Breadcrumb

Improper Processing of Automated Pension Reductions Based on Social Security Cost of Living Adjustments

Report Information

Issue Date
Report Number
20-03898-236
VA Office
Veterans Benefits Administration (VBA)
Report Author
Office of Audits and Evaluations
Report Type
Review
Report Topic
Claims and Fiduciary
Major Management Challenges
Benefits for Veterans
Stewardship of Taxpayer Dollars
Leadership and Governance
Recommendations
3
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
Social Security payments may increase annually based on changes to the cost of living. When this happens, the Veterans Benefits Administration (VBA) reduces pensions for veterans and other beneficiaries because they are receiving more income from another source. The OIG received two allegations in 2020 that the automated letters sent to beneficiaries failed to provide proper notification before pensions were reduced or discontinued. The review team found that pensions were not reduced in accordance with policies to include specific information in the notification letters and to consider evidence that the pension should not be reduced. The letters did not include the current and proposed pension amount, but only indicated that the pension would be reduced or terminated. They also did not provide information to help beneficiaries determine what evidence they could submit to show that the pension should not be reduced, as required by VBA procedures. In addition, pensions were reduced without accounting for evidence that the reduction should not be made. This includes evidence that the beneficiaries submitted within 60 days, as well as increases in supplementary medical insurance premiums. The team determined that the monetary impact on each beneficiary was limited. However, inadequate processing of pension reductions could result in improper benefit payments, unnecessary debts, and undue stress for beneficiaries. The OIG recommended that the under secretary for benefits update VBA’s Adjudication Procedures Manual to ensure automated notices align with VA regulations, and amend the automated notices, which require material facts and detailed reasons. The OIG also recommended a review of pension reductions with cost of living adjustments that were automatically completed in fiscal year 2020 to ensure regulations and procedures were followed. This includes consideration of supplementary medical insurance premiums and all evidence submitted by the beneficiary.

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Closed and Implemented Recommendation Image, Checkmark
to Veterans Benefits Administration (VBA)
The OIG recommended the under secretary for benefits update the Veterans Benefits Administration’s adjudication procedures manual section related to notices of proposed adverse action to ensure automated notices align with the Veterans Affairs regulation, which requires material facts and detailed reasons for the proposed decision.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Benefits Administration (VBA)
The OIG recommended the under secretary for benefits amend the language of the automated notices of proposed adverse action to include all material facts and detailed reasons for the proposed decision.
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Benefits Administration (VBA)
The OIG recommended the under secretary for benefits review all automatically completed fiscal year 2020 pension reductions based on Social Security cost of living adjustments to ensure regulations and procedures were followed, including consideration of supplementary medical insurance premiums and all evidence submitted by the beneficiary.