QUESTION PRESENTED
               On January 25, 2006, you requested a legal opinion regarding: (1) the sufficiency
                  of DNA testing in establishing a parent-child relationship between Alfred H. III,
                  the number holder (NH), and Shaena L. W~ (Shaena) under the law of Virginia; (2) if
                  a parent-child relationship exists, the effective date of such relationship; and (3)
                  whether the presumption of legitimacy could be rebutted by DNA test results under
                  Virginia law and, if so, whether Shaena should continue to receive child's benefits
                  on the number holder's record.
               
               SUMMARY
               We have reviewed the information that you provided and have researched the relevant
                  provisions of Virginia law as it pertains to paternity. We have also reviewed the
                  information that you provided and the relevant regulations to determine whether the
                  conditions for reopening have been met. Absent evidence of "fraud or similar fault"
                  or other condition permitting reopening after four years have elapsed, the 1994 favorable
                  determination finding that Shaena was entitled to benefits on the NH's record cannot
                  be reopened to terminate Shaena's benefits. We believe that further information is
                  required to determine whether the conditions for reopening after four years have been
                  met, and, if so, whether a parent-child relationship exists between the number holder
                  and Shaena.
               
               BACKGROUND
               Based upon the information you provided to us, the following is a summary of the relevant
                  facts in this matter. The NH applied for disability insurance benefits (DIB) on October
                  15, 1991. Shaena L. W~ (Shaena), a minor child, was born on September 6, 1992. Shaena's
                  birth certificate indicates that Carletta W~ (Carletta) is her mother, but does not
                  identify a father. An application for a social security number for Shaena, completed
                  on November 19, 1992, indicates that Carletta W~ is her mother and that Marlone Y~
                  is her father. On July 6, 1994, Carletta filed an application for child's benefits
                  on behalf of Shaena on the account of the NH. On July 6, 1994, the NH completed a
                  Statement of Claimant (Form SSA-795) acknowledging Shaena W~ as his natural child.
                  In July 1994, Shaena became entitled to child's benefits on the account of the NH,
                  however, she did not start to receive benefits on the NH's account until May 1999.
                  An application for a social security number for Shaena, completed on January 16, 1996,
                  indicates that Carletta W~ is her mother and that Marlone Y~ is her father. On December
                  4, 1996, an application for a social security number was completed for Shaena, indicating
                  that Carletta W~ is her mother and that Alfred H~, the number holder, is her father.
               
               On April 5, 2005, the NH applied for benefits for another child. At that time, he
                  stated that he believed Shaena had been removed from his record in 1999, and that
                  she had not received child's benefits since that time based upon the results of DNA
                  testing which had been performed in July 1999. The NH claimed that Shaena's mother,
                  Carletta, had been given a copy of a DNA report in July 1999 showing a 0.00% probability
                  of paternity, and that she had also been notified by the Division of Support Enforcement
                  for the Commonwealth of Virginia that Shaena was not his child. In support of his
                  claim that Shaena is not his child, the NH provided a Paternity Evaluation Report
                  (DNA test) dated July 14, 1999. However, the DNA test report is neither signed nor
                  authenticated. The DNA test report shows that the results were based on samples taken
                  from the NH, Carletta D. W~ and "Shanea" L. W~. The DNA test results indicate that
                  Alfred L. H~ III is not the biological father of "Shanea" L. W~.
               
               In the materials which you provided to us, you also refer to a custody order, which
                  was not included in the materials which you provided to us. The materials which you
                  provided to us also include printouts from the Division of Support Enforcement for
                  the Commonwealth of Virginia dated December 15, 2005, which refer to receipt of "Blood
                  Test Results: 0.00%" in July 1999. "Shanea" W~ is listed as the "child" on the printouts.
                  The NH has not provided any documentation from the Division of Support Enforcement
                  indicating what, if any, action was taken as a result of the blood test results.
               
               DISCUSSION
               In your request, you asked whether the presumption of legitimacy could be rebutted
                  by DNA test results under Virginia law. However, there is no presumption of legitimacy
                  in this case. Ordinarily, under Virginia law, a presumption of legitimacy exists in
                  favor of a child born in wedlock. Wyatt v. Dep't of Social
                     Srvcs., 397 S.E.2d 412, 415 (Va. App. 1990). To rebut the presumption of legitimacy, evidence
                  of non-paternity must be clear and convincing, namely, "strong, distinct, satisfactory
                  and conclusive." Id. In this case, you have not provided any information indicating that the NH and Shaena's
                  mother were ever married, so the presumption of a child born in wedlock does not apply.
                  Accordingly, the question is not whether there is sufficient evidence to rebut a presumption
                  of legitimacy, but whether the evidence, including the DNA test warrants reopening
                  of the prior determination awarding child's benefits to Shaena. If the conditions
                  for reopening are met, SSA should consider whether Shaena is the child of the NH pursuant
                  to § 216(h)(2) of the Social Security Act (Act).
               
               A determination may be reopened within 12 months for any reason, within four years
                  for good cause, and at any time if it was obtained by fraud or similar fault. 20 C.F.R.
                  § 404.988 (2005); POMS GN 04060.005, DI 27505.001. It was not until April 2005, more than four years after Shaena became entitled to
                  benefits on the NH's record, that the NH submitted the DNA test report to SSA, claimed
                  that Shaena's mother had been given a copy of the DNA test report in July 1999, and
                  informed SSA that it was his understanding that Shaena had been removed from his record
                  in 1999. Because more than four years have elapsed since the date of the notice of
                  initial determination, SSA can only reopen the determination if one of the conditions
                  for reopening "at any time" is met, such as "fraud or similar fault." 20 C.F.R. §
                  404.988(c)(1)-(11).
               
               "Fraud" exists when a person either (1) makes or causes to be made with intent to
                  defraud, a false statement or misrepresentation of a material fact for use in determining
                  rights to Social Security benefits; or (2) with intent to defraud, conceals or fails
                  to disclose a material fact for use in determining rights to Social Security benefits.
                  POMS GN 04020.010 A.1. "Generally, in civil matters (reopening initial determinations
                  . . .) there must be a preponderance of evidence to prove the existence of fraud.
                  In criminal matters (prosecution), the evidence must show beyond a reasonable doubt
                  that fraud exists. Thus, in a particular case, it is possible that a determination
                  is reopened . . . based on a finding that fraud exists, and in the same case, it is
                  also determined that fraud does not exist for prosecution purposes." POMS GN 04020.010
                  B.2.
               
               "Similar fault" exists when a person either (1) knowingly makes an incorrect or incomplete
                  statement that is material to the determination; or (2) knowingly conceals information
                  that is material to the determination, however, fraudulent intent is not required.
                  § 205(u); POMS GN 04020.010 A.2. "A 'similar fault' finding can be made only if there
                  is reason to believe, based on a preponderance of the evidence, that the person committing
                  the fault knew that the evidence provided was false or incomplete. A 'similar fault'
                  finding cannot be based on speculation or suspicion." Social Security Ruling 00-02p
                  (Titles II and XVI: Evaluation of Claims Involving the Issue of "Similar Fault" in
                  the Providing of Evidence). "'Similar fault' differs from 'fraud' in that fraud (but
                  not similar fault) includes an element of intent to defraud."  Id.
               The evidence submitted in this case consists of an unsigned, unauthenticated DNA test
                  which refers to a child named "Shanea" L. W~, not Shaena L. W~ (see
                     n.3, supra); printouts from the Division of Support Enforcement for the Commonwealth of Virginia,
                  which refer to the receipt of "Blood Test Results: 0.00%" for a child named Shanea
                  W~; and the NH's unsubstantiated statements that Shaena's mother, Carletta, had been
                  given a copy of the DNA test report in July 1999, and had been informed by the Division
                  of Support Enforcement for the Commonwealth of Virginia that Shaena was not his child.
                  Based upon this inconclusive and unsubstantiated information, we do not believe that
                  the conditions for reopening "at any time" for "fraud or similar fault" have been
                  met. Therefore, we believe that SSA should conduct further investigation to obtain
                  to a signed, authenticated copy of the DNA test report, verification that "Shaena"
                  L. W~ was the subject of the DNA test performed in July 1999, and documentation from
                  the Division of Support Enforcement indicating what, if any, action was taken as a
                  result of the blood test results. Absent evidence of "fraud or similar fault" or other
                  condition permitting reopening after four years have elapsed, the favorable determination
                  cannot be reopened to terminate Shaena's benefits. If upon further investigation,
                  SSA believes that the conditions for reopening "at any time" have been met, SSA should
                  consider whether Shaena is the child of the NH pursuant to § 216(h)(2) of the Act.
               
               The Commissioner's regulations provide that an individual is entitled to child's benefits
                  on the earnings record of an insured person who is entitled to DIB if the individual:
                  (1) is the insured person's child; (2) is dependent on the insured; (3) applies for
                  child's benefits; (4) is unmarried; and (5) is under age 18, is 18 years old or older
                  and has a disability that began before age 22, or is 18 years or older and qualifies
                  for benefits as a full-time student. 20 C.F.R. § 404.350(a)(1) (5) (2005). An individual
                  can satisfy the first requirement for entitlement to child's benefits mentioned above
                  by showing that she could inherit a child's share of the insured's personal property
                  if the insured were to die without leaving a will. 20 C.F.R. § 404.355(a)(1), (b)(1)
                  (2005). The Social Security Act provides that, in determining whether an applicant
                  is the child of an insured individual, the Commissioner will apply the inheritance
                  law of the state in which the insured individual was domiciled at the time the application
                  was filed or, if the insured individual is dead, of the state in which the insured
                  individual was domiciled at the time of his death. Section 216(h)(2)(A); 20 C.F.R.
                  § 404.355(b)(1). Because the NH was domiciled in Virginia at the time the application
                  was filed, Virginia intestacy law applies.
               
               Regarding the second requirement that must be satisfied in order to qualify for child's
                  benefits, an individual will be considered dependent on the insured person if the
                  individual is the insured person's natural child. 20 C.F.R. § 404.361(a) (2005). A
                  natural child is a child who is born to the parent, i.e., a biological child. See POMS GN 00306.010 A.1.
               Under Virginia law, a child born out of wedlock may inherit from a decedent's estate
                  based upon a showing that the decedent is the father of the child. Va. Code Ann. §
                  64.1-5.1. Evidence that a man is the father of a child born out of wedlock shall be
                  clear and convincing and may include, among other things, a claim by the man that
                  the child is his on any statement, tax return or other document filed and signed by
                  him with any local, state or federal government or any agency thereof; or the results
                  of scientifically reliable genetic tests, including DNA test results weighted with
                  all the evidence. Va. Code Ann. § 64.1-5.2 (4), (7). Accordingly, should SSA determine
                  that the conditions for reopening "at any time" have been met, SSA must determine
                  whether there is clear and convincing evidence that the NH is Shaena's father. The
                  evidence that must be considered includes Shaena's birth certificate which does not
                  identify a father; the applications for a social security number which identify Marlone
                  Y~ as her father in November 1992 and January 1996, and the NH as her father in December
                  1996; the Statement of Claimant (Form SSA-795) which the NH completed on July 6, 1994,
                  acknowledging Shaena W~ as his natural child; the unsigned, unauthenticated DNA report
                  which has thus far been submitted; and any additional information obtained upon further
                  investigation, including, but not limited to, DNA evidence which would support the
                  NH's claim that he is not Shaena's biological father and/or any information obtained
                  from the Division of Support Enforcement indicating what, if any, action it took upon
                  receipt of the blood test results.
               
               Virginia law does not give controlling weight to scientifically reliable genetic tests,
                  including DNA tests, but considers such test results as one piece of evidence related
                  to paternity. Va. Code Ann. § 64.1-5.2 (7). However, Virginia's domestic relations
                  statute, which relates to proceedings to determine parentage, specifically provides
                  that the parent and child relationship between a child and a man may be established
                  by scientifically reliable genetic tests, including blood tests, which affirm at least
                  a ninety-eight percent probability of paternity. Va. Code Ann. § 20-49-1 (A) (1).
               
               While this provision is not controlling, it suggests that a medical test establishing
                  the impossibility of paternity with one-hundred percent accuracy would be given significant
                  weight. This interpretation is consistent with the section of Virginia's domestic
                  relations statute which pertains to relief from a legal determination of paternity.
                  The Virginia domestic relations statute provides in relevant part:
               
               An individual may file a petition for relief and, except as provided herein, the court
                  may set aside a final judgment, court order, administrative order, obligation to pay
                  child support or any legal determination of paternity if a scientifically reliable
                  genetic test performed in accordance with this chapter (see n.5, supra) establishes the exclusion of the individual named as a father in the legal determination.
               
               A court shall not grant relief from determination of paternity if the individual named
                  as father (i) acknowledged paternity knowing he was not the father, (ii) adopted the
                  child, or (iii) knew that the child was conceived through artificial insemination.
               
               Va. Code Ann. § 20-49-10.
               Therefore, if SSA obtains a signed and sworn copy of the DNA test report prepared
                  by a duly qualified expert, and verifies that the DNA test report pertains to "Shaena",
                  a reviewing court would likely determine that non-paternity was established by clear
                  and convincing evidence notwithstanding any contradictory evidence.
               
               CONCLUSION
               For the reasons stated above, we believe that SSA should seek additional information
                  to determine whether the conditions for reopening "at any time" have been met and,
                  if so, whether the additional information along with all of the other evidence would
                  establish a parent-child relationship or the absence thereof under Virginia law. Unless
                  "fraud or similar fault" is shown to exist or another condition permitting reopening
                  after more than four years can be established, Shaena's benefits should be continued.
                  Shaena's benefits should also be continued if, upon reopening, a parent-child relationship
                  is found to exist under Virginia law.
               
               Donna L. C~
 Regional Chief Counsel
               
               By: _____________________
 Beverly H. Z~ 
 Assistant Regional Counsel