Social Security Administration
Office Of The Inspector General
Mission Statement
By conducting independent and objective audits, evaluations and investigations,we
inspire public confidence in the integrity and security of SSAs
programs and operations and protect them against fraud,waste and abuse. We provide
timely,useful and reliable information and advice
to Administration officials, Congress and the public.
Vision and Values
We strive for continual improvement in SSAs programs, operations and management
by proactively seeking new way stop prevent and
deter fraud, waste and abuse. We commit to integrity and excellence by supporting
an environment that provides a valuable public
service while encouraging employee development and retention and fostering diversity
and innovation.
Cover photograph and U.S. Capitol photographs used with permission of Steven Ballegeer
Semiannual Report to Congress
April 1 September 30, 2008
Message from the Inspector General
A Message from the Inspector General
Once again I am pleased to present the Social Security Administration Office
of the Inspector Generals
Semiannual Report to Congress, which highlights some of our most significant
accomplishments over the last
6 months. I am honored to lead an organization that strives to maintain the
integrity of the Social Security
system, which aids the most vulnerable of our citizens in these times of increasing
challenges and uncertainties.
During this reporting period, our employees have continued to address existing
concerns and taken the lead on tackling new ones. For example,
our auditors released eight reports assessing aspects of SSAs disability
programs. Three of those reports targeted the disability appeals
backlog that continues to garner the attention of Congress as well as the thousands
of claimants waiting for decisions. In an effort to clarify
some possible reasons for the backlog, I testified in September before the Subcommittee
on Social Security of the House Committee on Ways
and Means. The OIG will continue to respond to the Agency, Congress, and all
Americans with an objective eye focused on eliminating the
backlog and improving the claims process from beginning to end.
Our investigators have also devoted their energies to improving the integrity
of SSAs disability programs, by targeting those who perpetrate fraud against
them. This office not only fights
disability fraud as it occurs, but our investigative analysts also identify
trends and patterns to better respond to new challenges as they arise. For example,
during this reporting period
they identified and pursued individuals who were earning disability benefits
under one Social Security number while reporting earned wages under another.
At the heart of all the OIGs
efforts are our 576 employees nationwideagents, auditors, attorneys, and
others with a remarkable commitment to serving the public good. With this report,
this office and all who
make it successful renew our dedication to working alongside our partners in
the Social Security Administration and the Congress to fulfill our mission of
improving and protecting the vital
Social Security programs upon which so many Americans depend.
Patrick P. OCarroll, Jr.
Inspector General
Semiannual Report to Congress
April 1 September 30, 2008
Social Security Administration
Office of the Inspector General
Contents
A Message from the Inspector General.........................1
Executive Summary................................................................5
Introduction to Our Organization...............................6
Impact..........................................................................................8
Value........................................................................................20
People........................................................................................32
Reporting Requirements ...................................................36
Appendices...............................................................................38
Glossary of Acronyms ........................................................62
Executive Summary
Executive Summary
This report presents the significant accomplishments of the Social Security
Administration (SSA) Office of the Inspector General (OIG) from
April 1 September 30, 2008. The report is organized according to three
major goalsimpact, value, and peopleset forth
in the OIG Strategic Plan: Fiscal Years 2006 2010, Third Edition.
Impact
We work to have a positive impact on SSA programs and operations by enhancing
their integrity, efficiency, and effectiveness.
During this reporting period, we received more than 68,000 allegations from
SSA employees, the Congress, the public, law
enforcement agencies, and other sources. Our agents closed more than 5,000 criminal
investigations, resulting in 800 arrests, more
than 500 indictments and informations, and more than 1,400 criminal prosecutions
and civil monetary penalty (CMP) assessments.
Our Cooperative Disability Investigative (CDI) Program continues to be one of
our most successful initiatives, contributing to
the integrity of SSAs disability programs. During this reporting period,
the efforts of our CDI Units resulted in more than
$108 million in SSA program savings.
Our auditors also had a significant impact during this reporting period, issuing
68 reports and making recommendations
on a wide variety of challenges facing the Agency. Our audit work over the past
6 months included a review of the erroneous
release of living individuals personally identifiable information (PII)
when SSAs Death Master File (DMF) is made
available to the general public. In addition, our auditors completed four congressional
response reports, including an assessment
of factors affecting administrative law judge (ALJ) and hearing office performance;
and an analysis of financial institutions (FI)
deducting service fees and garnishments from beneficiaries accounts.
Value
Our organization strives to provide valuable products and services in a timely
manner to Congress, SSA, and other key
decision makers while sustaining a positive return for each tax dollar invested
in OIG activities. During this reporting period, our
auditors identified more than $1.7 billion in questioned costs and more than
$808 million in Federal funds that could be put to better
use. Highlighted audits include an analysis of whether information obtained
from FIs could help SSA identify Supplemental
Security Income (SSI) recipients who no longer meet the requirements for eligibility,
and an analysis of whether SSA had properly
imposed benefit offset provisions to the records of individuals who earned benefits
based on both their spouses and their own
earnings.
In the second half of FY 2008, we are reporting over $170 million in investigative
accomplishments, with over $31 million
in SSA recoveries, restitution, fines, settlements, and judgments, and over
$138 million in projected savings from
investigations resulting in the suspension or termination of benefits. In addition,
we participated in multi-agency investigations
that resulted in over $39 million in savings, restitution, and recoveries for
other agencies. Highlighted investigations in this section
Executive Summary
uncovered evidence of disability program fraud, representative payee fraud, and Social Security number (SSN) misuse.
During this reporting period, our attorneys initiated 234 CMP actions (Section
1129 cases) that involved false statements or
representations made in connection with obtaining or retaining benefits or payments
under Titles II and XVI of the Social Security Act (the Act).
Included in our investigative accomplishments above is over $3.4 million in
penalties and assessments that our attorneys
imposed through our CMP program.
People
The collective efforts of our employees continues to be the driving force behind
this organizations success in meeting its mission.
We provide an encouraging and rewarding work experience with the goal of retaining
these exceptional individuals. OIG leadership
fosters an environment where employees can realize their potential through training
and developmental programs. Each year, OIG
components hold training conferences to inform their employees about new procedures
and share best practices. In addition, the OIG
Organizational Health Committee conducts an annual assessment of employee satisfaction
levels and addresses employee concerns.
Introduction to Our Organization
The SSA OIG comprises the Immediate Office of the Inspector General and five
major components: the Offices of Audit, Counsel,
External Relations, Investigations, and Technology and Resource Management.
Immediate Office of the Inspector General
The Immediate Office (IO) provides the Inspector General with staff assistance
on the full range of his responsibilities. IO staff
provides liaison with all agencies sharing common interests with OIG and ensures
coordination with congressional committees,
SSA, the Social Security Advisory Board, and the Presidents Council on
Integrity and Efficiency. IO includes the Office of Quality
Assurance and Professional Responsibility (OQAPR), which performs two critical
functions. First, it conducts exhaustive reviews
of each of the OIGs component offices to ensure compliance with Federal
laws and regulations, Agency policies, and relevant
professional standards. Second, OQAPR conducts thorough and timely investigations
into allegations of misconduct by an OIG
employee.
Office of Audit
The Office of Audit (OA) conducts and supervises financial and performance
audits of SSA programs and operations, and makes
recommendations to ensure that program goals are achieved effectively and efficiently.
Financial audits determine whether SSAs financial
statements fairly present SSAs financial position, results of operations,
and cash flow. Performance audits review the economy,
Introduction to Our Organization
Efficiency, and effectiveness of SSAs programs and operations. OA also
conducts short-term management and program evaluations, and
other projects on issues of concern to SSA, Congress, and the general public.
Office of Counsel to the Inspector General
The Office of Counsel to the Inspector General (OCIG) provides independent
legal advice and counsel to the Inspector
General on a wide range of issues, including statutes, regulations, legislation,
and policy directives. OCIG also administers the CMP
program, and advises the Inspector General on investigative procedures and techniques,
as well as on legal implications and conclusions
to be drawn from audit and investigative material.
Office of External Relations
The Office of External Relations (OER) develops the OIGs media and public
information policies, directs OIGs external
and public affairs programs, and handles congressional, media, and public requests
for information. OER is responsible for preparing
OIG publications and presentations to internal and external organizations, and
coordinating the OIGs presence at SSA and other
Federal events. In addition, OER prepares the OIG Semiannual Report to Congress
and congressional testimony, and coordinates
with SSAs Offices of Communications and Legislation and Congressional
Affairs.
Office of Investigations
The Office of Investigations (OI) conducts and coordinates investigative activity
related to fraud, waste, abuse, and mismanagement in
SSA programs and operations. This includes wrongdoing by applicants, beneficiaries,
contractors, and third parties, as well as by
SSA employees while performing their official duties. This office serves as
the OIGs liaison to the Department of Justice (DoJ) on all
matters relating to the investigation of SSA programs and personnel. OI also
conducts joint investigations with other Federal, State,
and local law enforcement agencies.
Office of Technology and Resource Management
The Office of Technology and Resource Management (OTRM) provides administrative
support to the Inspector
General and OIG components. OTRM formulates and executes the OIG budget, and
is responsible for strategic planning,
performance reporting, and facility and property management. OTRM develops and
maintains the OIGs administrative and
management policy and procedures, and performs human resource support activities.
OTRM also maintains hardware, software,
and telecommunications networks to support the OIGs mission. Finally,
OTRM manages the OIGs allegation management and fugitive
enforcement programs and Electronic Crimes Division.
Impact
Impact
The first goal of the OIG Strategic Plan is Impact. We are committed to enhancing
SSAs effectiveness and efficiency through
our investigative, audit, and legal activities. We strive to have maximum impact
on SSAs programs and operations to ensure their
continued integrity and reliability.
During this reporting period, we completed numerous audits, investigations,
and legal initiatives covering major SSA program and
management areas, which had a significant impact on the detection and prevention
of fraud, waste, and abuse. The summaries
presented below are indicative of our work over the past 6 months.
Legal/Investigative Impact Initiatives
Owner of Federal Security Guard Contractor Sentenced to Prison for Bribery
We served as the lead investigative agency in a complex procurement fraud investigation
of a now-defunct security guard contractor.
The company provided armed and unarmed security guards for 18 Federal agencies
at 120 installations in 32 States and territories. In
terms of the value of Federal contracts secured through bribery, this case represented
the largest corruption case ever prosecuted in
Maryland.
The companys former owner and former Chief Operating Officer, as well
as a long-time General Services Administration (GSA)
employee, were sentenced during this reporting period, following guilty pleas
to various charges. The companys former owner was
sentenced in July 2008 to 48 months in prison, followed by 3 years of supervised
release, for bribery and tax evasion in connection with the
fraud scheme involving three Federal contracts, and for transporting child pornography.
He was also ordered to make restitution to the
Internal Revenue Service (IRS) of $400,000, and to register as a sex offender
upon his release from prison.
The companys former Chief Operating Officer was sentenced in June 2008
to 33 months in prison, followed by 3 years of
supervised release, for engaging in a scheme to conceal material facts from
Federal agencies to obtain Federal security contracts worth over
$150 million and attempting to evade Federal income taxes. He was also ordered
to forfeit $1.25 million related to his illegal activities and
to make restitution to the IRS of $290,360.
The GSA employee was found guilty of accepting over $100,000 in bribes accepted
for her assistance in awarding three Federal
contracts worth over $130 million, and for evading income taxes on the bribe
payments. She was sentenced in July 2008 to 60 months
in prison, followed by 3 years of supervised release. She was also ordered to
forfeit $138,500 and to make $38,780 in restitution
to the IRS.
Impact
Audit Impact Initiatives
OA contributes to this strategic goal by conducting and supervising comprehensive
financial and performance audits and by
making recommendations to maximize the effective operations of Social Security
programs. These audits, along with short-term
management and program evaluations, focus on those SSA programs and activities
most vulnerable to fraud and abuse.
Personally Identifiable Information Made Available to the General Public Via the Death Master File
As a result of a Freedom of Information Act lawsuit, SSA maintains a record
of reported deaths known as the DMF. SSA
provides the DMF data to the Department of Commerce (DoC), which sells the data
to various government, industry, and public
customersincluding customers who make the information available at no
cost to the general public through the Internet. At the
time of our review, the DMF contained PII on over 82 million deceased individuals.
Our audit found that since January 2004, publication of the DMF had resulted
in the breach of PII for more than 20,000 living
individuals erroneously listed as deceased. SSA attempted to retract these disclosures
by deleting the individuals information from
the DMF. While these deletion transactions prevented the PII from being included
in subsequent versions of the DMF, the deletions
had no effect on the PII previously made available to DMF subscribers. Further,
we found that SSA did not provide notification
to either the U.S. Computer Emergency Readiness Team or the affected individuals.
Our recommendations to SSA included limiting the information included in the
DMF version sold to public customers, initiating
breach notification procedures, and providing appropriate notification to individuals
whose PII is released in error. SSA is considering
limiting the information included in the DMF version sold to the public to the
absolute minimum required and will explore
alternatives to the use of the full SSN. The Agency also stated it faces several
challenges to limiting the information it provides.
Congressional Response Report: Financial Institutions Deducting Fees and Garnishments from Social Security Benefits
In August 2007, the Senate Committee on Finance and the Senate Special Committee
on Aging requested that we determine
whether FIs were deducting service fees and garnishments from Social Security
beneficiaries direct deposit personal accounts.
This request came as a result of media coverage detailing instances in which
FIs assessed fees and froze accounts into which Social Security
benefits were being electronically deposited.
We selected a sample of the 12 largest FIs and randomly selected 13 small,
medium, and large FIs, and requested information
from them for the period September 1, 2006 August 31, 2007. The data
we received indicated that some FIs deducted service fees
and garnishments from beneficiaries direct deposit personal accounts.
The FIs garnished $30.4 million associated with nearly 8 million
beneficiaries in our samplean average of nearly $4 per account.
Assuming all Social Security beneficiaries and all FIs in the United States exhibit similar characteristics, we estimate about
$177.7 million in total garnishments for the 45.9 million direct deposit beneficiaries
in the United States as of February 2008. Although
Congressional Response Reports do not include formal recommendations, we did
identify potential safeguards to protect Social Security
recipients from garnishments.
Congressional Response Report: Administrative Law Judge and Hearing Office Performance
We received a request from the chair and ranking member of the House Committee
on Ways and Means, Subcommittee on Social Security
to provide statistics related to ALJ and hearing office performance along with
any factors that affect performance.
To identify factors that may impact ALJ and hearing office productivity and
processing times, we interviewed the Chief ALJ, 9 Regional Chief
ALJs, 143 ALJs, and 146 hearing office staff in 49 hearing offices. Our interviews
disclosed that ALJs had both high and low levels of
productivity for reasons such as motivation and work ethic. We also identified
factors that were part of the case adjudication process, including
disability determination services (DDS) case development, staff levels,
hearing dockets, favorable rates, individual ALJ preferences, and
Agency processes.
Chief ALJs use management tools and practices to oversee ALJ performance. While
SSA can take disciplinary actions against ALJs, the actions
taken in the past 3 years have been primarily related to conduct rather than
performance. However, two pending actions and one recent
reprimand against ALJs involve issues related to performance.
We did not make any recommendations. However, SSA has undertaken 37 initiatives
to eliminate the backlog and prevent its recurrence.
Many of these initiatives directly relate to the factors identified during our
interviews. SSA expects these initiatives to improve the
productivity and efficiency of ALJs and hearing offices.
Quick Response Evaluation: Timeliness of Medical Evidence at Hearing Offices
In October 2007, SSA issued a notice of proposed rulemaking (NPRM) that stated,
Our program experience has convinced us that
the late submission of evidence to the [ALJ] significantly impedes our ability
to issue hearing decisions in a timely manner.
To remedy this situation, the NPRM listed a number of potential changes to
the appellate process, including (1) requiring at least 75
days notice for hearings and (2) requiring the submission of evidence
at least 5 days before the hearing to ensure the ALJ has time to review
the evidence. After the NPRM was issued, the Commissioner requested that we
evaluate the extent to which delays in the submission of
evidence affects the timeliness of the appeals process.
In response to his request, we reviewed information in the Office of Disability
Adjudication and Reviews (ODAR) Case
Processing and Management System related to the receipt of medical evidence
and scheduling of hearings. Our review found no evidence that
the late submission of medical evidence was a significant issue affecting the
timeliness of case adjudication. We reviewed all medical evidence
delays in the hearing process, as well as claimant-related issues before the
hearing. We did find that as much as 7.2 percent of the workload
in-process was significantly delayed because of late medical evidence. However,
since most of these medical evidence issues occur before the
claimants hearing is scheduled, they are neither directly associated with
the medical evidence problems noted in the NPRM nor likely to
be remedied by the hearing process changes proposed in the notice. We did not
make any recommendations.
Quick Response Evaluation: The Social Security Administrations Electronic Government Services
We conducted this review to determine SSAs electronic services (eServices)
that are currently available to the public and determine
how future eServices can be expanded. We focused our review on the Internet
retirement application portion of SSAs Internet Social
Security Benefit Application.
We interviewed operations supervisors in 54 SSA field offices on their experiences
in processing Internet benefit applications. We
also compared SSAs available online services and usage rates with other
Federal agencies. As of the end of FY 2007, SSA had provided
17 eServices to the public. Its Internet retirement application has been available
for about 8 years, but as of March 2008, only 13.6 percent of
SSAs FY 2008 retirement applications were filed online. SSA has plans
to expand its online services. However, the Agency must overcome
several challenges to meet its Internet services goals including increasing
its use, implementing planned enhancements, and addressing critical
issues.
While SSA has a history of providing face to face service, it is desirable
given budget constraints and technological opportunities
that SSA expand its electronic services to meet increased demand. We made several
recommendations, including that SSA (1)
determine what would be required to make online filing more attractive; (2)
use larger customer focus groups to test proposed online
screens; (3) promote the online process as the preferred mode for filing for
retirement; and (4) continue testing kiosk terminals and computers
in field office reception areas. SSA generally agreed with our report and its
findings.
Social Security Number Misuse for Work and the Impact on the Social Security Administrations Master Earnings File
In this audit, we determined (1) whether wage items associated with SSN misuse
for work purposes were being erroneously posted to the
Master Earnings File (MEF), SSAs repository for earnings data; and (2)
whether SSA had established effective controls to detect such
postings and prevent future occurrences.
We found that for Tax Year 2004, SSA removed from the MEF approximately 111,000
wage items for about 49,000 numberholders (NH),
representing about $1.1 billion in wages from 36,000 employers. SSA had procedures
to assist NHs whose identities were being
misused, such as placing fraud indicators on their records and issuing new (different)
SSNs. However, the correspondence sent to these
individuals neither advised them about the effects of SSN misuse nor encouraged
them to report suspected misuse to the Federal Trade
Commission and law enforcement.
We also found that SSA needed to strengthen its controls to help prevent SSN
misuse from continuing once identified. We found
the Agencys employer correspondence processes and employer liaison services
did not inform employers about potential SSN
misuse cases. Further, the Agency had not established an automated process that
would remove subsequent wage items associated
with SSN misuse. We recommended that SSA (1) revise the correspondence sent
to NHs who disclaim wages; (2) generate a
standard letter to employers notifying them of employees with disclaimed wages;
(3) provide disclaimed wage information to Employer
Service Liaison Officers; and (4) consider the development of a cost-effective
method to automatically post subsequent wage items
that have the same characteristics of previously disclaimed wage items. SSA
agreed with our recommendations.
Investigative Impact Initiatives
OI examines and investigates allegations of fraud, waste, abuse, and mismanagement
in SSA programs and operations. These
allegations may involve benefit fraud, SSN misuse, violations by SSA employees,
or fraud related to grants and contracts. Our
investigations often result in criminal or civil prosecutions and the imposition
of CMPs against offenders. These investigative efforts
impact SSA program integrity by deterring those contemplating fraud against
SSA in the future. Our work in the areas of program
fraud, enumeration fraud, SSN misuse, and employee misconduct ensures the reliability
of SSA programs and their future operations.
FY 2008 Investigative Results
10/01/07 3/31/08
4/01/08 9/30/08
FY 2008
Allegations Received
52,381
68,950
121,331
Cases Opened
5,122
5,203
10,325
Cases Closed
5,417
5,176
10,593
Arrests
1,078
800
1,878
Indictments/Informations
695
595
1,290
Criminal Prosecutions
946
1,157
2,103
Civil/CMPs
221
251
472
Allegations Received by Source
10/01/07 3/31/08
4/01/08 9/30/08
FY 2008
Law Enforcement
20,092
23,772
43,864
SSA Employees
12,874
21,038
33,912
Private Citizens
8,537
11,029
19,566
Anonymous
6,293
9,903
16,196
Other
2,979
1,714
4,693
Beneficiaries
1,000
1,027
2,027
Public Agencies
606
467
1,073
TOTAL
52,381
68,950
121,331
Allegations Received by Category
10/01/07 3/31/08
4/01/08 9/30/08
FY 2008
SSI Disability
20,488
27,526
48,014
Disability Insurance
18,134
24,344
42,478
SSN
5,785
8,434
14,219
Old-Age, Survivors Insurance
3,364
3,897
7,261
Other
2,716
3,619
6,335
Employee
1,430
582
2,012
SSI Aged
464
548
1,012
TOTAL
52,381
68,950
121,331
Employee Fraud: SSA Employee Convicted in Fraud Scheme Involving SSAs National 800 Number
Our New York office investigated an SSA teleservice representative for altering
the records of at least 17 SSA beneficiaries. The
investigation revealed that after the employee received legitimate telephone
calls from Title II beneficiaries, she then called the SSA national
800 number to change the beneficiaries direct deposit information to either
a bank or a pre-paid debit card account. After querying SSA
records to ascertain that the benefit payment was diverted into that account,
the employee reinstated the original FI information.
The former employee pled guilty to wire fraud, and was sentenced in June 2008
to time served followed by 2 years of supervised release and
community service. She was also ordered to pay restitution of $22,556 to SSA.
The employee resigned in June 2007.
Employee Fraud: SSA Employee Convicted of Fraudulently Issuing SSN Cards
Based on a referral from SSAs Center for Security and Integrity in New
York, our Iselin, New Jersey office investigated an SSA
employee involved in the fraudulent issuance of Social Security cards. In May
and June 2004, the employee fraudulently issued five Social
Security cards to various individuals. One of the individuals was illegally
residing in the U.S. with an outstanding warrant for
his deportation. Another individual was a previously deported felon who had
illegally re-entered the country.
In April 2008, after pleading guilty to bribery of a public official, the former
employee was sentenced to 12 months home confinement with
electronic monitoring and 3 years probation. In addition, the employee
was ordered to refrain from employment with a government
agency where she would be responsible for issuing identification documents or
other credentials. SSA terminated the employee in
January 2005.
Employee Fraud: SSA Employee Convicted of Concealing Living Arrangements From SSA
Our Charleston, West Virginia office investigated an SSA employee for failing
to notify SSA that she and her spouse, an
SSI disability recipient, had resumed living together. We found that the employee
and her spouse separated in March 2002, but
reconciled in July 2002. The employees wages affected her spouses
SSI payments. He received $26,018 in SSI payments to which he
was not entitled.
The employee and her spouse pled guilty to conspiracy, aiding and abetting,
theft of Government funds, and misprision of a felony.
They were sentenced in April 2008 to 5 years probation, and were ordered
to jointly pay restitution of $26,018 to SSA. The employee
resigned from SSA in April 2007.
Fugitive Felon Program
The OIGs Fugitive Felon Program identifies fugitive felons and parole
and probation violators through automated data matches
between SSAs beneficiary rolls and Federal and State warrant databases.
The impact of this program reaches beyond Social Security
to local communities across the United States. Our data-sharing efforts with
local, State, and Federal law enforcement agencies contributed
to the arrest of over 5,400 fugitives during this reporting period, over 12,100
in FY 2008, and over 71,000 arrests since the programs
inception in 1996. The following are highlights of our fugitive felon activities
during the past 6 months.
Fugitive Felon Program: Murder Suspect Arrested in Louisiana
Agents from our Baton Rouge, Louisiana office worked with Louisiana State and
local police to arrest a man residing in Bogalusa,
Louisiana who was wanted for second-degree murder and distribution of a controlled
dangerous substance. The original warrant
was issued in March 2008. At the time of his arrest, the suspect had a pending
application for Title II disability benefits.
Fugitive Felon Program: Suspect Charged with 20 Counts of Child Molestation in Texas Arrested in Seattle
Agents from our Seattle office, working with the U.S. Marshals Fugitive
Task Force in Seattle, arrested a suspect wanted in Comal
County, Texas on 20 counts of aggravated sexual assault on a child. Due to the
seriousness of the charges, bail for the suspect was set for
$1,050,000. Extradition proceedings were initiated to return the suspect to
Texas to face the charges.
Fugitive Felon Program: Suspect Arrested by Task Force Targeting Guns, Drugs, and Gang Enforcement Project in Michigan
Agents from our Detroit office, along with Wayne County Sheriff Task Force
investigators, arrested a suspect on a weapons
offense. The outstanding warrant was dated February 2002. The project was part
of the Wayne County Sheriffs Office Guns, Drugs,
and Gang Enforcement Task Force. This task force was directed toward the apprehension
of offenders who commit felonies involving guns
and drugs and represent a high risk to public safety in the Detroit metropolitan
area.
Cooperative Disability Investigative Program
Our CDI Program continues to be one of our most successful initiatives, contributing
to the integrity of SSAs disability programs. CDI is a joint effort of
the
OIG, SSA, DDS, and State and local law enforcement personnel. Our 19 CDI Units
in 17 States work to obtain sufficient evidence to identify and resolve issues
of fraud and abuse
related to initial and continuing disability claims. The following table highlights
the successes of the CDI program, which yielded over $108 million in SSA program
savings
during this reporting period, and more than $214 million during FY 2008.
Cooperative Disability Investigative Program Results
April 1 September 30, 2008
State
Allegations
Received
Confirmed
Fraud Cases
SSA
Savings1
Non-SSA
Savings2
Arizona
111
92
$6,166,184
$1,835,420
California3
510
344
$19,651,895
$15,180,687
Colorado
90
68
$4,522,000
$1,590,384
Florida
58
54
$2,832,780
$2,437,356
Georgia
131
100
$6,829,180
$1,873,876
Illinois
61
53
$3,203,830
$1,283,045
Louisiana
74
49
$3,175,140
$1,814,532
Massachusetts
81
64
$4,112,854
$1,805,800
Missouri
102
56
$3,656,464
$1,268,580
New Jersey
87
53
$3,591,000
$2,926,880
New York
163
155
$8,686,804
$7,976,724
Ohio
368
82
$5,160,560
$2,986,050
Oregon
167
127
$8,434,980
$7,361,460
Tennessee
113
87
$5,687,916
$2,878,640
Texas
4
267
153
$10,161,808
$4,877,902
Virginia
95
71
$4,721,500
$4,313,331
Washington
113
135
$7,988,282
$6,469,535
Totals
4/1/2008 9/30/2008
2,591
1,743
$108,583,177
$68,880,202
Totals
10/1/2007 3/31/2008
2,349
1,721
$106,056,017
$68,681,574
FY 2008 Grand Totals
4,940
3,464
$214,639,194
$137,561,776
1 SSA program savings are reported at a flat rate of $66,500 for initial claims
that are denied as a result of CDI investigations. When a CDI investigation
supports the cessation of an in-pay case,
SSA program savings are calculated by multiplying the actual monthly benefit
times 60 months.
2 Non-SSA savings are also projected over 60 months whenever another governmental
program withholds benefits as a result of a CDI investigation, using estimated
or actual benefit amounts
documented by the responsible agency.
3 California has two units, one in Los Angeles, and the other in Oakland.
4 Texas has two units, one in Dallas, and the other in Houston.
The following CDI case summaries highlight major investigations we conducted
during this reporting period which enhanced SSA program integrity and the reliability
of SSAs
operations.
CDI: Accountant Conceals Employment to Obtain Disability Benefits
An investigation conducted by our Cleveland CDI Unit revealed that a Title
II disability beneficiary concealed his employment. From
September 1998 September 2005, the man was actively working as an accountant
from his home. SSA determined that the
man and his dependents were overpaid $116,135. In addition, the man obtained
a federally subsidized student loan for one of
his children.
The man pled guilty to Social Security fraud and was sentenced in June 2008
to 12 months incarceration. He was also ordered to pay
restitution of $116,135 to SSA and $6,368 to the Department of Education.
CDI: Construction Company Owner Fraudulently Receives SSA Benefits
Our St. Louis CDI Unit investigated a 49- year-old man who had been receiving
Title II disability benefits since September 2004
due to leg fractures suffered in a motorcycle accident. SSA contacted the man
regarding self-employment earnings posted to his record,
but he claimed that the earnings belonged to his spouse. The man amended his
tax returns for the past 4 years showing his wife as the
sole proprietor of the familys construction company, but State records
indicated the man was the registered agent of the business.
SSA again contacted the man about his employment and was advised, in writing,
that the self-employment earnings posted were
incorrect and the income was from sales of existing inventory.
However, when our CDI Unit investigators interviewed the claimant, he stated
that he was working at a custom home job site hanging
cabinets. The man indicated that he was the owner of the construction company
and went back to work the previous year on a limited
basis. The man voluntarily provided a written statement regarding his business
and the unreported work.
The mans Title II disability benefits were terminated. In addition, SSA
assessed a $14,641 overpayment to the mans record,
and he agreed to repay the money.
CDI: Company Owner Fraudulently Collects $104,501 in Title II Benefits
Our Baton Rouge CDI Unit, acting on a referral from the Morgan City, Louisiana
SSA office, investigated a Title II beneficiary
receiving disability benefits due to disorders of the autonomic nervous system.
Our investigators found evidence showing that
from January 1997 February 2007, the man owned and operated his own business,
and made numerous false statements to SSA
denying his employment.
In July 2008, after pleading guilty to theft of Government funds, the man was
sentenced to 13 months imprisonment and 3 years of
supervised release. In addition, he was ordered to pay restitution of $104,501
to SSA.
CDI: Disability Applicant Found Working in Clinic, Riding Motorcycles
Our Seattle CDI Unit investigated a 37- year-old woman who applied for Title
II and SSI disability benefits due to depression, memory
problems, hearing problems, and night terrors. The woman reported that she was
unable to perform any physical activities. She also
reported alleged that her significant other helped her with all daily functioning,
and indicated that her disabilities had rendered
her unable to work since 2002.
Witness interviews revealed that the woman and her significant other were active
in riding motorcycles, boating, and were observed
hitching and unhitching a boat. Our investigation found that the womans
significant other had received Title II disability benefits
since 2002 for a back impairment. After further investigation, it was revealed
that the woman and her significant other both worked at a foot
and ankle clinic.
The Washington State DDS denied the womans claim for Title II and SSI
disability benefits. In addition, the Seattle CDI Unit is
conducting an investigation on the womans significant other, who is currently
receiving disability benefits.
Value
Value
The second goal of the OIG Strategic Plan is Value. All OIG initiatives strive
to provide value to SSA, the Congress, other key decision
makers, and the public by delivering timely and reliable audit, investigative,
and legal products and services. To achieve the intended value,
these products and services must effectively meet the needs of all whom we serve
while maximizing our available resources. To do
this, we integrate best-practice strategies and the newest technologies to increase
our productivity and maximize our return on
investment to the public.
Value Attained Through Audits
Many of our audits are focused on identifying SSA programmatic and operational
areas where funds could be put to better use. In
addition, we often question approaches and their accompanying costs, and we
recommend alternatives to yield program and operational
savings.
During this reporting period, our auditors issued 68 reports, identifying over
$1.7 billion in questioned costs and over $808 million
in Federal funds that could be put to better use. Some of our most notable audits
are summarized below.
Supplemental Security Income Recipients with Automated Teller Machine Withdrawals Indicating They Are Outside the United States
In July 2003, the Government Accountability Office recommended that a study
be done on the feasibility of expanding the type of
information that SSA obtains from FIs, such as Automated Teller Machine (ATM)
withdrawal records, to help identify SSI recipients who
may be accessing their SSI payments outside the United States. We initiated
this review to determine whether ATM withdrawal data
could be used to identify SSI recipients who were outside the U.S. for more
than 30 days which would render them ineligible for benefits
for that period of time.
We obtained a file of all foreign-born United States citizens receiving SSI
payments via direct deposit as of May 2006. Then, we randomly
selected 250 SSI recipients from one of the most commonly used banking institutions.
Based on our sample results, we estimated
that overpayments totaling approximately $226.2 million went undetected because
about 40,560 recipients did not inform SSA of their
absence from the United States. Additionally, we estimated that SSA will continue
to not detect approximately $100.5 million each year
if action is not taken.
SSA relies on individuals self-reporting their absences from the United States,
but because reporting such events may result in
ineligibility for SSI payments, there is no incentive for recipients to report.
Therefore, we recommended, and SSA agreed, to assess
the feasibility of obtaining electronic bank statement information to include
transaction-level data so that foreign transactions may
be identified and investigated for possible residency violations.
Supplemental Security Income Recipients with Excess Income and/or Resources
In this audit, we assessed whether bank data can be used to identify SSI recipients
who may have income and/or resources that exceed the
allowable limits. Generally, individuals with countable resources of more than
$2,000
Value
in any given month are not eligible for SSI payments for that month.
Based on our sample results, we estimated that SSA failed to detect overpayments
totaling approximately $408.9 million because 68,966
recipients did not inform SSA of their changes in income and/or resources. Additionally,
we estimated SSA will not detect approximately
$169.2 million each year to recipients who have income and/or resources above
the maximum allowable amounts, if the Agency does not take
action.
Therefore, we recommended SSA obtain electronic bank statement information
so that excess income and resources may be identified
and investigated for possible violations. SSA partially agreed with the recommendation.
Moreover, the Agency is in the planning and
analysis phase of a project called Access to Financial Institutions, which could
enable SSA to obtain and analyze electronic bank data
and use it to identify possible income/resource violations.
Accuracy of Title II Disability Insurance Benefit Triennial Redeterminations for 2006
Workers injured on the job may qualify for Disability Insurance (DI) benefits
in addition to workers compensation (WC) benefits.
However, Federal law requires that SSA offset DI benefits against WC benefits,
by computing the beneficiarys average current earnings every
3 years. In this audit, we determined the accuracy of the Title II Triennial
Redeterminations SSA performed in 2006.
We found that SSA did not consistently process these redeterminations accurately.
In fact, we found 24 (9.6 percent) of the 250 sampled
DI claims had payment errors. Of those, 19 had payment errors totaling $219,610
related to the WC offset calculation. Based on this
error rate, for the 21,976 redeterminations in our population, we estimate approximately
1,670 DI claims totaling about $19.3 million
had payment errors related to the WC offset calculation. Also, 16 of the 24
redetermination claims had payment errors that continued after
August 1, 2007. Accordingly, we estimated that for the 12 months following our
audit period, approximately 1,406 claims had payment errors
totaling about $4.8 million.
We also found that SSAs controls for monitoring the accuracy and completion
of redeterminations could be improved. Specifically,
81 (32.4 percent) of the 250 DI claims lacked proof of current WC rates. Although
SSA obtained current WC documentation for 28
of these claims at our request, we could not test the accuracy of the redeterminations
for the 53 remaining claims. Additionally, we did
not find evidence that SSA completed 35 of these 53 claims.
We recommended that SSA (1) issue a reminder to staff that all current WC benefits
be documented and (2) improve controls for
monitoring the redetermination process. SSA agreed with our recommendations.
Underpayments Payable on Behalf of Terminated Title II Beneficiaries
In this audit, we determined whether SSA had taken appropriate actions to pay
underpayments on behalf of terminated beneficiaries. SSA
policy states that an underpayment due a living beneficiary will be paid to
the beneficiary or representative payee, and that an underpayment
due to a terminated beneficiary should be issued to the beneficiarys or
representative payees last address on record.
Based on our review, we estimated that SSA needed to take corrective actions
to pay approximately $358.7 million in underpayments payable to 391,844 eligible
beneficiaries and individuals. We also found that SSA needed to remove from
its payment records about $86.7 million in erroneous
underpayments for 109,712 terminated beneficiaries. We found that these payment
errors occurred because SSA did not always
take appropriate actions to locate beneficiaries or eligible individuals, manually
process underpayment alerts, retain documentation of
corrective actions taken, or review its records for prior underpayments.
We made several recommendations for SSA to improve its controls and procedures
to ensure it appropriately pays underpayments on behalf
of terminated beneficiaries. SSA agreed with most of our recommendations. However,
SSA disagreed with our recommendation to
revise its underpayment procedures, citing budgetary constraints and the legal
sufficiency of its efforts to obtain valid addresses to locate
individuals.
Dually Entitled Beneficiaries Who Are Subject to Government Pension Offset and the Windfall Elimination Provision
In this audit, we determined whether SSA properly imposed the Government Pension
Offset (GPO) and the Windfall Elimination
Provision (WEP), which offset benefits to some individuals based on receipt
of a Government pension from employment not
covered by Social Security. This audit looked at dually entitled beneficiaries,
who received both spousal benefits and benefits based on
their own earnings. These beneficiaries are subject to both the GPO and WEP.
To identify individuals who may be subject to WEP and GPO, SSA primarily relies
on applicants to report whether they are receiving
or will in the future receive a pension based on non-covered earnings. Our audit
found that SSA needs to improve its controls and
procedures to ensure that the GPO and WEP are properly imposed. Specifically,
our review identified an estimated 8,500 beneficiaries
who were overpaid about $269.8 million in retirement benefits because WEP was
not properly applied and 8,460 beneficiaries who
were overpaid about $184.8 million in spousal benefits because GPO was not properly
imposed. Finally, unless SSA takes corrective
action to identify and correct these payment errors, we estimate it will pay
approximately $53.2 million in overpayments annually.
These errors occurred because SSA did not have controls in place to ensure the
pension information it maintained for dually entitled
beneficiaries was annotated to all its records.
We made four recommendations to SSA, including that it (1) identify and take
corrective action on the population of dually entitled
beneficiaries who may be overpaid because WEP or GPO was not properly imposed;
and (2) take corrective action to establish
overpayments for the beneficiaries identified by our audit or determine whether
a GPO or WEP exception applies. SSA agreed with our
recommendations.
Title II Benefits to Fugitive Felons and Probation or Parole Violators
In this audit, we quantified the savings achieved as a result of the suspension
of Title II benefits to fugitive felons and probation or
parole violators. Beginning January 1, 2005, the Act prohibits the payment of
Title II benefits to a beneficiary who, for a period of 30 days or
more, is fleeing to avoid prosecution, custody, or confinement for a felonyor
to a beneficiary who is violating probation or paroleunless
the Agency determines that good cause exists for paying such benefits.1
We estimate that the Title II program saved about $404.3 million through March
2008 due to benefits suspension to fugitive
felons and probation or parole violators. This includes (a) $47.3 million in
benefit overpayments recovered from the fugitives; (b)
$218.6 million in ongoing monthly benefits that was withheld; and (c) $138.4
million in monthly benefits that was withheld while the
beneficiaries were incarcerated. In addition, we estimate that SSA had the potential
to save an additional $249.6 million as of March 2008.
This includes (a) $89.5 million in benefits that will likely be withheld over
the next 12 months from beneficiaries whose warrants
remain unsatisfied; and (b) $160.1 million in benefit overpayments that had
not yet been recovered from the fugitives. Finally,
we estimate that SSA did not save/recover approximately $60.3 million, which
included $41.8 million in unrecovered overpayments
and $18.5 million that SSA will not recover because of the Fowlkes v. Adamec
decision in the 2nd Circuit. We did not make any
recommendations.
Ticket to Work and Self-Sufficiency Program Cost Effectiveness
The Ticket to Work Program was established by the Ticket to Work and Work Incentives
Improvement Act of 1999 to promote
the economic self-sufficiency of disabled beneficiaries. In this audit, we assessed
whether the Ticket Program led to sustained economic
self-sufficiency for disabled beneficiaries and determined whether the program
generated savings for SSA.
SSA made a Ticket Program-related payment in FY 2005 for approximately 3,800
of the 10 million beneficiaries, or less than one-tenth
of 1 percent, who had received a Ticket by the beginning of FY 2005. These roughly
3,800 Ticket Program participants appeared to
have limited success in maintaining economic self-sufficiency. Approximately
one-third of them did not have earnings from work from
October 2004 December 2006. Of the remaining two-thirds who had earnings
for at least some of these months, half were not
employed as of December 2006.
Beneficiaries who participated in the Ticket Program and disabled beneficiaries
who received vocational services outside the
Ticket Program showed similar work activity patterns. While the two groups had
similar outcomes, SSA incurred additional costs for
the Ticket Program. It appeared the Ticket Program implementation neither increased
the percentage of disabled beneficiaries who
returned to work, nor realized the outcomes and savings envisioned by Congress.
We recommended that SSA (1) evaluate the continued viability of the Ticket
Program and (2) work with Congress to reform or end the
Ticket Program if the Agency determines it is not having the desired impact
and/or it is not cost-effective. SSA agreed with our
recommendations.
1As a result of a ruling in the 2nd Circuit Court of Appeals, in the matter of Fowlkes v. Adamec, SSA is no longer suspending Title II payments to fugitive felons residing in the Second Circuit.
Value Attained Through Investigations
During this reporting period, the efforts of our investigators yielded significant
results arising from the successful prosecution of cases that we developed.
Our investigators achieved over $170 million in investigative accomplishments,
with over $31 million in SSA recoveries, restitution, fines, and settlements/judgments,
and over $138 million in projected savings from investigations resulting in
the suspension or termination of benefits.
The table below represents the efforts of OI personnel nationwide to recover SSA funds paid in fraudulent benefits or through other illegal actions.
SSA Funds Reported
10/01/07 3/31/08
4/01/08 9/30/08
FY 2008
Recoveries
$23,576,850
$16,463,364
$40,040,214
Fines
$2,383,206
$2,898,795
$5,282,001
Settlements/Judgments
$605,530
$1,027,212
$1,632,742
Restitution
$11,635,333
$11,339,812
$22,975,145
Estimated Savings
$162,227,111
$138,354,986
$300,582,097
TOTAL
$200,428,030
$170,084,169
$370,512,199
The following case summaries are indicative of the more than 5,000 investigations
that we closed during this reporting period. The cases we have highlighted illustrate
the many instances where our investigative efforts have resulted in a significant
return on investment.
SSN Misuse: Fugitive Attempts Murder While Using a False Identity
Our Baton Rouge, Louisiana office investigated a man based on a referral received
from the Amarillo, Texas SSA office. We determined
that the 61-year-old man escaped from the Florida Department of Corrections
in 1975 after serving 7 years of an 11-year sentence
for burglary and grand theft. After his escape, the man assumed the identity
of a Texas resident. Under the assumed identity, the
man was convicted of attempted murder and was incarcerated for 26 years in Louisiana.
Upon release from prison in 2003, the man continued to use the false
name and SSN to prevent discovery of his fugitive status in Florida. Subsequently,
the man was arrested based on a Florida fugitive warrant. In addition,
he was charged in Louisiana for maintaining false public records.
In July 2008, after pleading guilty to the Louisiana charge, the man was sentenced
to 2 years incarceration. Upon his completion of the Louisiana sentence,
the man will be
extradited to Florida to serve the remainder of his sentence with the Florida
Department of Corrections, as well as face pending charges
related to his escape from prison in Florida.
SSN Misuse: Manager of Auto Dealership Uses Customers Identities to Open Fraudulent Accounts
Agents from our Kansas City office, U.S. Postal Inspection Service, U.S. Secret
Service, and the St. Louis, Missouri Police Department (PD)
participated in a joint investigation conducted by the St. Louis Identity Theft
Task Force. An allegation was received from the Missouri
PD alleging that a floor manager in a local automobile dealership was using
customers identities to open fraudulent credit accounts.
During an interview, the dealership manager admitted to using at least four
customers identities to obtain credit cards. Also, the
manager stated that he targeted customers over the age of 70, because he believed
that they would die before the fraud was discovered.
The man pled guilty to aggravated identity theft and fraudulent use of an unauthorized
access device and was sentenced in April
2008 to 36 months incarceration and 3 years supervised release.
In addition, he was ordered to pay restitution of $20,810 to various FIs.
SSN Misuse: Man Uses Individuals PII to Obtain Replacement Credit Cards
Our New York office conducted a joint investigation with the United States
Postal Inspection Service, the United States Secret
Service, and the Federal Bureau of Investigation involving a man who fraudulently
obtained credit cards for existing accounts. Using the
account holders name, date of birth, and Social Security number, as well
as credit information obtained over the Internet, the man posing as
the account holder would contact the credit card company and request a replacement
card. He would then use the fraudulently obtained
credit cards to purchase goods on the Internet which he would then sell at a
discounted rate.
In April 2008, after pleading guilty to credit card fraud and aggravated identity
theft, the man was sentenced to 24 months incarceration
and 3 years supervised release. In addition, he was ordered to make restitution
of $125,000 to various FIs.
Representative Payee Fraud: Personal Care Owner Diverts $350,000 of Residents SSA Funds
Agents from our Philadelphia office investigated the owner-operator of multiple
personal care homes throughout Philadelphia. Our
investigation determined that the owner was the representative payee for various
residents of the homes, and that the residents were
subjected to structurally unsafe residences, inadequate personal care, and unsanitary
and substandard living conditions. Additionally,
the representative payee diverted $350,000 in Social Security payments designated
for the care of the residents to her own use and
benefit.
In June 2008, the representative payee signed a civil settlement agreement
agreeing to never again own or operate a residential care facility.
Additionally, she agreed to a monetary settlement payment of $700,000 in damages
to the Federal Government. SSA will receive $350,000 of the
settlement.
Representative Payee Fraud: Organizational Representative Payee Employee Steals $247,078
Acting on a request for assistance received from the U.S. Secret Service, our
Jacksonville, Florida office investigated an organizational
representative payee employee and her accomplice. The organizational representative
payee served as the payee for numerous Title II
and SSI beneficiaries in the Savannah, Georgia area. From October 2003 to June
2007, the employee transferred approximately $247,078
from the organizational representative payee accounts to her accomplice. Once
these funds were negotiated, the employee received kickbacks
from the accomplice.
The employee pled guilty to theft of Government funds, and was sentenced in
June 2008 to 4 years incarceration and 3 years supervised release.
The accomplice also pled guilty to theft of Government funds, and was sentenced
in July 2008 to 27 months incarceration and 3 years of
supervised release. Both were ordered to make joint restitution of $200,000
to an insurance company and $47,078 to the organizational
representative payee. The organizational representative payee refunded the $247,078
to SSA.
Representative Payee Fraud: Mother of Disabled Child Conceals Marriage and Income
Acting on a referral from the Petersburg, Virginia SSA office, our Richmond
office investigated the mother and representative payee
of a child receiving SSI disability benefits. The investigation revealed that
the representative payee failed to notify SSA of her marriage and
the receipt of child support payments.
In July 2008, after pleading guilty to representative payee misuse, the woman
was sentenced to 1 month in prison and 5 months
home confinement, and 3 years supervised release. She was also ordered
to pay restitution of $72,692 to SSA.
Disability Program Fraud: Man Assumes Half-Brothers Identity
Our Baltimore office initiated this investigation based on a referral received
from the Baltimore (Rossville) Maryland SSA office. The
investigation revealed that a man stole the identity of his half-brother to
conceal his own criminal history. Later, using his half-brothers
name and SSN, he obtained Title II disability benefits and auxiliary benefits
for his wife and two children. SSA determined that the man
and his family fraudulently received $216,797 in SSA benefits.
The man pled guilty to theft of Government money, and was sentenced in July
2008 to 5 years probation and was ordered to pay
partial restitution of $60,532 to SSA. He was also ordered to pay restitution
of $3,707 to his half-brother.
Disability Program Fraud: Woman Uses Spouses Benefits During His Incarceration
Our Clearwater, Florida office conducted an investigation of an SSI disability
recipient for concealing information from SSA. The woman
failed to report that she shared a joint bank account with her husband who,
from April 2001 November 2006, fraudulently received Title
II disability benefits while incarcerated. The failure to notify SSA of the
bank account and her continued use of her husbands income
resulted in an overpayment of $102,073.
In June 2008, the woman entered into a pretrial diversion agreement, which required the woman to make full restitution to SSA.
Disability Program Fraud: Website Operator Conceals Income
Acting on a referral from the Gilroy, California SSA office, our Fairfield,
California office conducted an investigation of a Title II disability
beneficiary for failing to report his work activity. The investigation revealed
that from January 2000 December 2004, the man operated
two different websites and repaired all-terrain vehicles. Bank records showed
that the man made $175,000 in unreported income.
The man pled guilty to theft of Government property, and was sentenced in June
2008 to 5 months in prison and 5 months home
detention. The man was also ordered to pay restitution of $89,072 to SSA.
Disability Program Fraud: Beneficiary Conceals Employment from SSA and the Department of Veterans Affairs
Our agent in Swansea, Illinois investigated a Title II disability beneficiary
for concealing his employment. The investigation revealed that
the man was employed at his fathers business, while receiving disability
benefits from SSA and the Department of Veterans Affairs (VA).
In August 2008, the man pled guilty to Social Security fraud and false statements
and was sentenced to 10 months incarceration and 3
years supervised release. He was also ordered to pay restitution of $70,148
to SSA and $116,000 to the VA.
Deceased Payee Project: Daughter Accesses Deceased Mothers Bank Account
Our New York office initiated this investigation as part of our National Deceased
Payee Project, which identifies widows and widowers of Title
II beneficiaries whose benefits continued to be paid after their death. This
investigation confirmed that a widow receiving Title II
benefits died in January 2003, and her benefits continued to be directly deposited
into her bank account through May 2007. The deceaseds
daughter fraudulently accessed her mothers bank account and withdrew funds
totaling $53,954.
The woman pled guilty to theft of Government property, and was sentenced in
April 2008 to 3 years probation, including 6 months of
home confinement. She was also ordered to pay restitution of $53,954 to SSA.
Deceased Payee Project: Daughter Fraudulently Withdraws SSA Funds from Deceased Mothers Bank Account
Investigators from our Chicago office conducted this investigation as part
of our National Deceased Payee Project. Our investigation
confirmed that Title II benefits continued to be directly deposited to a widows
bank account although she had died in September 2003. The
bank identified the widows daughter as making withdrawals from her mothers
account. Our agents contacted the Illinois Healthcare and
Family Services Bureau of Investigations, which confirmed that the daughter
also fraudulently received $5,154 in food stamps, because she
failed to list the Social Security income on a food stamp application.
In July 2008, after pleading guilty to theft of Government funds, the woman
was sentenced to 5 years probation, with the first 6 months to
be served as home confinement. She was also ordered to pay restitution of $31,790
to SSA
and $5,154 to the State of Illinois.
Double Check Negotiation Project: Milwaukee Woman Claims Non-Receipt of SSI Checks on 29 Occasions
An investigation conducted by our Milwaukee office revealed that a woman receiving
SSI disability payments had claimed non-receipt of her benefit check,
and then cashed both the original and replacement checks, on 29 occasions. This
case was opened as part of the Milwaukee
Double Check Negotiation Project. During the interview with our agents, the
woman provided a sworn statement confessing to 29 offenses, totaling $13,389
in overpayments.
The woman pled guilty to Social Security fraud, and in July 2008 was sentenced
to 2 years probation. She was also ordered to pay
restitution of $3,107 to SSA (the remainder of the overpayment was administratively
recovered by SSA).
Double Check Negotiation Project: Woman Convicted of Alleging Non-Receipt of SSI Checks on 38 Occasions
Our Cleveland, Ohio office investigated a woman who alleged non-receipt of
her and her four childrens SSI checks. The
woman then cashed both the original and replacement checks on 38 different occasions,
resulting in a fraud loss of $20,646. As part
of the investigation, the woman provided a written statement admitting that
she cashed two checks for the same month on numerous
occasions for both herself and while acting as representative payee for her
four children. In June 2008, after pleading guilty to theft
of public money, the woman was sentenced to 1 year of probation. Restitution
was not ordered because SSA had already
administratively recovered the overpayment by withholding monthly benefits.
Value Attained Through Legal Initiatives
OCIGs efforts to administer that portion of the CMP program which deals
with violators of Section 1129 of the Act maximize the
resources available to us and create a positive return on investment. Section
1129 of the Act allows for the imposition of a CMP
against those who make false statements or representations in connection with
obtaining or retaining benefits or payments under Titles
II, VIII, or XVI of the Act. In addition, CMPs may be used to penalize representative
payees for wrongful conversion of payments made
under the Social Security programs, and to penalize individuals who knowingly
withhold a material fact from SSA. After consultation
with the DoJ, OCIG is authorized to impose penalties of up to $5,000 for each
false statement, representation, conversion, or
omission. A person may also be subject to an assessment, in lieu of damages,
of up to twice the amount of any resulting overpayment.
The following table and cases highlight the value achieved through our Section 1129 efforts for this reporting period.
False Statements Under Section 1129 Results
10/01/07 3/31/08
4/01/08 9/30/08
FY 2008
Cases Received
372
1,771
2,143
Cases Initiated
273
234
507
Cases Closed
412
740
1,152
Penalties and Assessments
$3,089,931
$3,450,425
$6,540,356
Number of Hearings Requested
16
10
26
California Woman Conceals Work to Collect Over $80,000 in Disability Benefits
A California woman made four false statements in documents submitted to SSA
between February 2003 and March 2006 regarding
her work activity. The woman consistently indicated that she had not performed
any work since becoming entitled to disability benefits
in 1997. An OIG investigation revealed that she worked for at least six different
employers between 1999 and 2003. In some cases, she
had worked multiple jobs at one time.
Due to her false statements, the woman received benefits totaling $81,875 for
which she was not eligible. Although OCIG attempted
to enter into settlement negotiations with the woman, she failed to cooperate.
OCIG attorneys eventually imposed a penalty of
$10,000 and an assessment in lieu of damages for $81,875, for a total CMP of
$91,875.
Woman Assessed $52,227 CMP for Collecting Deceased Mothers Benefits for 3 Years
A Massachusetts woman who shared a bank account with her mother continued to
receive her mothers Social Security benefits via direct
deposit into a joint account after the mother died in October 2004 until July
2007. The woman failed to notify SSA of her mothers
death or the continuing deposits, and she used the benefits for her own personal
gain.
We were alerted to the misuse and initiated a CMP action. The woman ultimately
entered into a settlement agreement in which she
agreed to pay a penalty of $15,000, in addition to an assessment in lieu of
damages of $37,227, for a total CMP of $52,227.
Man Assessed $50,000 CMP for Concealing Work while Receiving SSI Disability
A Texas man concealed his work activity and income to continue receiving SSI benefits.
The subject operated an auto repair shop in Texas from September 2001
September 2006. During this time, he attested to SSA on
four separate occasions that he had no income, no significant resources, and
that he was not working. We were alerted to the fraud and
initiated an investigation. Ultimately, OCIG attorneys imposed a penalty of
$20,000, and an assessment in lieu of damages of $30,000,
for a total CMP of $50,000. The man did not challenge the imposition of the
penalty, and it was therefore finalized by default in August
2008.
Man Assessed $25,000 CMP for Feigning Disability
Our Baton Rouge CDI Unit investigated a 31- year-old man who applied for SSI
disability due to back, nerve, and learning disabilities.
The man said his condition prevented him from driving a car and going out alone.
In addition, he claimed to have trouble walking and
reported that he had to rest often. The Louisiana DDS referred this case because
at a previous consultative examination the doctor said the
claimant appeared to be malingering.
Our CDI unit investigators observed the man walking several blocks and driving
a vehicle alone. The man appeared to drive in a confident manner
and to have no difficulty driving or walking. In addition, investigators were
informed by local police officers that the man was frequently
observed driving a vehicle. The DDS denied the claim, and in April 2008, OCIG
attorneys imposed a $25,000 CMP.
Woman Assessed CMP of $34,000 for Numerous False Statements
Since 2003, a SSI recipient had submitted false statements to SSA regarding
her marital status, living arrangements, investments/resources, and
income. When questioned by SSA, she stated that in order to pay her mortgage,
her friends had deposited money into her checking account
for her. SSA collected official documentation that indicated that her claims
were false. Although the overpayment was only $5,900,
the woman ultimately agreed to a settlement of $34,000, which included a substantial
penalty due to the egregiousness of her numerous false
statements.
Representative Payee Assessed CMP of $35,000 for Fraudulently Collecting Benefits
A woman who served as representative payee for her nephew continued to cash
his SSI checks after he had left her custody. The payee not only
fraudulently accepted SSI payments to which she was not entitled, but she also
double-negotiated eight of the checks; that is, she claimed she had
never received the check, and then she cashed both the original and replacement
checks, causing an overpayment. The representative payee told
SSA that she cared for the child every day, and that the child only
visited his father (who actually had custody) on the weekends. After
being personally served with a CMP penalty letter by an OIG special agent, the
woman failed to appeal a $35,000 penalty, which became final
by default.
New Jersey Nursing Assistant Agrees to CMP of $30,000 for Engaging in Double Check Negotiation
OCIG assessed a $30,000 penalty against a nursing assistant in New Jersey who
engaged in double-check negotiation on behalf of her
two minor children who received SSI. On nine occasions, the woman falsely stated
that she had not received her childrens SSI benefit checks. An
OIG investigation revealed that the woman had endorsed and negotiated both the
original and replacement checks, causing a total overpayment
of $21,972. During an interview, she admitted that she not only double-negotiated
benefit checks, but also failed to report her earned
income to SSA.
The woman agreed to make full restitution to SSA. OCIG then negotiated a CMP
settlement in which the subject agreed to pay a
$30,000 penalty based on her false statements. Finally, SSA adjusted her childrens
continuing benefits based on the womans unreported
work activity as a certified nursing assistant.
People
The third goal of the OIG Strategic Plan is People. The collective effort of
our employees continues to be the driving force behind this
organizations success in meeting its mission. We provide an encouraging
and rewarding work experience with the goal of retaining
these exceptional individuals. OIG leadership fosters an environment where employees
can realize their potential through training and
developmental programs. Each year, OIG components convene training conferences
to inform their employees about new procedures
at various levels of our organization. In addition, the OIG Organizational Health
Committee conducts an annual assessment
of employee satisfaction levels and addresses employee concerns.
Budget
For FY 2008, our annual appropriation was $92 million, which supported an end-of-year
staffing level of 576. The salaries and benefits of
our employees accounted for approximately 89 percent of our spending. We used
the remaining 11 percent for necessary expenses such as travel,
training, communications, reimbursable work authorizations and general procurements,
as well as to provide for basic infrastructure needs
such as rent and interagency service agreements. The FY 2008 budget supported
our efforts to meet and exceed our expectations set forth in
our Strategic Plan for Fiscal Years 2006 2010, Third Edition. The goals
and accomplishments, measured in our Strategic Plan are also
published in the Annual Congressional Budget Justification.
Human Capital Planning and Management
We actively pursue and work to retain the best possible employees. First, our
budget and staffing plan forecasts employee departures
based on historical trends and human resource data, which allows us to establish
optimal timeframes for recruiting new employees.
Moreover, OIG managers monitor staffing to ensure that vacant positions are
filled promptly, ensuring that OIG components have the ability
to fulfill their respective missions.
Our human capital specialists and recruiters participate in job and career
fairs nationwide. These events target underrepresented groups in
the labor market, allowing us to maintain a truly diverse workforce. Once we
identify the best candidates, we employ a structured interview
process to fairly assess their qualifications. Through these efforts, we hired
49 employees during FY 2008.
Also during this reporting period, five participants in the inaugural OIG Leadership
Development Program started their first
rotational assignments.
Information Technology
We provide and maintain most of our own information technology (IT) systems.
Our IT specialists value state-of-the-art tools and place
a high priority on ensuring that our employees have the latest proven technologies
with which to perform their work.
During this reporting period, OIG software specialists worked to improve mission
critical OIG applications including implementation
of additional enhancements to our National Investigative Case Management System,
which is already a model for investigative case
management across the Federal Government. We have also automated other administrative
and business processes and will continue to
proceed in this direction to save both time and money.
In support of the Presidents goal to expand electronic services, we maintain
an Internet website that is both informative and useful
to the public. Citizens using our web-based services will find them easy to
understand. A workgroup comprised of auditors, investigative
personnel, attorneys, and administrative specialists continuously monitors the
OIG website to ensure that all information is
accurate and up-to-date.
Finally, our IT staff analyzes industry trends to find new technologies which
may enhance our business processes. In FY 2008, for example,
we have upgraded our systems infrastructure to provide ample, secure storage
for application and user data. During this reporting period,
we expanded our offsite data replication and failover capabilities in support
of Continuity of Operations Planning. As part of these
initiatives, we are utilizing virtual server technologies for reduced cost and
increased efficiency.
Outreach Efforts
We are always seeking new ways to reach out to the wider Federal community
as well as to members of the public. In a variety of venues,
we share our mission of promoting integrity and excellence in Social Security
programs and operations. These occasions are important
opportunities to exchange information and forge partnerships. They also give
us the chance to educate and inspire public confidence in
Federal programs.
During this reporting period, Inspector General Patrick P. OCarroll spoke
to conference attendees at SSA, as well as the National
Association of Disability Examiners and the Association of Government Accountants.
The following are other examples of outreach
conducted by OIG officials and personnel.
An analyst in our Manpower and Administration Division assisted wounded military
personnel at the
Walter Reed Army Medical Center in Washington, D.C. He met with disabled soldiers
who are preparing to leave the military and re-enter civilian life, and
provided employment-related assistance as well as provided emotional support
to these often severely wounded individuals.
Agents from our Des Moines, Iowa office participated in the development of
the Iowa Public Safety Officers Welfare Fund. The fund is designed
to financially help public safety officials and their families in times of crisis.
Public safety officers include law enforcement, fire
service, emergency medical technicians, and other first responders whose job
is to provide the community with protection in times of
danger, injury, or distress. Last year, during the funds inaugural year,
over $5,000 was raised for the welfare fund, and $1,500 was donated
to needy families of public safety officers.
A member of our Atlanta office identified various families in West Virginia
and provided clothing and other necessary items to supplement
the Helping Hands Outreach efforts.
The Special Agent-in-Charge of the New York Field Division and the Resident
Agent-in-Charge of our Iselin, New Jersey office gave a
presentation on Identity Theft and Crimes Against the Elderly to
senior citizens of the Cranes Mills Retirement Community
in West Caldwell, New Jersey as part of the community outreach project of the
West Caldwell Police Department.
An agent from our Milwaukee office helped organize and participated in the
2008 Wisconsin Police Unity Tour. This activity was established
to raise money for and provide awareness of the National Law Enforcement Memorial
in Washington, D.C.
Hurricane Response Efforts
We continue to be actively involved in pursuing investigations of fraud related
to Hurricanes Katrina and Rita and helping SSA prepare
for similar events in the future. Because the SSN is a key identifier for various
disaster assistance programs, we have been a critical
partner in multi-agency investigations of this type of fraud. In fact, we have
assigned an agent to the DOJs Hurricane Katrina Fraud
Task Force in Louisiana, where we have been involved in numerous joint investigations
of hurricane-related fraud.
As part of the Task Force, OI has secured six indictments and seven convictions
of individuals for hurricane-related fraud
during this reporting period. Since the inception of the Task Force, OI has
opened 71 investigations, and secured 58 indictments and
52 convictions of individuals for hurricane-related fraud. Following are highlights
of our hurricane-related investigative activity during
this reporting period.
California Woman Fraudulently Applied for Hurricane Katrina Disaster Assistance
Acting on information received from the Department of Homeland Security (DHS)
OIG, our Fairfield office investigated a woman
for using another persons SSN to apply for and receive Hurricane Katrina
disaster assistance from the Federal Emergency Management
Agency (FEMA). The woman was living in California and receiving public assistance
at the time of the disaster.
The woman pled guilty to making false claims to a Federal Government agency
and credit application fraud, and was sentenced
in July 2008 to 25 months in prison and 60 months probation. She was also
ordered to pay restitution of $4,358 to FEMA.
Louisiana Woman Files False Disaster Unemployment Assistance Claims
As part of the Hurricane Katrina Task Force, our Baton Rouge office participated
in a joint investigation with the Department
of Labor OIG, U.S. Postal (LDOL) during FEMA relief efforts. The woman filed
false Disaster Unemployment Assistance claims
for herself and others using false names and SSNs. Moreover, she conspired with
a LDOL employee to process the fraudulent
applications. Three additional co-conspirators participated and benefited from
the scheme.
The woman and three co-conspirators pled guilty and were sentenced in April
2008. The ringleader pled guilty to mail fraud and
aggravated identity theft and was sentenced to 4.5 years in prison and 3 years
supervised release. She was also ordered to pay restitution
of $150,233 to LDOL. The first co-conspirator pled guilty to wire fraud and
SSN misuse, and was sentenced to 4 months in prison,
4 months of home detention with electronic monitoring, and 3 years supervised
release. She was also ordered to pay restitution of
$61,347 to LDOL. The second co-conspirator pled guilty to wire fraud and SSN
misuse, and was sentenced to 4 months home detention
and 5 years probation, and was ordered to pay restitution to LDOL of $32,772.
The third co-conspirator pled guilty to access device
fraud, and was sentenced to 5 years probation and ordered to pay restitution
of $7,742 to LDOL. The LDOL employee is scheduled to
be sentenced at a later date.
Man Cashes Original and Replacement Disaster Assistance Checks
Acting on a referral from the DHS OIG, our Birmingham office investigated a
68-year-old man entitled to Title II retirement and
SSI aged benefits. The investigation revealed that the man received and cashed
FEMA disaster assistance checks and then claimed
that the checks were never received. He then negotiated the original and replacement
checks. Investigators also determined that the man
worked in 2007 for an automotive company and failed to report his work activity
to SSA. Due to his work, the man was overpaid $1,866
in SSI benefits.
The man pled guilty to making a false claim, and was sentenced in June 2008
to 5 years probation, and as a special condition of
probation he was ordered to serve 60 days at a Residential Re-Entry Center.
He was also ordered to pay restitution of $9,739 to FEMA.
The SSI overpayment will be administratively recovered by SSA.
A Special Thank You
The diligent work, outstanding efforts, and many contributions of our entire
OIG staff make the accomplishments highlighted in this
Semiannual Report to Congress possible.
We would like to thank them for their dedicated spirit and many successes.
Reporting Requirements and Appendices
Reporting Requirements
This report meets the requirements of the Inspector General Act of 1978, as
amended, and includes information mandated by Congress.
Section
Requirement
Page(s)
Section 4(a)(2)
Review of legislation and regulations
N/A
Section 5(a)(1)
Significant problems, abuses, and deficiencies
8-35
Section 5(a)(2)
Recommendations with respect to significant problems,
abuses, and deficiencies
9-12, 20-23
Section 5(a)(3)
Recommendations described in previous Semiannual Reports on which corrective
actions are incomplete
Appendices F & G
Section 5(a)(4)
Matters referred to prospective authorities and the prosecutions and convictions
that have resulted
8, 12-19,
24-28, 34-35
Section 5(a)(5) & Section 6(b)(2)
Summary of instances where information was refused
N/A
Section 5(a)(6)
List of audits
Appendix B
Section 5(a)(7)
Summary of particularly significant reports
9-12, 20-23
Section 5(a)(8)
Table showing the total number of audit reports and total dollar value of questioned
costs
Appendix A
Section 5(a)(9)
Table showing the total number of audit reports and total dollar value of funds
put to better use
Appendix A
Section 5(a)(10)
Audit recommendations more than 6 months old for which no management decision
has been made
Appendix A
Section 5(a)(11)
Significant management decisions that were revised during the reporting period
N/A
Section 5(a)(12)
Significant management decisions with which the Inspector General disagrees
Appendix D
38 Appendices
Appendix A: Resolving Audit Recommendations
The following chart summarizes SSAs responses to our recommendations
for the recovery or redirection of questioned and unsupported costs. Questioned
costs are those costs that are challenged
because of a violation of law, regulation, etc. Unsupported costs are those
costs that are questioned because they are not justified by adequate documentation.
This information is provided in accordance
with P.L. 96- 304 (the Supplemental Appropriations and Recession Act of 1980)
and the Inspector General Act of 1978, as amended.
Reports with Questioned Costs for the Reporting Period April 1, 2008
September 30, 2008
Number
Value
Questioned
Value
Unsupported
A. For which no management decision had been made by the commencement of the
reporting period.
13
$649,135,765
$1,822,600
B. Which were issued during the reporting period.
19 a
$1,777,001,594
$272,795
Subtotal (A + B)
32
$2,426,137,359
$2,095,395
Less:
C. For which a management decision was made during the reporting period.
14
$1,101,143,831
$0
i. Dollar value of disallowed costs.
12
$401,417,863
$0
ii. Dollar value of costs not disallowed.
2
$699,725,968
$0
D. For which no management decision had been made by the end of the reporting
period.
19
$1,324,993,528
$2,095,395
a.
See Reports with Questioned Costs in Appendix B of this report.
Appendices 39
The following chart summarizes SSAs response to our recommendations that funds be put to better use through cost avoidances, budget savings, etc.
Reports with Recommendations that Funds Be Put to Better Use Reporting Period
April 1, 2008 September 30, 2008
Number
Dollar Value
A. For which no management decision had been made by the commencement of the
reporting period.
7
$313,655,191
B. Which were issued during the reporting period.
12 a
$808,874,654
Subtotal (A + B)
19
$1,118,414,597
Less:
C. For which a management decision was made during the reporting period.
i. Dollar value of recommendations that were agreed to by management.
6
$238,893,183
(a) Based on proposed management action.
6
$238,893,183
(b) Based on proposed legislative action.
0
$0
ii. Dollar value of costs not agreed to by management.
3
$325,607,380
Subtotal (i + ii)
9
$564,500,563
D. For which no management decision had been made by the end of the reporting
period.
10
$553,914,034
a.
See Reports with Funds Put to Better Use in Appendix B of this report.
Appendix B: Reports Issued
Reports with Non-Monetary Findings
October 1, 2007 September 30, 2008
Audit Number
Report
Issue Date
A-02-07-17049
The Effectiveness of the Social Security Administrations 800-Number Automation
Service
10/19/2007
A-14-07-17102
Follow-up on the Social Security Administrations Monitoring of Potential
Employee Systems Security Violations
10/29/2007
A-77-08-00002
Management Advisory Report: Single Audit of the Common-wealth of Massachusetts
for the Fiscal Year Ended June 30, 2006
11/1/2007
A-02-08-18061
Inspector General Statement on the Social Security Administrations Major
Management Challenges
11/7/2007
A-15-07-17124
Fiscal Year 2007 Financial Statement Audit Oversight
11/7/2007
A-07-07-17055
Social Security Administrations Controls over Rediscounts of Sensitive
Information in the Kansas City Region
11/28/2007
A-77-08-00003
Management Advisory Report: Single Audit of the State of Washington for Fiscal
Year Ended June 30, 2006
11/28/2007
A-77-08-00004
Management Advisory Report: Single Audit of the State of Wisconsin for Fiscal
Year Ended June 30, 2006
11/28/2007
A-77-08-00005
Management Advisory Report: Single Audit of the State of Colorado for Fiscal
Year Ended June 30, 2006
11/28/2007
A-04-07-27112
Controls for Issuing Social Security Number Verification Printouts
12/5/2007
A-77-08-00006
Management Advisory Report: Single Audit of the State of Alabama for Fiscal
Year Ended June 30, 2006
12/21/2007
A-77-08-00007
Management Advisory Report: Single Audit of the State of New Jersey for Fiscal
Year Ended June 30, 2006
12/21/2007
A-15-08-28105
Congressional Response - Unimplemented Audit Recommendations Since January 2001
1/31/2008
A-05-07-17082
Compliance with Disability Determination Services Security Review Requirements
2/6/2008
A-07-07-17072
Administrative Law Judges Caseload Performance
2/6/2008
A-77-08-00008
Management Advisory Report: Single Audit of the State of Illinois for Fiscal
Year Ended June 30, 2006
2/13/2008
A-77-08-00009
Management Advisory Report: Single Audit of the State of New York for Fiscal
Year Ended March 31, 2006
2/13/2008
A-77-08-00010
Management Advisory Report: Single Audit of the State of Connecticut for Fiscal
Year Ended June 30, 2006
2/13/2008
A-15-07-17061
Process for Awarding Sole Source Acquisitions
2/14/2008
A-08-07-17151
Administrative Costs Claimed by the Alabama Disability Determination Service
2/29/2008
Reports with Non-Monetary Findings
October 1, 2007 September 30, 2008
Audit Number
Report
Issue Date
A-15-07-27176
Administrative Costs Claimed by the Connecticut Disability Determination Services
2/29/2008
A-04-07-17084
Partnership for Strong Families, an Organizational Representative Payee for
the Social Security Administration
3/14/2008
A-06-08-18005
The Appeals Process for Medicare Part D Low-Income Subsidy Eligibility Determinations
3/14/2008
A-08-07-17143
Follow-up: Assessment of the Enumeration at Entry Process
3/20/2008
A-15-08-28012
Performance Review of the Social Security Administrations Contract with
E-Structors, Inc. For the Disposal of Sensitive Documents (Limited Distribution)
3/20/2008
A-77-08-00011
Management Advisory Report: Single Audit of the Commonwealth of Puerto Rico
Department of the Family for the Fiscal Year Ended June 30, 2004
3/28/2008
A-77-08-00012
Management Advisory Report: Single Audit of the Commonwealth of Puerto Rico
Department of the Family for the Fiscal Year Ended June 30, 2005
3/28/2008
A-13-07-17074
Follow-up: The Social Security Administrations Management of Its Federal
Employees Compensation Act Program
3/31/2008
A-12-08-28037
Association of Administrative Law Judges Training Conference Costs
4/7/2008
A-03-07-17064
On-site Security Control and Audit Reviews at Program Service Centers
4/17/2008
A-06-07-17047
Social Security Administration Employees Acting as Representative Payees
4/18/2008
A-15-07-17132
Performance Indicator Audit: Hearings and Appeals
4/18/2008
A-15-07-17155
Assessing the Application Controls for the Social Security Administrations
Modernized Claims Systems and National Disability Determination Services System
4/23/2008
Reports with Non-Monetary Findings
October 1, 2007 September 30, 2008
Audit Number
Report
Issue Date
A-01-05-25124
Joint Social Security and Canadian Beneficiaries Residing in the United States
5/2/2008
A-08-08-18026
Removing Social Security Numbers from Medicare Cards
5/2/2008
A-15-07-17126
Performance Indicator Audit: Earnings Information
5/2/2008
A-08-07-17044
Assignment of Social Security Numbers to Noncitizens with Fiancé Visas
5/6/2008
A-15-07-17130
Performance Indicator Audit: Postentitlement Actions
5/16/2008
A-08-08-18058
The Social Security Administrations Compliance with Intelligence Reform
and Terrorism Prevention Act of 2004
5/21/2008
A-06-08-18042
Personally Identifiable Information Made Available to the General Public Via
the Death Master File
6/4/2008
A-13-07-27164
Follow-up: The Social Security Administrations Internal Use of Employees
Social Security Numbers
6/9/2008
A-05-08-28106
Quick Response Evaluation: Timeliness of Medical Evidence at Hearing Offices
6/13/2008
A-03-07-17067
Follow-up: The Social Security Administrations Processing of the Internal
Revenue Services Overstated Wage Referrals
6/16/2008
A-06-07-27156
Benefit Payments in Instances Where the Social Security Administration Removed
a Death Entry from the Beneficiarys Record
6/19/2008
A-06-08-28112
Congressional Response Report: Social Security Administration Payments Sent
to Payday Loan Companies
6/24/2008
A-15-08-28031
Congressional Response Report: Financial Institutions Deducting Fees and Garnishments
from Social Security Benefits
7/2/2008
Reports with Non-Monetary Findings
October 1, 2007 September 30, 2008
Audit Number
Report
Issue Date
A-02-07-17131
Performance Indicator Audit: Disability Determination Services Processing
7/11/2008
A-13-08-18029
The Social Security Administration Field Offices Training of Staff
7/28/2008
A-13-08-30117
Quick Response Evaluation: Evaluation of the Knowledge Management Website
7/31/2008
A-15-08-28120
Quick Response Evaluation: Connecticut Department of Social Services Request
for Additional Funding
7/31/2008
A-14-08-18020
The Social Security Administrations Consulting Services Contract for the
Time Allocation System
8/5/2008
A-07-08-28094
Congressional Response Report: Administrative Law Judge and Hearing Office Performance
8/8/2008
A-14-08-28113
Quick Response Evaluation: The Social Security Administrations Electronic
Government Services
8/11/2008
A-15-08-28114
Congressional Response Report: Disability Determination Services Disability
Decisions
8/14/2008
A-06-08-18015
Beneficiary and Recipient Use of In Care of Addresses
8/19/2008
A-09-07-27154
Social Security Cards Mailed to the Social Security Administrations Field
Offices
8/19/2008
A-15-08-18086
Cherry Engineering Support Services, Inc., Indirect Cost Rate Proposal for Fiscal
Year 2006 (Limited Distribution)
8/21/2008
A-14-08-18064
The Social Security Administrations Implementation of Internet Protocol
Version 6
8/27/2008
A-15-07-17089
Effectiveness of the Social Security Statement in Correcting Earnings Records
8/27/2008
Reports with Non-Monetary Findings
October 1, 2007 September 30, 2008
Audit Number
Report
Issue Date
A-14-08-18014
The Social Security Administrations Enterprise-Wide Infrastructure Contract
9/2/2008
A-08-08-28118
Quick Response Evaluation: Controls Over the Social Security Administrations
Celebrity File (Limited Distribution)
9/9/2008
A-13-08-18030
Social Security Administration Field Offices Management of Allegations
9/15/2008
A-06-08-28076
Risks Posed by Digital Photocopiers Used in Social Security Administration Offices
9/18/2008
A-13-08-28009
Administrative Wage Garnishment
9/18/2008
A-06-08-18035
Automated One-Time Payments
9/19/2008
A-14-08-18063
Fiscal Year 2008 Evaluation of the Social Security Administrations Compliance
with the Federal Information Security Management Act
9/19/2008
A-15-08-18033
The Social Security Administrations Contract with Unified Consultants
Group, Inc., Contract Number SS00-05-60015
9/26/2008
A-77-08-00013
Management Advisory Report: Single Audit of the State of Iowa for the Fiscal
Year Ended June 30, 2007
9/26/2008
A-03-07-27152
Social Security Number Misuse for Work and the Impact on the Social Security
Administrations Master Earnings File
9/29/2008
A-06-08-18034
Administrative Costs Claimed by the New Mexico Disability Determination Services
9/29/2008
A-12-08-28036
Hearing Office Remand Processing
9/29/2008
A-05-08-28110
Quick Response Evaluation: Individuals Withdrawing Title II Benefit Applications
9/30/2008
A-14-08-18018
Reliability and Accuracy of the Social Security Administrations Exhibit
300 Submissions to the Office of Management and Budget
9/30/2008
Reports with Questioned Costs
October 1, 2007 September 30, 2008
Audit Number
Issue Date
Report
Dollar Amount
A-09-07-17119
10/25/2007
Controls over Miscellaneous Payments Made Through the Single Payment System
$105,690,039
A-77-08-00001
11/1/2007
Management Advisory Report: Single Audit of the State of Florida for the Fiscal
Year Ended June 30, 2006
$47,065
A-01-07-27116
12/12/2007
Social Security Administration Employees Receiving Benefits
$245,311
A-01-06-15069
12/13/2007
Administrative Costs Claimed by the Rhode Island Disability Determination Services
$1,751,060
A-06-06-16135
2/19/2008
The Social Security Administrations Income and Resource Verification Process
for Individuals Applying for Help with Medicare
Prescription Drug Plan Costs
$473,494,350
A-01-07-17038
3/14/2008
Follow-up on the Impact on the Social Security Administrations Programs
When Auxiliary Beneficiaries Do Not Have Their
Own Social Security Numbers
$7,577,002
A-09-07-17134
3/14/2008
Adjustment of Disabled Wage Earners Benefits at Full Retirement Age
$43,074,961
A-15-08-18019
3/20/2008
The District of Columbia Disability Determination Divisions Internal Controls
over the Accounting and Reporting of
Administrative Costs
$224,354
A-02-07-27077
3/27/2008
The Henry Ittleson Center - An Organizational Representative Payee for the Social
Security Administration
$32,700
A-01-06-15068
4/23/2008
Organizational Representative Payees Reporting Beneficiaries Deaths
$901,040
A-01-07-17036
4/23/2008
Supplemental Security Income Recipients with Automated Teller Machine Withdrawals
Indicating They Are Outside the United States
$226,231,618
Reports with Questioned Costs
October 1, 2007 September 30, 2008
Audit Number
Issue Date
Report
Dollar Amount
A-01-07-27109
5/19/2008
Supplemental Security Income Recipient Marriages Not Reported to the Social
Security Administration
$24,753,496
A-01-08-28116
5/22/2008
Quick Response Evaluation: Underpayments to Widows
$95,061,451
A-09-07-17160
6/9/2008
Underpayments Payable on Behalf of Terminated Title II Beneficiaries
$445,337,353
A-07-07-17170
6/19/2008
Administrative Costs Claimed by the Nebraska Disability Determination Services
$229,519
A-01-07-17039
7/2/2008
Title II Benefits to Fugitive Felons and Probation or Parole Violators
$78,850,962
A-01-08-18022
7/23/2008
Supplemental Security Income Recipients with Excess Income and/or Resources
$408,904,995
A-04-07-17059
8/13/2008
Accuracy of Title II Disability Insurance Benefits Processed with Workers
Compensation Settlements
$26,000
A-03-07-17090
8/14/2008
Unprocessed Manual Recalculations for Title II Payments
$4,954,180
A-07-08-18039
8/28/2008
Individual Volume Representative Payee in Topeka, Kansas
$33,521
A-09-08-28045
9/2/2008
Hawaii Department of Human Services An Organizational Representative
Payee for the Social Security Administration
$730,750
A-02-08-18074
9/5/2008
Status of Title II Installment Agreements
$15,371,240
A-04-07-17078
9/9/2008
Accuracy of Title II Disability Insurance Benefit Triennial Redeterminations
for 2006
$19,304,580
A-04-08-28040
9/9/2008
Help Group Services, Inc., a Fee-for-Service Representative Payee for the Social
Security Administration
$229,792
Reports with Questioned Costs
October 1, 2007 September 30, 2008
Audit Number
Issue Date
Report
Dollar Amount
A-09-07-27010
9/10/2008
Dually Entitled Beneficiaries who are Subject to Government Pension Offset and
the Windfall Elimination Provision
$454,662,520
A-02-08-18050
9/11/2008
Controls Over the Social Security Administrations Transit Subsidy Program
$3,530
A-09-07-17135
9/22/2008
The Social Security Administrations Computation of Delayed Retirement
Credits
$1,658,839
A-02-07-17050
9/30/2008
Medical Consultant Contracts
$29,003
TOTAL
$2,409,411,231
Reports with Funds Put to Better Use
October 1, 2007 September 30, 2008
Audit Number
Issue Date
Report
Dollar Amount
A-01-07-27116
12/12/2007
Social Security Administration Employees Receiving Benefits
$124,176
A-15-07-17095
1/11/2008
The Social Security Administrations Ability to Reach Individuals Using
the Social Security Statement
$1,911,000
A-04-07-17028
1/22/2008
Adjustment of Overpayment Balances Related to Title II Critical Payments
$14,040,881
A-06-06-16135
2/19/2008
The Social Security Administrations Income and Resource Verification Process
for Individuals Applying for Help with Medicare Prescription Drug Plan Costs
$223,594,840
A-09-07-17134
3/14/2008
Adjustment of Disabled Wage Earners Benefits at Full Retirement Age
$68,088,960
A-09-07-17103
3/20/2008
Administrative Costs Claimed by the Washington Disability Determination Services
$1,516,055
A-15-08-18019
3/20/2008
The District of Columbia Disability Determination Divisions Internal Controls
over the Accounting and Reporting of Administrative Costs
$264,031
A-07-07-17136
4/14/2008
Administrative Costs Claimed by the Colorado Disability Determination Services
$77,659
A-01-07-17036
4/23/2008
Supplemental Security Income Recipients with Automated Teller Machine Withdrawals
Indicating They Are Outside the United States
$100,496,485
A-01-07-27109
5/19/2008
Supplemental Security Income Recipient Marriages Not Reported to the Social
Security Administration
$7,112,193
A-01-08-28116
5/22/2008
Quick Response Evaluation: Underpayments to Widows
$211,325,654
Reports with Funds Put to Better Use
October 1, 2007 September 30, 2008
Audit Number
Issue Date
Report
Dollar Amount
A-01-08-18022
7/23/2008
Supplemental Security Income Recipients with Excess Income and/or Resources
$169,162,807
A-02-07-17048
8/11/2008
Ticket to Work and Self-Sufficiency Program Cost Effectiveness
$138,000,000
A-03-07-17090
8/14/2008
Unprocessed Manual Recalculations for Title II Payments
$1,237,060
A-04-08-18013
8/20/2008
Administrative Costs Claimed by the Georgia Disability Adjudication Services
$29,914
A-04-07-17078
9/9/2008
Accuracy of Title II Disability Insurance Benefit Triennial Redeterminations
for 2006
$4,753,686
A-09-07-27010
9/10/2008
Dually Entitled Beneficiaries who are Subject to Government Pension Offset and
the Windfall Elimination Provision
$53,219,100
A-07-07-17052
9/19/2008
The Social Security Administrations Use of Administrative Sanctions in
the Old-Age, Survivors and Disability Insurance Program
$123,458,884
A-02-07-17050
9/30/2008
Medical Consultant Contracts
$1,212
TOTAL
$1,118,414,597
Appendix C: Reporting Requirements Under the Omnibus Consolidated Appropriations
Act of FY 1997
To meet the requirements of the Omnibus Consolidated Appropriations Act of 1997,
P.L. 104-208, we are providing requisite data for the second half of FY 2008
from the Offices of Investigations
and Audit in this report and aggregate data for FY 2008.
Office of Investigations
We are reporting over $38 million in SSA funds as a result of our investigative
activities in this reporting period. These funds are broken down in the table
below.
Investigative Activities
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
Total
Court Ordered Restitution
$5,731,555
$5,903,778
$5,308,404
$6,031,408
$22,975,145
Recoveries
$13,420,798
$10,156,052
$9,338,825
$7,124,539
$40,040,214
Fines
$990,585
$1,392,621
$1,490,091
$1,408,704
$5,282,001
Settlements/Judgments
$305,704
$299,826
$704,369
$322,843
$1,632,742
TOTAL
$20,448,642
$17,752,277
$16,841,689
$14,887,494
$69,930,102
Office of Audit
SSA management has informed us that it has completed implementing recommendations from 17 audit reports during this time period valued at over $803 million.
Quick Response Evaluation: Underpayments to Widows (A-01-08-28116, 5/22/2008)
No Recommendation SSA took action during the audit on actual findings.
The implemented value of this recommendation is $211,325,654.
Supplemental Security Income Recipients with Automated Teller Machine Withdrawals Indicating They Are Outside the United States (A-01-07-17036, 4/23/2008)
We recommended that SSA assess the feasibility of obtaining electronic bank
statement information to include transaction-level data so that foreign transactions
may be identified and investigated for possible
residency violations. The implemented value of this recommendation is $100,496,485.
The District of Columbias Disability Determination Divisions (DC DDD) Internal Controls over the Accounting and Reporting of Administrative Costs (A-15-08-18019-04, 3/20/2008)
We recommended that SSA request the DC DDD to reduce the unliquidated medical obligations by $176,846 and the unliquidated occupancy obligations by $87,185.
Social Security Administration Employees Receiving Benefits (A-01-07-27116, 12/12/2007)
No Recommendation SSA took action during the audit on actual findings. The implemented value of this recommendation is $124,176.
Improper Payments Resulting from the Annual Earnings Test (A-09-07-17066, 8/31/2007)
We recommended that SSA determine whether Office of Quality Performance (OQP)
should continue the practice of removing records selected by the Earnings Enforcement
Operation (EEO). If SSA
determines OQP should continue this practice, it needs to establish management
oversight of this workload to ensure it is accurately processed in a timely
manner.. The implemented value of this
recommendation is $116,226,713.
An Individual Representative Payee for the Social Security Administration in the San Francisco Region (A-09-07-17063, 7/3/2007)
We recommended that SSA ensure that the Representative Payee use actual rather
than estimated expenses to complete the Representative Payee Reports for all
beneficiaries in its care. The implemented
value of this recommendation is $3,349.
Cross-Program Recovery of Benefit Overpayments (A-13-06-16031, 6/22/2007)
We recommended that SSA comply with its policy for mandatory cross-program recovery of Supplemental Security Income (SSI) overpayments. The implemented value of this recommendation is $4,563,657.
Contract for the Migration of I.Levy Software at Disability Determination Services (Limited Distribution) (A-07-07-17033, 5/24/2007)
We recommended that SSA continue to monitor the interest payments made on contracts
and make additional improvements to its oversight process, when appropriate.
The implemented value of this
recommendation is $3,000.
Adjustment of Widows Insurance Benefits at Full Retirement Age (A-01-07-27122, 5/14/2007)
We recommended that SSA review the 10,210 cases in our population and take
action to pay the additional amounts due the widows. The implemented value of
this recommendation is
$137,808,597.
Administrative Costs Claimed by the Commonwealth of Puerto Rico Disability Determination Program (A-06-06-16117, 3/26/2007)
We recommended that SSA ensure unliquidated obligations totaling $465,323 in FY 2004 and $641,927 in FY 2005 are reviewed and obligations no longer valid are deobligated.
Direct Deposits for Multiple Title XVI Recipients into the Same Bank Account (A-02-06-25141, 3/23/2007)
We recommended that SSA pursue recovery efforts, as warranted, for overpayments identified in this report. The implemented value of this recommendation is $264,390.
Impact of Statutory Benefit Continuation on Disability Insurance Benefit Payments Made During the Appeals Process (A-07-05-15094, 12/21/2006)
We recommend that SSA enhance the business process to allow more timely decisions on medical cessation appeals. The implemented value of this recommendation is $44,997,323.
Supplemental Security Income Recipients Whose Medicare Benefits Were Terminated Due to Death(A-01-06-26105, 11/14/2006)
We recommended that SSA review the cases in our audit population and take appropriate
action to terminate the Supplemental Security Income (SSI) payments for the
deceased individuals and remove
the erroneous death information for those individuals who are alive and reinstate
their Medicare benefits. The implemented recommendation is valued at $237,103.
Survivor Benefits Paid in Instances When the Social Security Administration Removed the Death Entry from a Primary Wage Earners Record (A-06-06-26020, 9/26/2006)
We recommended that SSA perform death verifications for each of the 307 records
with survivor benefit payments identified in the report and take appropriate
action. The implemented value of this
recommendation is $4,600,155.
Impact of Statutory Benefit Continuation on Supplemental Security Income Payments Made During the Appeals Process (A-07-05-15095, 5/10/2006)
We recommended that SSA remind SSA components of the proper procedures for
terminating SSI benefits following medical cessation decisions. We also recommended
that SSA components enhance
the business process to allow more timely decisions on medical cessation appeals.
The implemented value of these recommendations are $172,648,516.
Collection of Old-Age, Survivors and Disability Insurance Overpayments to Representative Payees for Deceased Beneficiaries (A-13-03-13049, 7/21/2004)
We recommended that SSA identify and refer all eligible delinquent representative
payee OASDI overpayment debts to Treasurys Financial Management Service
for tax refund and administrative
offset. The implemented value of this recommendation is $2,278,241.
Audit of the Administrative Costs Claimed by the Kansas Disability Determination Services (KS DDS) (A-07-02-22003, 10/23/2002)
We recommend that SSA instruct KS-DDS and Kansas Department of Social Rehabilitation
Services (KS-SRS) to amend the KS-SRS Cost Allocation Plans for FYs 2001, 2002,
and future years to reflect
an equitable distribution of indirect costs to SSA. The implemented value of
this recommendation is $6,138,225.
Appendix D: Significant Management Decisions With Which the Inspector General Disagrees
There are no significant management decisions with which the Inspector General disagrees.
Appendix E: Collections from Investigations and Audits
The Omnibus Consolidated Appropriations Act of 1997 (P.L. 104-208) requires
us to report additional information concerning actual cumulative collections
and offsets achieved as a result
of OIG activities each semiannual period.
Office of Investigations
Total Restitution Reported by DOJ as Collected for SSA
FY
Total Number
of Individuals
Assigned Court
Ordered Restitution
Court Ordered
Restitution for
This Period
Total Restitution
Collected by DOJ
2006
578
$18,817,909
$1,447,402
2007
655
$26,435,626
$898,7641
2008
765
$22,975,145
See Footnote 2
TOTAL
1,998
$68,228,680
$2,346,166
1Reflects collection for October 1, 2006 June 30, 2007.
2DOJ advised it is currently migrating collection data to a new computer system
and the data is unavailable at this time. Last available collection data is
for the period ending June 30, 2007.
Recovery Actions Based on OI Investigations
FY
Total Number of Recovery
Actions Initiated
Amount for Recovery
2006
1,865
$35,492,314
2007
2,514
$44,081,776
2008
1,862
$40,040,214
TOTAL
6,241
$119,614,304
Office of Audit
The following chart summarizes SSAs responses to our recommendations
for the recovery or redirection of questioned and unsupported costs. This information
is prepared in coordination with SSAs
management officials and was current as of September 30, 2008.
SSAs Responses to OIGs Recommendations
Recovery or Redirection of Questioned and Unsupported Costs
FY
Reports with Questioned Costs
Questioned/
Unsupported
Costs
Management
Concurrence
Amount Collected or to be Recovered
Amount Written-
Off/Adjustments
Balance
2006
24
$1,373,740,596
$1,245,415,125
$1,235,508,053
$129,567,145
$8,665,398
2007
36
$1,261,104,0451
$878,975,863
$495,515,015
$363,745,310
$401,843,720
2008
28
$2,409,411,231
$397,388,047
$177,244,085
$699,725,968
$1,532,441,178
TOTAL
88
$5,044,255,872
$2,521,779,035
$1,908,267,1531
$1,193,038,423
$1,942,950,296
1 The amounts in the table regarding collections, recoveries, and write-offs/adjustments were not verified by the OIG.
Appendix F: Significant Monetary Recommendations From Prior FYs for Which Corrective Actions Have Not Been Completed
Improper Payments Resulting from the Annual Earnings Test (AET) (A-09-07-17066, 8/31/2007)
Results of Review: Our audit disclosed that SSA did not adjust the benefit
payments for all beneficiaries who were subject to AET. Based on a random sample
of 250 beneficiaries for
Calendar Years 2002 through 2004, we found SSA overpaid $393,117 to 112 beneficiaries
and underpaid $44,264 to 16 beneficiaries. As a result, we estimate SSA overpaid
about $313 million
to 89,300 beneficiaries and underpaid about $35 million to 12,800 beneficiaries.
These payment errors primarily occurred because SSA did not process all records
identified by its Earnings
Enforcement Operation.
Recommendation: SSA should review and process, as appropriate, all Earnings Enforcement Operation selections pending in the Office of Quality Performance since 1996.
Valued at: $348,680,140 in questioned costs.
Agency Response: SSA agreed with the recommendation.
Corrective Action: SSA responded that its draft strategy for handling pending
TIER II enforcement selections for tax years before 2004 continues to be evaluated.
SSA developed a
plan to process TIER II selections for tax years 2004 2005.
Supplemental Security Income Recipients Eligible as Disabled Adult Children (DAC) Under the Old-Age, Survivors and Disability Insurance Program (A-13-07-17073, 4/30/2007)
Results of Review: Our objective was to determine whether Supplemental Security
Income (SSI) recipients who previously received Old-Age, Survivors and Disability
Insurance (OASDI)
benefits as child beneficiaries were eligible for additional OASDI benefits.
Our analysis of information in SSAs Supplement Security and Master Beneficiary
Records found there were SSI recipients who received OASDI benefits as child
beneficiaries who appeared to be
eligible for additional OASDI benefits. Of the 200 SSI recipients we reviewed,
137 appeared to be DAC cases and eligible for additional OASDI benefits. As
such, we estimate about 4,047 of
the 5,908 SSI recipients we identified may be eligible for additional OASDI
benefits. In 2007, we estimated the OASDI underpayments due was about $23 million.
Recommendation: SSA should determine whether the 5,908 Supplemental Security
Income (SSI) recipients are eligible for Old Age Survivors and Disability Insurance
(OASDI) benefits
as Disabled Adult Children (DAC), and calculate the OASDI underpayments due
the recipients as appropriate.
Valued at: $22,937,603 in funds put to better use.
Agency Response: SSA agreed with the recommendation.
Corrective Action: SSA responded that its Office of Operations has recently
identified a similar workload with much of the same criteria as that used to
detect the 5,908 recipients
included in this audit. All cases were released to the regions to work. As of
December 31, 2007, approximately 30 percent of the cases are complete. Because
of the complexity of these cases,
the Agency has extended its deadline for completion of these cases to the end
of calendar year 2008.
Significant Monetary Recommendations From Prior Semiannual Report to Congress for Which Recent Corrective Actions Have Been Made
Impact of Statutory Benefit Continuation on Disability Insurance Benefit Payments Made During the Appeals Process (A-07-05-15094, 12/21/2006)
Recommendation: SSA should enhance the business process to allow more timely decisions on medical cessation appeals.
Valued at: $44,997,323 in funds put to better use.
Corrective Action: SSA responded that its Office of Disability and Adjudication
Review began the implementation of Electronic Continuing Disability Review (eCDR)
decision processing
beginning March 2008. Now implemented, Agency disability processing components
will be electronically notified on hearing level Continuing Disability Review
(CDR) decisions.
Because the eCDR is now part of the broader Hearings Backlog Initiative Plan,
the Agency is closing this recommendation.
Impact of Statutory Benefit Continuation on Supplemental Security Income Payments made During the Appeals Process (A-07-05-15095, 5/10/2006)
Recommendation: SSA should enhance the business process to allow more timely decisions on medical cessation appeals.
Valued at: $158,778,983 in funds put to better use.
Corrective Action: SSA responded that in his testimony to Congress on May 23,
2007, Commissioner Astrue announced that the Social Security Administration
developed a plan to
eliminate the backlog of hearing requests and prevent its recurrence. Since
the Commissioners presentation of his plan, the Office of Disability Adjudication
and Review (ODAR) has taken
an aggressive approach to implementing the numerous initiatives focused on improving
hearing office procedures, increasing adjudicatory capacity, and increasing
efficiency with automation
and improved business processes. ODAR continues the commitment to implementing
and developing the Commissioners initiatives in important initiatives
to support the electronic
folder initiative, which is the centerpiece of process improvements and efficiencies.
Because the eCDR is now part of the broader Hearings Backlog Initiative Plan, the Agency is closing this recommendation.
Appendix G: Significant Non-Monetary Recommendations From Prior FYs for Which Corrective Actions Have Not Been Completed
Controls Over Employee Verification Programs (A-03-06-15036, 9/4/2007)
Results of Review: We assessed the controls over SSAs employee verification
programs. We found that SSAs Social Security Number Verification Service
(SSNVS) had adequate
access and monitoring controls. However, we found that SSA needed to establish
more effective controls over access to its Employee Verification Service (EVS)
programs, and that
the Department of Homeland Security (DHS) needed to establish more effective
controls over E-Verify. In addition, we determined that feedback responses provided
to employers were
inconsistent among the verification programs. Finally, we found that both EVS
programs and DHS E-Verify lacked effective controls related to monitoring
employers use of the programs.
Because of the vulnerabilities and inconsistencies we found among these programs,
SSAs data could be susceptible to unauthorized access as well as inadvertent
disclosure of personally
identifiable information to unauthorized users.
Recommendation: SSA should ensure feedback responses provided to employers
for the four verification programs are consistent as it relates to (a) name
and SSN matches and (b) death
indicator responses.
Agency Response: SSA agreed with the recommendation.
Corrective Action: SSA responded that its current disclosure policy allows
us to share the same data with employers via any SSN verification process. The
routine use established
for the applicable Privacy Act system of records, the SSN Master File (that
is, Numident records), allows information from that system to be disclosed to
employers consistent with
their wage reporting responsibilities. Please note that feedback response differences
between the Employment Eligibility Verification System (EEVS) and the various
SSN verification
processes were established for different purposes; therefore, it may be appropriate
to maintain different matching protocols. EEVS was designed to verify work eligibility
status (determined
by citizenship status) and is driven by Department of Homeland Security needs.
The other programs verify only the SSN, name and date of birth match (and check
for death information)
for wage reporting; citizenship status is not checked. We do note, however,
that a future release of the Social Security Number Verification System (SSNVS)
will return successful
and unsuccessful matches to the user. This brings the functionality of EEVS
and SSNVS in line with each other.
Lastly, the implementation of this recommendation could be affected by the
outcomes for several pending developments concerning the EEVS program, as several
States are enacting
legislation requiring that employers use EEVS. Although comprehensive immigration
reform legislation did not pass, there are other pending legislative proposals
mandating the use of EEVS.
If the legislation is passed, or EEVS is otherwise implemented, the need for
other SSN verification programs for employers may diminish, as all employers
will be required to use EEVS for new
hires.
The Social Security Administrations Incident Response and Reporting System (A-14-07-17070, 8/3/2007)
Results of Review: We reviewed SSAs system and processes for detecting,
reporting, and responding to security incidents to determine its compliance
with Federal regulations and established standards
and guidelines. We found SSA had established a framework for its incident response
and reporting system. However, SSA did not appropriately identify and report
all security incidents and had
not appropriately included OIG in the incident response process.
Recommendation: SSA should align policy, procedures and practices for reporting
personally identifiable information (PII) incidents including the Agencys
escalation policy to the
US- CERT.
Agency Response: SSA agreed with the recommendation.
Corrective Action: SSA responded that it will work to ensure practices and procedures for reporting and escalation of PII incidents align.
Social Security Administrations Management of Information Technology Projects (A-14-07-17099, 7/26/2007)
Results of Review: Our objective was to determine whether SSA received intended
value for its information technology (IT) investment. We determined whether
SSA had a process in place
to determine whether its IT projects achieved planned functionality and cost
savings. We found that SSA had developed an evaluation process to verify the
planned functionality was delivered;
however, its IT investment results were not independently verified after project
completion to ensure the functionality and cost savings were ultimately achieved.
SSA has not conducted full
post-implementation reviews for its IT projects, as required by the Office of
Management and Budget.
Recommendation: SSA should implement a Post Implementation Reviews (PIR) process
as required by the Office of Management and Budget (OMB) and, to the extent
possible, leverage
SSAs current processes.
Agency Response: SSA agreed with the recommendation.
Corrective Action: SSA responded that its Office of the Chief Information Officer
(OCIO) remains committed to carrying out PIRs subject to the availability of
resources. OCIO intends
to develop a PIR process that follows information technology (IT) investment
throughout its life cycle, assessing the return on investment along the way,
so incremental investment decisions are
based on current assessments of resources invested and value returned, as well
as better informed forecasts of future costs and benefits.
Significant Non-Monetary Recommendations From Prior Semiannual Report to Congress for Which Recent Corrective Action Has Been Made
The Social Security Administrations Program For Issuing Replacement Social Security Cards to Prisoners (A-08-06-16025, 7/13/2006)
Recommendation: SSA should perform a review at each prison with which it is
considering executing a Memoranda of Understanding (MOU) to ensure its procedures
for establishing
prisoner identity are sufficient to ensure SSN integrity and compliance with
the intent of the Intelligence Reform and Terrorism Prevention Act of 2004.
Corrective Action: SSA responded that they will perform an onsite review at
each prison facility during the negotiation process. Once SSA negotiates an
agreement covering multiple facilities,
as in an agreement with a State Department of Corrections, a site visit will
be performed at one location that is representative of all State-run facilities.
SSA also reported that the prisoner enumeration workgroup developed a negotiators
guide to use when SSA visits a prison facility. The guide contains specific
guidelines to follow to ensure
the facility maintains sufficient evidence of each inmates identity in
the prison files.
The Social Security Administrations Program For Issuing Replacement Social Security Cards to Prisoners (A-08-06-16025, 7/13/2006)
Recommendation: SSA should require that field offices perform annual onsite
reviews of prison procedures for submitting prisoner replacement SSN applications
and required evidence and
take corrective action as needed.
Corrective Action: SSA responded that the prisoner enumeration workgroup decided
to require an in depth investigation of the prisons procedures during
the negotiation process. All MOUs
are effective a maximum of 5 years. After implementation of the MOU, SSA will
perform an audit of the facility when:
A schedule has been agreed upon (negotiable based on past relationship and familiarity with facility; or recommended after one year);
There is reason to believe that terms of MOU are not being followed; or
The MOU is scheduled to expire in 4 months and the facility is interested in renewing the agreement.
Given the limited resources in the regional and field offices, the workgroup considers this option to be a practicable alternative to scheduled annual audits.
Glossary of Acronyms
ALJ
Admininstrative Law Judge
ATM
Automated Teller Machine
CDI
Cooperative Disability Investigative
CMP
Civil Monetary Penalty
DDS
Disability Determination Services
DHS
Department of Homeland Security
DI
Disability Insurance
DMF
Death Master File
DoC
Department of Commerce
DoJ
Department of Justice
eServices
Electronic Services
ESF
Earnings Suspense File
FEMA
Federal Emergency Management Agency
FI
Financial Institution
FY
Fiscal Year
GPO
Government Pension Offset
GSA
General Services Administration
IO
Immediate Office
IRS
Internal Revenue Service
IT
Information Technology
LDOL
Louisiana Department of Labor
MEF
Master Earnings File
NH
Numberholder
NPRM
Notice of Proposed Rulemaking
OA
Office of Audit
OCIG
Office of Counsel to the Inspector General
ODAR
Office of Disability Adjudication and Review
OER
Office of External Relations
OI
Office of Investigations
OIG
Office of the Inspector General
OQAPR
Office of Quality Assessment and Professional Responsibility
OTRM
Office of Technology and Resource Management
PD
Police Department
PII
Personally Identifiable Information
REDET
Redetermination
SSA
Social Security Administration
SSI
Supplemental Security Income
SSN
Social Security Number the Act
Social Security Act
VA
Department of Veterans Affairs
WC
Workers Compensation
WEP
Windfall Elimination Provision
How to Report Fraud
The SSA OIG Fraud Hotline offers a means for you to provide informationon suspected
fraud, waste, and abuse. If you know of current or potentially illegal or improper
activities involving SSA programs or personnel, we encourage you to contact
the SSA OIG Fraud Hotline.
Call 1-800-269-0271
Write Social Security Administration
Office of the Inspector General
Attention: SSA Fraud Hotline
P. O. Box 17768
Baltimore, MD 21235
Fax410-597-0118
Internet www.socialsecurity.gov/oig
To obtain additional copies of this report, please visit our website at www.socialsecurity.gov/oig
Report Fraud, Waste, and Abuse 1- 800 - 269 - 0271