Client Overview
A faith-based, nonprofit regional health care system employs more than 17,000 people across multiple facilities. Committed to serving patients and communities with care and integrity, the organization also carries a responsibility to manage its employee benefit plans thoughtfully and in accordance with ERISA requirements.
The Challenge
With a self-funded employee health plan and no prior review of dependent eligibility, the organization faced rising healthcare costs and limited visibility into whether all covered dependents met plan requirements. Leadership needed a way to reinforce plan integrity while maintaining an employee-friendly process that respected trust and minimized disruption.
Our Approach
Lumelight experts were selected after a review of several vendors to conduct a comprehensive dependent eligibility verification program across the hospital system’s employee population. Through customized, co-branded communications and a structured verification process, employees were guided clearly and respectfully through confirming the eligibility of their dependents. A secure digital experience supported by US-based assistance helped ensure questions were addressed efficiently and consistently.
The Results
The initiative delivered meaningful first-year impact by helping the organization identify and remove ineligible dependents from the plan while maintaining high employee participation. Lumelight experts also established a foundation for ongoing verification services, enabling the health system to continue managing healthcare costs responsibly and ensuring benefits remain aligned with plan design and participant eligibility.
