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U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce

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Inspector General

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.