CINXE.COM
OIG: Results of Scoping of the Evaluation of the CFPB's Healthcare Benefits Eligibility Processes - CFPB Report 2024-MO-C-010
<!DOCTYPE html> <html> <head> <meta charset="utf-8"/> <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1"/> <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1"/> <meta property="og:title" content="OIG: Results of Scoping of the Evaluation of the CFPB's Healthcare Benefits Eligibility Processes"/> <meta property="og:image" content="https://oig.federalreserve.gov/images/OIG-twitter-card-small.png"/> <meta property="og:description" content="The OIG provides independent oversight of the Board and the CFPB to improve their programs and operations and to prevent and detect fraud, waste, and abuse."/> <meta property="og:url" content="https://oig.federalreserve.gov/reports/cfpb-healthcare-benefits-eligibility-processes-mar2024.htm" /> <meta name="twitter:card" content="summary" /> <meta name="twitter:site" content="@OIGFedCFPB" /> <meta name="twitter:title" content="Results of Scoping of the Evaluation of the CFPB's Healthcare Benefits Eligibility Processes" /> <meta name="twitter:description" content="The CFPB offers health, vision, and dental benefits to employees and their qualified dependents. The CFPB’s internal reviews have found some discrepancies in enrollments and eligibility for dental" /> <meta name="twitter:image" content="https://oig.federalreserve.gov/images/OIG twitter card small.png" /> <meta name="twitter:image:alt" content="Seal of the Office of Inspector General" /> <title>OIG: Results of Scoping of the Evaluation of the CFPB's Healthcare Benefits Eligibility Processes - CFPB Report 2024-MO-C-010</title> <link rel="icon" type="image/x-icon" href="/gifjpg/favicon.ico"/> <link href="/_/includes/fancybox-5.0.36/fancybox.css" rel="stylesheet" type="text/css" media="screen" /> <link href="/_/includes/main.css" rel="stylesheet" type="text/css" media="screen"/> <link href="/_/includes/print.css" rel="stylesheet" type="text/css" media="print"/> <!--[if IE]> <link rel="stylesheet" type="text/css" href="/_/includes/all-ie-only.css" /> <![endif]--> <style type="text/css"> .share-page{margin-bottom: 30px;} .icon-email-link, .icon-twitter, .icon-signup-email-updates, .icon-rss {color:#00416B;font-size: 1.8em;} .share-this-page li{float: left;} .icon-email-link{left: 30px;} .stay-connected ul li a {color: #666;font-weight: normal;height: 30px;padding-left: 0;padding-right: 0;text-decoration: none;width: 30px;} .stay-connected ul li {font-size: 12px;padding-bottom: 0;} .twitter-link{left: 40px;} .linkedin-link{left: 80px;} .stay-connected-container li{padding-bottom: 0;} .stay-connected-container .rss-link{margin-left: 40px;} .stay-connected-container .twitter-link{left: 80px;} .stay-connected-container .linkedin-link{left: 120px;} .icon-linkedin{ background-image: url("/_/includes/images/linkdin-icon-21px.png"); background-repeat: no-repeat;display: block;width: 37px;height: 30px; } .icon-twitter-svg{ background-image: url("/_/includes/images/Twitter_Logo_Blue.svg"); background-repeat: no-repeat;background-position: -9px -9px;display: block; width: 40px; height: 40px; } </style> <script type="text/javascript" language="javascript" src="/resources/exit_Disclaimer.js"></script> <script type="text/javascript" language="javascript" src="/resources/jquery.min.js"></script> </head> <body> <noscript><div class="external-links-disclaimer"><p> If you are seeing this message, Javascript is disabled. Disclaimer for all external links found on this page: The Office of Inspector General (OIG) for the Board of Governors of the Federal Reserve System and the Consumer Financial Protection Bureau does not necessarily endorse the views expressed or the facts presented on the external sites. The OIG does not endorse any commercial products that may be advertised or on the external sites. The OIG's privacy policy does not apply on the external sites. Please check the site for its privacy notice. </p></div></noscript> <div id="skiptonav"><a href="#primary-navigation">Skip to Navigation</a></div> <div id="skiptocontent"> <a href="#maincontent">Skip to Main content</a> </div> <div id="supplementary-navigation-con" class="con"> <div id="supplementary-navigation" class="nav container clearfix"> <button class="icon-search"></button> <button class="icon-toggle icon-list"></button> <a href="/hotline.htm" class="mobile-hotline">Hotline</a> <ul> <li><a href="/faq-about-oig.htm">FAQs</a></li><li><a href="/careers.htm">Careers</a></li><li><a href="/contact-us.htm">Contact Us</a></li> </ul> </div> </div><!-- Closes supplementary-navigation-con --> <div class="container"> <!--<div class="screen-reader"> <h1><a href="/default.htm" title="OIG Home">Office of Inspector General</a></h1> <h2>Board of Governors of the Federal Reserve</h2> <h2>Consumer Financial Protection Bureau</h2> </div>--> <div class="svg-test BrandImage" id="branding"> <a title="OIG Home" href="/default.htm"> <svg width="100%" height="100%"> <title>OIG Home</title> <image xlink:href="/images/oig-logotype.svg" src="/images/oig-logotype.png" width="100%" height="100%" /> </svg> </a> </div><!-- Closes branding --> <div class="seal2"> <a title="OIG Home" href="/default.htm"> <svg width="100%" height="100%"> <title>OIG Home</title> <image xlink:href="/images/oig-seal-hdr-embed.svg" src="/images/oig-seal-hdr.png" width="100%" height="100%" /> </svg> </a> </div> <form id="search" action="//www.fedsearch.org/oig_search/search" method="get"> <div> <label for="searchbox">Search full text of reports and pages:</label> <input type="text" id="searchbox" name="text" value=""/> <a href="javascript:void(0)" onclick="document.getElementById('search').submit();"> <span class="icon-search"></span> <span class="screen-reader">Search</span> </a> </div> </form> </div> <div class="con" id="primary-navigation-con"> <div class="nav container clearfix" id="primary-navigation"> <ul class="nav"> <li class="dropdown"> <a class="dropdown-toggle" data-toggle="dropdown" href="/aboutus.htm">About Us</a> <a class="sub-nav-toggle"><span class="icon-chevron-down"></span></a> <ul class="sub-nav"> <li class="dropdown"> <a href="/introduction.htm">Introduction to the OIG</a> </li> <li class="dropdown"> <a href="/the-inspector-general.htm">The Inspector General</a> </li> <li class="dropdown"> <a href="/senior-leadership.htm">Senior Leadership</a> </li> <li class="dropdown"> <a href="/strategic-plan.htm">Strategic Plan</a> </li> <li class="dropdown"> <a href="/diversity-equity-inclusion-accessibility.htm">Diversity, Equity, Inclusion, and Accessibility</a> </li> <li class="dropdown"> <a href="/inspector-general-act.htm">Inspector General Act</a> </li> <li class="dropdown"> <a href="/board-activity.htm">Board Activity</a> </li> <li class="dropdown"> <a href="/cfpb-activity.htm">CFPB Activity</a> </li> <li class="dropdown"> <a href="/pandemic-oversight.htm">Pandemic Response Oversight</a> </li> <li class="dropdown"> <a href="/faq-about-oig.htm">FAQs</a> </li> </ul> </li> <li class="dropdown active"> <a class="dropdown-toggle" data-toggle="dropdown" href="/reports.htm">Reports</a> <a class="sub-nav-toggle"><span class="icon-chevron-down"></span></a> <ul class="sub-nav"> <li class="dropdown Level3Selected"> <a href="/reports/audit-reports.htm">Audit Reports</a> </li> <li class="dropdown"> <a href="/reports/work-plan.htm">Work Plan</a> </li> <li class="dropdown"> <a href="/reports/semiannual-report-to-congress.htm">Semiannual Reports to Congress</a> </li> <li class="dropdown"> <a href="/reports/major-management-challenges.htm">Major Management Challenges</a> </li> <li class="dropdown"> <a href="/reports/open-recommendations.htm">Open Recommendations</a> </li> <li class="dropdown"> <a href="/reports/peer-reviews.htm">Peer Reviews</a> </li> </ul> </li> <li class="dropdown"> <a class="dropdown-toggle" data-toggle="dropdown" href="/audits.htm">Audits</a> <a class="sub-nav-toggle"><span class="icon-chevron-down"></span></a> <ul class="sub-nav"> <li class="dropdown"> <a href="/audits-what-we-do.htm">What We Do</a> </li> <li class="dropdown"> <a href="/audit-oversight-areas.htm">Oversight Areas</a> </li> <li class="dropdown"> <a href="/audit-highlights.htm">Audit Highlights</a> </li> </ul> </li> <li class="dropdown"> <a class="dropdown-toggle" data-toggle="dropdown" href="/investigations.htm">Investigations</a> <a class="sub-nav-toggle"><span class="icon-chevron-down"></span></a> <ul class="sub-nav"> <li class="dropdown"> <a href="/investigations-what-we-do.htm">What We Do</a> </li> <li class="dropdown"> <a href="/fraud-prevention.htm">Fraud Prevention</a> </li> <li class="dropdown"> <a href="/investigations-case-highlights.htm">Case Highlights</a> </li> </ul> </li> <li class="dropdown"> <a class="dropdown-toggle" data-toggle="dropdown" href="/infotech.htm">Information Technology</a> <a class="sub-nav-toggle"><span class="icon-chevron-down"></span></a> <ul class="sub-nav"> <li class="dropdown"> <a href="/it-what-we-do.htm">What We Do</a> </li> <li class="dropdown"> <a href="/fisma.htm">FISMA</a> </li> <li class="dropdown"> <a href="/data-analytics.htm">Data Analytics</a> </li> </ul> </li> <li class="dropdown"> <a class="dropdown-toggle" data-toggle="dropdown" href="/newsroom.htm">Newsroom</a> <a class="sub-nav-toggle"><span class="icon-chevron-down"></span></a> <ul class="sub-nav"> <li class="dropdown"> <a href="/releases/media-contact.htm">Media Contact Information</a> </li> <li class="dropdown"> <a href="/releases/news-releases.htm">News Releases</a> </li> <li class="dropdown"> <a href="/releases/media-kit.htm">Media Kit</a> </li> </ul> </li> <li class="sup-mobile"><a href="/faq-about-oig.htm">FAQs</a></li><li class="sup-mobile"><a href="/careers.htm">Careers</a></li><li class="sup-mobile"><a href="/contact-us.htm">Contact Us</a></li> </ul> <a href="/hotline.htm"><div class="hotline"><H3>HOTLINE</H3> <P>Report Fraud, Waste, or Abuse</P></div><!-- Closes hotline --></a> </div><!-- Closes primary-navigation --> </div><!-- Closes primary-navigation-con --> <div class="container landing-page"> <div class="content" id="secondary-content"> <h3 class="label">IN THIS SECTION</h3> <div class="breadcrumbs"><ul> <li class="dropdown Level3Selected"> <a href="/reports/audit-reports.htm">Audit Reports</a> </li> <li class="dropdown"> <a href="/reports/work-plan.htm">Work Plan</a> </li> <li class="dropdown"> <a href="/reports/semiannual-report-to-congress.htm">Semiannual Reports to Congress</a> </li> <li class="dropdown"> <a href="/reports/major-management-challenges.htm">Major Management Challenges</a> </li> <li class="dropdown"> <a href="/reports/open-recommendations.htm">Open Recommendations</a> </li> <li class="dropdown"> <a href="/reports/peer-reviews.htm">Peer Reviews</a> </li> </ul></div> <div> <span class="skipSection"><a href="#182">Skip SHARE THIS PAGE section</a></span> <div class="section stay-connected share-page share-page"> <h3 class="label">SHARE THIS PAGE</h3> <ul class="share-this-page"> <li class="email-link"><a href="/cdn-cgi/l/email-protection#f4a691979d849d919a80b199959d98cb8781969e919780c9a6918781988087d49b92d4a7979b849d9a93d49b92d4809c91d4b18295988195809d9b9ad49b92d4809c91d4b7b2a4b6" s Healthcare Benefits Eligibility Processes&body=https://oig.federalreserve.gov/reports/cfpb-healthcare-benefits-eligibility-processes-mar2024.htm'><span class="icon-email-link"></span></a></li> <li class="twitter-link"> <script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script><script type="text/javascript">document.writeln("<a href=\"javascript:exitWindow('https%3A%2F%2Ftwitter%2Ecom%2Fshare%3Furl%3Dhttps%3A%2F%2Foig%2Efederalreserve%2Egov/reports/cfpb-healthcare-benefits-eligibility-processes-mar2024.htm','external',true)\"><span class='icon-twitter-svg'></span></a>");</script> <noscript><a href="https://twitter.com/share?url=https://oig.federalreserve.gov/reports/cfpb-healthcare-benefits-eligibility-processes-mar2024.htm" target="_blank"><span class='icon-twitter-svg'></span></a></noscript> </li> <li class="linkedin-link"> <script type="text/javascript">document.writeln("<a href=\"javascript:exitWindow('https%3A%2F%2Fwww%2Elinkedin%2Ecom%2FshareArticle%3Fmini%3Dtrue%26url%3Dhttps%3A%2F%2Foig%2Efederalreserve%2Egov/reports/cfpb-healthcare-benefits-eligibility-processes-mar2024.htm','external',true)\"><span class='icon-linkedin'></span></a>");</script> <noscript><a href="/reports/cfpb-healthcare-benefits-eligibility-processes-mar2024.htm" target="_blank"><span class='icon-linkedin'></span></a></noscript> </li> </ul> </div> <a id="182" name="182"></a> <span class="skipSection"><a href="#417">Skip STAY CONNECTED section</a></span> <div class="section stay-connected share-page subscribe"> <h3 class="label">STAY CONNECTED</h3> <ul class="stay-connected-container"> <li class="rss-link"></span><a href="/feeds/rss_feeds.htm"><span class="icon-rss"></a></li> <li class="signup"></span><a href="/oig_subscribe.htm"><span class="icon-signup-email-updates"></a></li> <li class="twitter-link"> <script type="text/javascript">document.writeln("<a href=\"javascript:exitWindow('https%3A%2F%2Ftwitter%2Ecom%2FOIGFedCFPB','external',false)\"><span class='icon-twitter-svg'></span></a>");</script> <noscript><a href="https://twitter.com/OIGFedCFPB" target="_blank"><span class='icon-twitter-svg'></span></a></noscript> </li> <li class="linkedin-link"> <script type="text/javascript">document.writeln("<a href=\"javascript:exitWindow('https%3A%2F%2Fwww%2Elinkedin%2Ecom%2Fcompany%2Foig%2Dfederalreserve%2Dcfpb','external',false)\"><span class='icon-linkedin'></span></a>");</script> <noscript><a href="https://twitter.com/OIGFedCFPB" target="_blank"><span class='icon-linkedin'></span></a></noscript> </li> </ul> </div> <a id="417" name="417"></a></div> </div><!-- Closes secondary-content --> <div class="work-plan-container"> <p><strong>CFPB Report: </strong><span class="report-number">2024-MO-C-010 </span><span class="date">March 20, 2024</span></p> <div> <div class="report-header-container"> <div><a id="maincontent"></a><h1>Results of Scoping of the Evaluation of the CFPB's Healthcare Benefits Eligibility Processes</h1></div> <div class="style-report-navigation"> </div> </div><!-- Closes report-header-container --> <div class="report-header-container-aside"> <h2>available formats</h2> <ul> <li> <h3>Summary:</h3> HTML </li> <li> <h3>Full Report:</h3> <a href="/reports/cfpb-healthcare-benefits-eligibility-processes-mar2024.pdf">PDF </a> </li> </ul> </div><!-- Closes report-header-container-aside --> </div> </div><!-- Closes work-plan-container --> <div class="style-content"> <div class="style-report-text" style="float:left"> <p>The CFPB offers health, vision, and dental benefits to employees and their qualified dependents.</p> <p>The CFPB's internal reviews have found some discrepancies in enrollments and eligibility for dental and vision benefits, such as delayed removal of dependents who exceed age eligibility requirements. The agency has updated its policies and procedures to address the causes of these issues but can further improve controls through regular monitoring and reviews and by updating related procedures and training.</p> <p>This report includes recommendations.</p> </div><!-- Close style-report-text--> </div><!-- Close style-content --> </div><!-- Closes container landing-page --> <span id="mobile-placeholder"></span> <div class="wrapper-footer"> <!-- --> <div class="footer container" id="body-footer"> <div class="container about-fed-cfpb"> <h3 class="label">LINKS TO THE BOARD AND THE CFPB</h3> <ul> <li class="fed-seal"><a href="//www.federalreserve.gov/" target="_blank" title="Board of Governors">Board of Governors</a></li> <li class="cfpb-logo"><a href="http://www.consumerfinance.gov/" target="_blank" title="Consumer Financial Protection Bureau">Consumer Financial Protection Bureau</a></li> </ul> </div><!-- Closes about-fed-cfpb --><div class="container related-sites"> <h3 class="label">RELATED SITES AND RESOURCES</h3> <ul> <li><a href="http://www.gao.gov/" target="_blank">U.S. Government Accountability Office</a></li><li><a href="http://www.ignet.gov/" target="_blank">Council of the Inspectors General on Integrity and Efficiency</a></li><li><a href="http://www.treasury.gov/about/organizational-structure/ig/Pages/Council-of-Inspectors-General-on-Financial-Oversight.aspx" target="_blank">Council of Inspectors General on Financial Oversight</a></li><li><a href="https://oversight.gov/" target="_blank">Oversight.gov</a></li> </ul> <ul > <li><a href="/sitemap.htm">Sitemap</a></li><li><a href="//www.federalreserve.gov/accessibility.htm" target="_blank">Accessibility</a></li><li><a href="//www.federalreserve.gov/disclaimer.htm" target="_blank">Disclaimer</a></li><li><a href="//www.federalreserve.gov/privacy.htm" target="_blank">Privacy</a></li> </ul> <ul > <li><a href="//www.federalreserve.gov/foia/about_foia.htm" target="_blank">FOIA</a></li> <li><a href="//www.federalreserve.gov/eeo.htm" target="_blank">No Fear Act Data</a></li> <li><a href="http://www.usa.gov/" target="_blank"><img src="/gifjpg/usagov_logo_color_notag.gif" title="usa.gov logo: USA.gov is the U.S. government's official web portal to all federal, state, and local government web resources and services" alt="usa.gov logo: USA.gov is the U.S. government's official web portal to all federal, state, and local government web resources and services" style="width: 75px; height: 21px; margin-left: -11px;"/></a></li> </ul> </div><!-- Closes related-sites --> </div><!-- Closes body-footer --> </div><!-- Closes wrapper-footer --> <script src="https://code.jquery.com/ui/1.14.0/jquery-ui.js" integrity="sha256-u0L8aA6Ev3bY2HI4y0CAyr9H8FRWgX4hZ9+K7C2nzdc=" crossorigin="anonymous"></script> <script type="text/javascript" language="javascript" src="/resources/oig_Custom.js"></script> <!-- Last Published: Oct 01, 2024 05:30 P --> <script>(function(){function c(){var b=a.contentDocument||a.contentWindow.document;if(b){var d=b.createElement('script');d.innerHTML="window.__CF$cv$params={r:'8e760c473a8f3f7a',t:'MTczMjQxNjE3MC4wMDAwMDA='};var a=document.createElement('script');a.nonce='';a.src='/cdn-cgi/challenge-platform/scripts/jsd/main.js';document.getElementsByTagName('head')[0].appendChild(a);";b.getElementsByTagName('head')[0].appendChild(d)}}if(document.body){var a=document.createElement('iframe');a.height=1;a.width=1;a.style.position='absolute';a.style.top=0;a.style.left=0;a.style.border='none';a.style.visibility='hidden';document.body.appendChild(a);if('loading'!==document.readyState)c();else if(window.addEventListener)document.addEventListener('DOMContentLoaded',c);else{var e=document.onreadystatechange||function(){};document.onreadystatechange=function(b){e(b);'loading'!==document.readyState&&(document.onreadystatechange=e,c())}}}})();</script></body> </html>