约5万名已故者仍挂在联邦雇员健保名册：人事管理办公室查出1.067亿美元身后付款
华盛顿消息：美国人事管理办公室（OPM）11月2日公布一项审查结果：把财政部 2026 年 8 月的死亡记录置信评分工具（DRCST）与 OPM 的联邦雇员健保登记记录逐一比对后，发现约 50,000 名已经去世的人仍列在联邦雇员健康福利计划（FEHBP）的名册上，涉及的不当付款合计 1.067 亿美元。
OPM 表示，审查确认的身后不当付款为 9,630 万美元，其中 7,060 万美元是政府缴付的 FEHB 保费缴款，2,570 万美元是退休金付款，两笔都是在当事人去世之后继续付出的。
此外，OPM 估算还有 1,040 万美元的承保商成本，涉及逾 20,000 名同样已不在名册缴付政府保费、却仍留在承保商名单上的人。承保商每月按行政与人头成本向 FEHB 基金收费。OPM 表示，未来数周将进一步审查当事人去世后可能已经赔付的理赔。
OPM 负责医疗与保险的副主任 Matthew Kiley 说：「每一条过时的登记记录都可能带着成本。这次审查正帮助我们找到这些记录，找出需要处置的付款，减少 FEHB 不必要的开支。」
OPM 局长 Scott Kupor 说：「我们不会让纳税人承担欺诈、浪费或不当付款的负担。随着我们加倍推进廉正计划，这些发现只是我们预期会查出问题中的一小部分。」
白宫消除欺诈工作组执行主任 Scott Brady 说：「规则很简单：去世的人不应该领取医疗福利。今天是纠正上一届政府错误方面又一个关键进展。」（来源：美国人事管理办公室）
About 50,000 Deceased People Still Listed in Federal Health Benefits: OPM Review Finds $106.7 Million in Payments Made After Death
WASHINGTON — The U.S. Office of Personnel Management (OPM) said on November 2 that it has identified approximately 50,000 deceased individuals who remain listed in the Federal Employees Health Benefits Program (FEHBP), after matching the Treasury Department's August 2026 Death Record Confidence Scoring Tool (DRCST) against OPM's FEHB enrollment records. The improper payments identified total $106.7 million.
The review identified $96.3 million in improper payments made after the date of death, OPM said, including $70.6 million in government FEHB premium contributions and $25.7 million in retirement payments.
OPM also estimates $10.4 million in carrier costs tied to more than 20,000 individuals who remain on carrier rolls even though no government premium is being paid for them. Carriers charge FEHB funds each month for administrative and per-member costs. OPM said it will examine claims that may have been paid after the date of death in the coming weeks.
'Every outdated enrollment record can carry a cost. This review is helping us find those records, identify payments that need action, and reduce unnecessary costs to FEHB,' said Matthew Kiley, OPM's Associate Director of Healthcare and Insurance.
'We will not allow the taxpayer to shoulder the burden of fraud, waste, or improper payments. These findings are a drop in the bucket of what we expect to find as we double down on our integrity program,' OPM Director Scott Kupor said.
'Here is a simple rule: Dead people should not receive health benefits. Today is another critical step forward in reversing the errors by the previous administration,' said Scott Brady, Executive Director of the White House Task Force to Eliminate Fraud. (Source: U.S. Office of Personnel Management)
来源：美国人事管理办公室
发布：GSM·美国（发布链接）
图片来源：图：位于华盛顿的人事管理办公室（OPM）总部 Theodore Roosevelt Building 大楼与标牌。G. Edward Johnson 摄，CC BY 4.0，经 Wikimedia Commons。 / Photo: The Theodore Roosevelt Building, headquarters of the U.S. Office of Personnel Management in Washington. By G. Edward Johnson, CC BY 4.0, via Wikimedia Commons.
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