Consova Dependent Eligibility Audit Investigation

Migliaccio & Rathod LLP is investigating whether employees were improperly charged higher health-insurance premiums, lost health coverage, or had dependents removed from their employer-sponsored health plans during dependent eligibility audits administered by Consova Corporation.

Consova provides dependent eligibility verification services for employers across the country. During these audits, employees may be required to submit documentation demonstrating that spouses, domestic partners, or dependent children qualify for continued health-plan coverage.

Employees have reported that dependents were removed from employer-sponsored health plans after documentation was allegedly rejected, deadlines were missed, or audit determinations were made in error.

These audits may have included:

  • requiring employees to submit marriage certificates, birth certificates, or tax records;
  • verifying dependent eligibility through document review;
  • imposing deadlines for submission of supporting documentation;
  • terminating dependent coverage because documentation was allegedly insufficient;
  • retroactively rescinding dependent coverage;
  • requiring employees to appeal adverse eligibility determinations; or
  • increasing employee premium costs after dependents were removed.

Federal law places limits on when employer-sponsored health plans may terminate health coverage or rescind benefits. Employees may also have rights to receive adequate notice, an opportunity to appeal, and a full and fair review before dependent coverage is terminated.

We Are Interested in Hearing From Employees Who:

  • had a spouse or dependent removed following a Consova eligibility audit;
  • submitted requested documentation but still lost coverage;
  • were told documentation was incomplete or insufficient;
  • lost dependent coverage retroactively;
  • were billed for medical claims after dependent coverage ended;
  • paid higher premiums because a dependent was removed;
  • experienced administrative errors during the audit process; or
  • believe the verification process was confusing, unfair, or improperly administered.

You may have rights even if the coverage change appeared as a “dependent verification,” “eligibility audit,” “coverage rescission,” “dependent removal,” or “loss of dependent coverage.”

If your employer used Consova Corporation to conduct a dependent eligibility audit and you believe you were improperly affected, please contact Migliaccio & Rathod LLP. There is no charge to speak with us, and there is no obligation to take legal action.

If you believe you encountered these issues, we would like to hear from you. Please complete the contact form on this page, send us an email at [email protected], or give us a call at (202) 470-3520.

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    Migliaccio & Rathod LLP is a Washington, D.C.-based law firm that represents consumers and employees in class-action lawsuits nationwide.