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EBSA · Monetary Recoveries · FY2023

EBSA Monetary Recoveries, Fiscal Year 2023

Total monetary results EBSA obtained for plans, participants, and beneficiaries through civil enforcement and informal resolution.

Sourced Figures
Enforcement-action recoveries
$844.7 million (terminated vested participant payments $429.2 million plus other $415.5 million)
SOURCE: DOL EBSA Fact Sheet: Fiscal Year 2023 EBSA Enforcement · as of 2023-11-01

Year-Over-Year

Total recoveries held roughly flat at $1.43 billion versus $1.4 billion in FY2022.

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.

Criterica Intelligence Read

EBSA's annual monetary-recoveries total blends two structurally different recovery channels into one headline figure: civil investigation recoveries, which come from a comparatively small number of larger, often litigated or negotiated matters, and informal complaint-resolution recoveries, which come from a much larger number of individual participant benefit disputes resolved without a formal investigation. Treating the combined total as a single exposure signal obscures which channel is actually driving a given year's number, and the two channels have very different implications for who is exposed and on what timeline.

Duration differs sharply between the two channels: civil investigation recoveries can take years to materialize, tied to the underlying investigation's own timeline, while informal complaint recoveries — typically involving a specific denied or delayed benefit claim — resolve in a matter of weeks once a Benefits Advisor engages with the plan directly. A plan sponsor or fiduciary should expect very different resolution timelines depending on which channel a given dispute falls into, and a recoveries figure that does not separate the two tells you little about which timeline applies to any specific matter.

For insurers and funders, the civil-investigation share of total recoveries is the more relevant figure for fiduciary liability exposure, since it reflects negotiated settlements and enforcement actions tied to identified breaches, while the informal-resolution share reflects routine claims administration friction that rarely rises to the level of an insurable fiduciary-liability event. A year-over-year increase driven primarily by one or two large civil settlements should be read very differently from an increase driven by a broader rise in informal complaint volume across many smaller plans.

Resolution paths for monetary recoveries mirror the channel: civil investigation recoveries are obtained through negotiated settlement agreements, consent orders, or litigated judgments restoring plan losses with interest, while informal recoveries are obtained through direct engagement between EBSA's Benefits Advisors and the plan or insurer, correcting a specific claim decision without any formal enforcement record. Criterica Intelligence frames total recoveries as two distinct populations requiring separate duration and resolution-path treatment, for the plan sponsors, insurers, and funders that need to know which channel is driving a given year's number.

See How EBSA Patterns Inform Duration Intelligence
Frequently Asked Questions
How many monetary recoveries did the EBSA report for FY2023?

Total monetary recoveries: $1,434.5 million, per DOL EBSA Fact Sheet: Fiscal Year 2023 EBSA Enforcement (as of 2023-11-01).

How does FY2023 compare with the prior fiscal year?

Total recoveries held roughly flat at $1.43 billion versus $1.4 billion in FY2022.

What is a notable EBSA action from FY2023?

No individually named, sourced action for FY2023 has been confirmed for this category yet.

What changed in EBSA enforcement priorities 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.

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.

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