igses\ THE CITY OF NASHUA
Administrative Services Division
"The Gate City"
To: Mayor Donchess
Finance Committee
From: Kim Kleiner, Director of Administrative Services
Date: December 29, 2020
Subject: Dependent Eligibility Verification Audit
In October, the city requested bids for proposal thru our consultant, Workplace Benefit
Solutions (WBS), for firms to conduct a Dependent Eligibility Verification Audit on our
medical and dental plans.
A dependent eligibility audit will allow the city to validate that dependents covered under
the city health and dental plans are eligible. This is accomplished by requesting that
employees provide additional information or documentation for their enrolled
dependents.
Proposals were received from four firms:
1. BMI Audit Services Estimated cost of $43,657
2. Health Decisions/PDA Estimated cost of $33,000
3. Health Management Services (HMS) Estimated cost of $39,769
4. Secova Estimated cost of $ 31,266 + postage
After careful review of all proposals, the evaluation team chose Health Decisions/PDA
for the following reasons:
1. PDA has the highest employee response rate in the industry, achieving an average of
98% over the past 15 years.
2. In the past 30 years of audits, PDA has never experienced a single employee appeal.
3. PDA uses customized communications, a multi-letter process, unlimited outbound
calls, an interface with a secure web portal and tracks calls received by their call center.
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