GOVERNANCE: Controls to Avoid Duplicate Medical Payments of Agreement Employees Appear Generally Effective, but Some Payment Errors Still Occur

Amtrak’s (the company) group medical plan is self-insured and pays its healthcare costs directly from the company’s operating budget. During calendar years (CY) 2011 through 2014, the company paid an estimated $1.1 billion in claims filed by medical service providers such as doctors, hospitals, and medical laboratories. About $911 million of these claims—83 percent of the total—were submitted on behalf of about 58,000 employees, retirees, and dependents covered under union agreements (agreement employees).