Investigations
HEALTH CARE and LIFE INSURANCE INVESTIGATIONS:
The Office of the Inspector General investigates allegations of waste, fraud, and abuse within the
Federal Employees Health Benefits Program and the Federal Employees Group Life Insurance
Program. Health care fraud represents a majority of the work done in these areas.
The types of activities investigated include fraud by providers of health services;
program participants; and health insurance carriers contracted to provide coordination of
services. Fraud in the group life insurance program typically involves theft of
funds from participants or the U.S. Treasury. The majority of the investigations are
conducted jointly with other Federal, state, and local law enforcement agencies charged
with the investigation of health care fraud. OIG maintains a Health Care Fraud
Hotline which allows program participants and other concerned parties to report
allegations of fraud and other concerns directly to the OIG. The office also
maintains liaison with health care fraud working groups at both the nation and local
level..
RETIREMENT AND SPECIAL INVESTIGATIONS:
The Office of the Inspector General also investigates fraud involving the Civil Service Retirement
System (CSRS) and the Federal Employees Retirement System (FERS). These OPM managed
trust funds disperse approximately $42 billion annually. OIG routinely reviews CSRS
and FERS annuity records for indications of unusual circumstances, as well as maintaining
contact with the federal annuitant population. Additionally the office receives
inquiries from OPM program offices, other federal and state agencies, and private citizens
which prompting it to investigate cases of potential retirement fraud or alleged
misconduct by OPM employees and contractors. OIG maintains a
Retirement and Special Investigations Hotline which allows program participants and other concerned parties to report
allegations of fraud and other concerns directly to the OIG.