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Office of Investigations

The Office of the Inspector General is considered a Federal law enforcement agency. The Office of Investigations, a component within the OIG, has criminal investigators who have statutory Federal law enforcement authority and perform criminal, civil, and administrative investigations related to allegations of fraud, waste, or abuse affecting any OPM program, as well as gross mismanagement and employee misconduct by OPM employees and contractors. Our criminal investigators pursue criminal prosecution, civil action, and/or administrative penalties when appropriate. They frequently partner with the Department of Justice (DOJ) and other Federal, State, and local law enforcement agencies to investigate cases nationwide.

The Office of Investigations operates a fraud hotline for individuals to report allegations of fraud, waste, abuse, or mismanagement and misconduct directly to the OIG. Both the American taxpayers and Federal employees are harmed when OPM programs are defrauded or when misconduct compromises program integrity.

Our investigations of allegations of fraud against OPM-administered programs include:

  • The Federal Employees Health Benefits Program (FEHBP) is the largest employer-based health care program in the world, covering over 8.2 million current Federal employees, retirees, and their eligible family members. OPM, under Title 5 of the Code of Federal Regulations, is granted the authority to administer the FEHBP, which annually pays in excess of $50 billion for medical and pharmaceutical benefits, administrative fees, and other related costs. The Office of Investigations investigates cases related to false claims submitted by both FEHBP participants, health care providers, and pharmacies; instances of pharmaceutical fraud or drug diversion; and fraud committed by health care insurance carriers contracted to administer benefits on behalf of the FEHBP.
  • Civil Service Retirement System (CSRS) and the Federal Employees Retirement System (FERS): We investigate cases involving improper retirement annuity payments made to deceased annuitants or their survivors; theft or diversion of annuity payments; and embezzlement from the Civil Service Retirement and Disability Fund. OPM pays approximately $80 billion annually in retirement-related benefits.
  • National Background Investigations Bureau (NBIB): The NBIB, as a bureau under OPM, conducted approximately 95% of the background investigations for the Federal Government. Effective on October 1, 2019 this function was transferred to the Department of Defense, to become the Defense Counterintelligence and Security Agency.
  • Our Office of Investigations continues to investigate legacy NBIB cases involving allegations of fabrication, i.e., alleged false statements made by NBIB background investigators in their reports, which were referred to our office prior to October 1, 2019.
  • Combined Federal Campaign (CFC): The CFC is the largest and most successful annual workplace charity campaign. There are almost 200 CFC campaigns throughout the United States and overseas raising millions of dollars each year. In 2018, the CFC raised nearly $93 million in pledges from Federal employees. The Office of Investigations investigates fraud, theft, embezzlement, and gross mismanagement or misconduct related to the donations made to the CFC program.
  • Other OPM Programs: The Office of Investigations also reviews and may conduct criminal, civil, and/or administrative investigations within the Federal Employees Group Life Insurance (FEGLI) program, Federal Employees Dental and Vision Program (FEDVIP), and the Federal Long Term Care Insurance Program (FLTCIP).
  • OPM employee and Contractor Misconduct: The Office of Investigations conducts criminal and administrative investigations of OPM employee and contractor misconduct, fraud, waste, and abuse.

Concerned citizens, OPM employees, and OPM contractors may report suspected fraud, waste, and abuse to the OIG via the OIG Hotline by clicking on the following link:‚Äč /our-inspector-general/hotline-to-report-fraud-waste-or-abuse/

ALERT! Don't be a victim of medical identity theft. Protect your insurance policy number as you would your credit card information and review your medical bills and explanation of benefits statements.
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