The accuracy of the weekly initial claims data has been called into question by the high risks of fraud and other improper claims since the program was rapidly expanded to ameliorate actions by the states to close down portions of their economies. Other states have focused on this issue since early in the crisis, in part due to warnings issued by US Department of Labor to the states early in May. The issue has gained prominence in California recently as a result of the August spike in PUA claims, criminal filings by county DAs alleging up to $1 billion in fraud by inmates, and now warnings from EDD’s payments contractor, Bank of America, that fraudulent payments may be running as high as $2 billion.
As large as these numbers appear in absolute terms, they still fall below the historical experience with the regular program in California. Even the higher number of $2 billion constitutes 1.9% of the $106 billion paid out between March 7 and November 28 for both the regular and emergency programs. Putting aside the greatly expanded potential for improper payments given the increased size of the benefits involved, the overwhelming rise in processing workload on EDD, and the decreased response rate from prior employers due to the attendant workload increase on their HR departments as well as from business closings, the expected scale would be much higher than this level based on historic experience:
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The most recent report from EDD pegs the regular program payments determined to be fraudulent at a rate of 2.6% of all payments in 2017, a period when filed claims were running at only a fifth of their current level and resources were commensurately more available to investigate fraudulent filings. Applying this rate to the $106 billion of payments through the end of November results in an expected fraud level of $2.8 billion, but likely higher given the various factors mentioned above.
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More broadly, California’s “improper payment” rate was an average of 8.019% from 2016 through 2019, with an estimated $435 million in improper payments made in 2019. At this broader definition beyond identified fraud, the scale of improper payments would currently be at least $8.5 billion but likely higher.
As serious as the $2 billion in likely fraud appears to be, historic experience with this program strongly suggests that this amount is only the beginning of the problem.
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