Healthcare Dependent Audit

The City of Toledo’s Department of Human Resources seeks a qualified vendor to perform a comprehensive dependent‑eligibility audit of its employee benefit plans. The contractor will confirm eligibility rules, develop communications, operate a secure intake portal, adjudicate dependents, manage appeals, execute disenrollments, and deliver detailed reporting and governance recommendations. The effort is project‑based, runs for six months, and must be completed in the Fall of 2026. • Validate and document all dependent eligibility criteria (spouse, child, domestic partner, etc.). • Design and launch multilingual employee communications and a secure document‑upload portal. • Perform record‑by‑record verification, handle appeals, generate disenrollment files for Selerix and carriers, and provide final analytics and ROI reporting.