over 7,000 dependents. Of the 4000+ employees, 1500 will be randomly selected for a more concentrated audit of eligibility.  These people selected will also have to show proof of marriage, birth, college enrollment, adoption etc..  Please be prepared to submit copies of confirming certificates, schedules, report cards and any other legal document verifying that dependents are eligible for coverage.   Be proactive and if you don’t have these documents readily available to you now, start requesting copies because there is a 1 in 3 chance that you will fall into this concentrated eligibility audit..........-->