Audit benefit programs to ensure compliance and reduce costly regulatory risk.
This presentation provides a comprehensive guide to auditing employee benefit programs, opening with an overview of the audit's purpose -- ensuring compliance, financial accuracy, and fiduciary responsibility under ERISA, ACA, IRC, DOL, and IRS oversight. The presentation then explains why audits matter, covering financial exposure, fraud risk, and regulatory penalties, followed by a deep dive into the applicable regulatory framework. The presentation outlines the types of benefit plans subject to audit -- from health and welfare to retirement and executive plans -- before examining the three major risk areas: eligibility, financial and billing, and administration and compliance. Next, the presentation covers how to plan and scope an audit, including team selection and document gathering, and details the core audit procedures across enrollment testing, financial and claims review, and vendor/TPA compliance. The presentation then addresses the most common audit findings and the IRS and DOL correction programs available for remediation, followed by guidance on how to structure and present findings to leadership using a risk-rated findings log and corrective action plan. Finally, the presentation closes with best practices for building an ongoing compliance framework, including audit frequency, real-time reconciliation, fiduciary documentation, and staff training.
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Why Lorman?
Over 39 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Agenda
Why Auditing Matters (10 Minutes)
- ERISA Fiduciary Duties
- DOL/IRS Enforcement Risk
- Financial Exposure From Ineligible Dependents
- Billing Errors
- Fraud Prevention
Regulatory Framework and Plan Types (15 Minutes)
- Key Laws Governing Benefit Plans (ERISA, ACA, HIPAA, COBRA, IRC §125, PCORI)
- The Full Spectrum of Plans Subject to Audit, From Health and Welfare to Retirement and Executive Plans.
Key Audit Risk Areas (10 Minutes)
- Eligibility Verification
- Carrier Invoice Reconciliation
- COBRA Notice Compliance
- Nondiscrimination Testing
- Plan Document Accuracy
Audit Procedures (10 Minutes)
- Enrollment Data Testing Against Carrier Files
- Financialand Claims Review
- Vendor/TPA Contract Compliance Assessment
Findings, Remediation and Best Practices (20 Minutes)
- Common Findings (Ineligible Dependents, Late 5500S, ACA Reporting Errors)
- Correction Programs (VCP, DFVC, EPRS)
- Reporting to Leadership
- Building an Ongoing Compliance Framework
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Why Lorman?
Over 39 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Credits
OnDemand Course
This course was last revised on August 5, 2026.
Call 1-866-352-9540 for further credit information.
- AIPB 1.0
- This program is acceptable for 1.0 CPEC(s) towards the CB designation through the American Institute of Professional Bookkeepers (AIPB).
- ASA 1.0
- This program may qualify for 1.0 continuing education hour(s) towards maintaining your ASA credential. Please contact ASA for more information at [email protected]. Please retain proof of attendance in the event your CE record is audited.
HR Certification Institute 1.0
- This E-Learning program has been pre-approved for 1.0 (General) recertification credit hours toward aPHR®, aPHRi(TM), PHR®, PHRca®, SPHR®, GPHR®, PHRi(TM), and SPHRi(TM) recertification through HR Certification Institute® (HRCI®). For more information about certification or recertification, please visit the HR Certification Institute website at www.hrci.org.
SHRM 1.0
- Lorman Education Services/Noggin Guru Inc. is recognized by SHRM to offer Professional Development Credits (PDCs) for the SHRM-CPSM or SHRM-SCPSM. This program is valid for 1.0 PDC(s) for the SHRM-CP or SHRM-SCP.
To earn each credit Lorman offers through the OnDemand learning platform, you need to watch 100% of the program. Also, for certain credits you will need to fulfill additional requirements which will be displayed on the "credits" tab when viewing the course.
- Those applying for AIA and HRCI must view 100% of the program and answer the questions following the program.
This program does NOT qualify, nor meet the National Standard for NASBA accreditation.
MP3 Download
This program does NOT qualify, nor meet the National Standard for NASBA accreditation.
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More Program Information
Why Lorman?
Over 39 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Faculty
Emily Langdon
Fraser Stryker
Emily R. Langdon
- Champion Health Inc., Chief Legal Officer, Fraser Stryker PC LLO, Of Counsel
- Practice emphasizes all aspects of your areas of practice
- Speaking/Teaching accomplishments in your area of practice
- Author of any publications related to the areas of your practice area
- Frequently speaks on topics regarding employee benefits and ERISA
- J.D. Degree, cum laude, Creighton University School of Law; B.A. Degree, magna cum laude, University of Notre Dame
- Can be contacted at [email protected] or 402-978-5386
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Why Lorman?
Over 39 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
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