EBSA Criminal Investigations Closed, Fiscal Year 2023
Criminal investigations into plan-related theft, kickbacks, and fraud that EBSA's Office of Criminal Enforcement closed, including cases referred for prosecution.
Year-Over-Year
Closed investigations rebounded to 196 from 164, while indictments fell to 60.
What Changed in FY2023
Mental health parity enforcement intensified — EBSA reported devoting close to 25% of its enforcement program to non-quantitative treatment limitation review, investigating 102 health plans (51 specifically for parity compliance, finding 31 violations across 17 investigations), following its July 2023 Comparative Analysis Report to Congress.
Criminal investigations are the smallest share of EBSA's enforcement activity by volume and the most serious by consequence, reserved for cases the agency's Office of Criminal Enforcement identifies as involving theft, embezzlement, or kickback schemes against a benefit plan rather than a fiduciary-process failure. The individuals named in these matters — plan administrators, third-party service providers, sometimes plan sponsors themselves — face personal criminal exposure distinct from and in addition to any civil restitution obligation, and that personal-liability dimension changes the stakes for the individuals involved relative to the far more common civil-investigation track.
Duration in criminal EBSA matters tracks the same pattern seen in other agencies' criminal programs: longer than the civil track, driven by the evidentiary standard for criminal referral and prosecution, and by the coordination required between EBSA's criminal investigators, the U.S. Attorney's office, and often other agencies where the underlying conduct spans plan theft and separate financial crimes. A plan sponsor whose administrator or service provider becomes the subject of a criminal referral should expect the criminal track to run on a multi-year timeline largely independent of how quickly the plan's own civil restoration process can proceed.
For fiduciary liability insurers, criminal EBSA exposure is a narrower but sharper risk than the civil-investigation track: coverage questions around criminal-conduct exclusions become live the moment a criminal referral is made, and the parallel civil recovery action against the plan — seeking restoration of stolen or misappropriated assets — typically proceeds on its own track rather than waiting for the criminal matter to conclude, which means both tracks need to be modeled together rather than sequentially.
Resolution paths split between negotiated plea agreements, which resolve most criminal EBSA referrals, and restitution orders that run alongside any custodial sentence, with the plan's own financial recovery frequently pursued through a separate civil action regardless of the criminal outcome. Criterica Intelligence frames criminal EBSA referrals as a distinct, personal-liability-driven risk that runs parallel to — not sequentially after — a plan's civil restoration process, for the sponsors, insurers, and funders that need both tracks modeled at once.
See How EBSA Patterns Inform Duration IntelligenceCriminal investigations closed: 196, per DOL EBSA Fact Sheet: Fiscal Year 2023 EBSA Enforcement (as of 2023-11-01).
Closed investigations rebounded to 196 from 164, while indictments fell to 60.
No individually named, sourced action for FY2023 has been confirmed for this category yet.
Mental health parity enforcement intensified — EBSA reported devoting close to 25% of its enforcement program to non-quantitative treatment limitation review, investigating 102 health plans (51 specifically for parity compliance, finding 31 violations across 17 investigations), following its July 2023 Comparative Analysis Report to Congress.
Figures on this page are drawn from official agency publications, cited individually below, and reflect the agency’s own reporting as of the date shown for each figure. They are not Criterica Intelligence model outputs, are not predictions, and are not a measure of any party’s legal exposure or liability. Agencies periodically revise prior-year figures; where a revision is known, both figures are shown with their sources. This page does not constitute legal, investment, or compliance advice.