Department of Health and Human Services
Office of Inspector General -- AUDIT
"Review of the Qualified Pension Plan at Empire Blue Cross Blue Shield for the Period January 1, 1999, Through December 31, 2006," (A-07-07-00253)
April 10, 2008
Complete Text of Report is available in PDF format (767 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.
Empire Blue Cross Blue Shield (Empire), a CMS contractor, properly implemented our prior audit recommendation regarding an earlier review of its Medicare segment pension assets; however, it did not always comply with Federal requirements and the Medicare contracts’ pension segmentation requirements while updating the Medicare segment pension assets from January 1, 1999, through December 31, 2006. As a result, Empire overstated the Medicare segment pension assets by $131,494.
We recommended that Empire decrease its Medicare segment pension assets as of December 31, 2006, by $131,494. Empire’s Medicare contract was transferred to National Government Systems (NGS) effective January 1, 2007. NGS agreed with our recommendation.