QUESTION
               You asked whether DNA test results showing a 99.999% probability that the deceased
                  number holder is the claimant’s father and the deceased husband’s incarceration during
                  the period of probable conception is sufficient evidence to rebut the presumption
                  of the husband’s paternity under Alabama law and establish the claimant as the child
                  of the number holder for purposes of child’s insurance benefits.
               
               We also explored the question whether the actions of the claimant’s mother constitute
                  fraud or similar fault to allow for reopening of the claimant’s award as the legitimate
                  child of the mother’s husband.
               
               OPINION
               For the reasons stated below, a Social Security Administration (SSA) adjudicator could
                  conclude, based on the facts presented, that the DNA evidence submitted was clear
                  and convincing evidence to rebut the presumption that the mother’s husband is the
                  father of the child and establish the claimant is the number holder’s child under
                  Alabama law. The evidence of the husband’s incarceration during the period of probable
                  conception was insufficient, alone, to rebut the statutory presumption of the husband’s
                  paternity. However, the evidence of incarceration adds some support to the conclusion
                  that the husband is not the claimant’s father. Based on the DNA evidence, we believe
                  an SSA adjudicator could still conclude the claimant is the number holder’s child
                  for purposes of child’s insurance benefits.
               
               In regard to the actions of the claimant’s mother, the evidence presented is insufficient
                  to show fraud or similar fault her part. Therefore, further development is needed
                  before we can provide an opinion on whether an SSA adjudicator could initiate an action
                  against the claimant’s mother for fraud or similar fault.
               
               BACKGROUND
               Betty T~ (Claimant’s mother) and Matthew M~ (Husband) married on October 28, 1988.
                  Jessica M~ (Claimant) was born on June 25, 1989. Claimant’s birth certificate lists
                  Husband as Claimant’s father. On February 15, 2001, Husband died while domiciled in
                  Alabama. The evidence indicates Husband and Claimant’s mother never divorced.
               
               Husband filed an application for disability insurance benefits in September 1997 and
                  listed Claimant as his child. After SSA granted Husband’s application, an application
                  was filed on behalf of Claimant for child’s insurance benefits on Husband’s earnings
                  record. The application stated Claimant was Husband’s “natural” child. Claimant’s
                  mother stated that she did not fill out Claimant’s initial application; rather, she
                  claims her sister filled out the application. (This information has not been verified.)
                  Claimant received child’s insurance benefits on Husband’s earnings record from December
                  1997 through her eighteenth birthday, June 25, 2007.
               
               Meanwhile, Fred C~, the number holder (NH), was granted disability insurance benefits
                  and then retirement insurance benefits. He did not list Claimant as his child on his
                  disability insurance benefits claim filed in December 1999. However, he did list Claimant
                  as his child when he filed for retirement insurance benefits in March 2006. Claimant
                  filed for child’s insurance benefits on NH’s record in July 2006. SSA denied her claim
                  for failure to furnish evidence of paternity. Meanwhile, NH died in November 2007.
                  Claimant filed a second application for child’s insurance benefits on NH’s record
                  in November 2007.
               
               As part of her second application, Claimant provided DNA test results dated July 10,
                  2007, showing a 99.999% probability that NH was her father. Claimant’s mother also
                  reported that Husband could not possibly be the biological father of Claimant as he
                  was incarcerated at the time of Claimant’s conception and birth. She claimed, however,
                  that Claimant would still have received benefits as Husband’s stepchild rather than
                  his natural child,1 which was listed on the Claimant’s 1997 application. She also stated that Husband’s
                  incarceration could be verified by Pamela M~ in the Loxley Alabama Work Release Center.
                  When the field office contact person spoke to Ms. M~, she stated that Husband was
                  admitted on December 11, 1986, and remained there continuously until released on July
                  15, 1991.
               
               DISCUSSION
               A. Paternity
               The Social Security Act (Act) establishes the criteria for entitlement to child’s
                  insurance benefits. To qualify for child’s insurance benefits on the record of an
                  individual who dies a fully or currently insured individual, a claimant must be that
                  individual’s “child.” See Act § 202(d)(1); 20 C.F.R. § 404.350(a)(1) (2009). For this purpose, a “child” is
                  an individual who is related to the insured person as a natural child, legally adopted
                  child, stepchild, grandchild, step grandchild, or equitably adopted child. See Act § 216(e); 20 C.F.R. § 404.354 (2009). When determining entitlement to surviving
                  child’s benefits, SSA applies the inheritance laws of the state where the insured
                  had his permanent home when he died. See Act § 216(h)(2)(A); 20 C.F.R. § 404.355(a)(1), (b)(1) (2009). Because NH was domiciled
                  in Alabama at the time of his death, we look to Alabama law to determine if Claimant
                  is NH’s child. If the applicable state inheritance law requires a court determination
                  of paternity, SSA will not require a court determination, but will decide paternity
                  by using the standard of proof that the state court would use as a basis for a determination
                  of paternity. 20 C.F.R. § 404.355(b)(2) (2009).
               
               Under Alabama law, intestate devolution of the estate of a decedent is controlled
                  by Ala. Code §§ 43-8-41 through 43-8-58 (2009). The part of the intestate estate not
                  passing to a surviving spouse passes to the issue of the decedent. See Ala. Code § 43-8-42 (2009). A decedent’s issue includes his lineal descendants, with
                  the parent-child relationship determined by the definitions of child and parent contained
                  in the Alabama probate code. See Ala. Code § 43-8-1 (2009). In cases not involving adoption, if a relationship of a
                  parent and child must be established to determine succession by, through, or from
                  a person:
               
               [A] person born out of wedlock is a child of the mother. That person is also a child
                  of the father, if: (a) The natural parents participated in a marriage ceremony before
                  or after the birth of the child, even though the attempted marriage is void; or (b)
                  The paternity is established by an adjudication before the death of the father or
                  is established thereafter by clear and convincing proof. . . . Ala. Code § 43-8-48(2)
                  (2009).
               
               In this case, Husband was married to Claimant’s mother at the time of Claimant’s birth.
                  As, a man is presumed to be the father of a child if he and the mother of the child
                  are married and the child is born during the marriage, Ala. Code § 26-17-204(a)(1)(2009),
                  Husband is presumed to be Claimant’s father. As Claimant was born in wedlock, the
                  parent-child relationship between Husband and Claimant was established and would not
                  need to be established for purposes of intestate succession See Ala. Code § 43-8-48 (2009).
               
               However, Claimant is now claiming NH is her biological father. Before establishing
                  the parent-child relationship between NH and herself for purposes of intestate succession,
                  Claimant needs to rebut the presumption of Husband’s paternity.
               
               Here, Claimant presented DNA test results from NH showing a 99.999% probability that
                  NH is her biological father. One way the presumption of paternity can be rebutted
                  is by a court decree establishing paternity of the child by another man. See Ala. Code § 26-17-204(b) (2009). Therefore, the DNA test results from NH would be
                  sufficient evidence to rebut Husband’s paternity. This statute also notes: “If two
                  or more presumptions arise which conflict with each other, the presumption which on
                  the facts is founded on the weightier considerations of policy and logic controls.”
                  Id.  However, the Uniform Comment discussing this section notes, “Nowadays the existence
                  of modern genetic testing obviates this old approach to the problem of conflicting
                  presumptions when a court is to determine paternity. Nowadays, genetic testing makes
                  it possible in most cases to resolve competing claims to paternity.” A man is rebuttably
                  identified as the father of a child if genetic testing results disclose that the man
                  has at least a 99 percent probability of paternity. See Ala. Code § 26-17-505(a)(1) (2009). The presumption may be overcome only by other
                  genetic testing that excludes the man as the genetic father of the child or identifies
                  another man as the possible father of the child. See Ala. Code § 26-17-505(b) (2009). Here, no genetic testing was done on Husband prior
                  to his death or any other man. As previously noted, Claimant must establish NH as
                  her parent for purposes of intestate succession. As NH is deceased, Claimant must
                  present clear and convincing proof that NH is her biological father. See Ala. Code § 43-8-48(2)(b) (2009); Reid v.
                     Flournoy, 600 So. 2d 1024, 1026 (Ala. Civ. App. 1992) (“Paternity proven after the death of
                  father is required to be established by clear and convincing proof.”). Proof by clear
                  and convincing evidence, requires a level of proof greater than a preponderance of
                  evidence or the substantial weight of the evidence, but less than beyond a reasonable
                  doubt. See Ex parte C.V., 810 So.2d 700, 721 (Ala. 2001). As previously noted, Claimant presented DNA test
                  results from NH showing a 99.999% probability that NH is her biological father.
               
               Alabama’s intestacy statute does not address genetic testing, but its paternity statute
                  does. Under the Alabama’s version of the Uniform Parentage Act (UPA), the paternity
                  of a child having a presumed, acknowledged, or adjudicated father may be disproved
                  only by admissible results of genetic testing excluding that man as the father of
                  the child or identifying another man as the father of the child. Ala. Code § 26-17-631(1)
                  (2009). Although we found no Alabama statute that expressly states that Alabama courts
                  will use the UPA paternity presumption in an intestacy proceeding, case law indicates
                  an Alabama court will apply the same rules of paternity adjudications under the UPA
                  and the state’s intestacy statute. In Blackmon v. Brazil, 895 So. 2d 900 (Ala. 2004), the Supreme Court addressed whether an adjudication
                  of paternity under the state’s intestacy statute, Ala. Code § 43-8-48(2)(b), was subject
                  to the statute of limitations under Ala. Code § 6-2-33(2) (2009). Id. at 908. The Court noted first that the language of Ala. Code § 43-8-48(2)(b) neither
                  exempted nor subjected a paternity proceeding for intestacy purposes to the statute
                  of limitations.  Id.  Next, the court found the state legislature intended to subject a UPA proceeding
                  for an adjudication of paternity to establish the right of inheritance in a child
                  born out of wedlock to the statute of limitations. The Court concluded that Ala. Code
                  § 43-8-48(2)(b) was subject to the statute of limitations, because an adjudication
                  of paternity to establish inheritance rights for a child born out of wedlock under
                  the UPA was subject to the same statute of limitations. Id.  Because the Supreme Court of Alabama is willing to apply provisions applicable to
                  UPA paternity determinations when determining the inheritance rights of children born
                  out of wedlock under the intestacy statute, we conclude that the courts will look
                  to the paternity provisions in the UPA to govern the paternity proceedings under the
                  state’s intestacy statutes, and as such, would apply the UPA provisions on genetic
                  testing.
               
               Here, the DNA tests results from NH showed a 99.999% probability that NH is Claimant’s
                  biological father. As previously noted, a man is rebuttably identified as the father
                  of a child if genetic testing results disclose that the man has at least a 99 percent
                  probability of paternity. See Ala. Code § 26-17-505(a)(1) (2009). The presumption may be overcome only by other
                  genetic testing that excludes the man as the genetic father of the child or identifies
                  another man as the possible father of the child. See Ala. Code § 26-17-505(b) (2009). In this case, no such evidence was submitted. Therefore,
                  the DNA test results would be sufficient evidence under Alabama law to establish a
                  presumption that NH is Claimant’s father.
               
               Claimant’s mother also reported that Husband could not possibly be the biological
                  father of Claimant as he was incarcerated at the time of her conception and, therefore,
                  there was a lack of access. “[L]ack of access to the wife during the time that pregnancy
                  would have occurred may overcome the presumption that the husband is the father.”
                  Hampton v. Hampton, 597 So. 2d 233, 234 (Ala. Civ. App. 1992) (citations omitted). The party attempting
                  to rebut the presumption of paternity must show that the husband could not have had
                  sexual relations with the mother at the probable time of conception. See Leonard v. Leonard, 360 So. 2d 710, 713 (Ala. 1978). Also, the clear and convincing evidence test has
                  been met where both the mother and her husband testified that she became pregnant
                  before their relationship began. See C.T.J.
                     v. A.S.J., 816 So. 2d 61, 64 (Ala. Civ. App. 2001). Here, due to Husband’s death, he is unable
                  to provide a statement regarding the nature of his relationship to Claimant’s mother
                  at the time of Claimant’s conception.
               
               However, a mother can testify to circumstances from which nonaccess by her husband
                  and the impossibility of his parenthood may be inferred. Leonard, 360 So. 2d at 713 (citing Franks v. State, 161 So. 2d 549 (1935)).
               
               A lack of conjugal visits coupled with Husband’s continued incarceration could provide
                  clear and convincing evidence that it was physically impossible for Husband to be
                  Claimant’s father. See Hampton, 597 So.2d at 234-35 (husband moved out of state and did not see wife is clear and
                  convincing evidence to rebut the presumption of paternity). Ms. Pamela M~ in the Loxley
                  Alabama Work Release Center, told a field office contact person that Husband was admitted
                  on December 11, 1986, and remained there continuously until released on July 15, 1991.
                  As this was a work release center and not a jail or prison, I contacted Ms. M~ and
                  asked her if it was possible that Husband left the facility at any time during his
                  incarceration. She stated that it was possible and the records showed that from June
                  1988 through December 1988 Husband was on “work release” status, which allowed him
                  to leave the center for work. Notably, this was during the same period that Claimant’s
                  conception took place and the same period when Husband and Claimant’s mother were
                  married. Therefore, there is a possibility that Husband had access to Claimant’s mother.
                  Whether Husband actually was out on work release would require additional investigation.
                  Such investigation is the responsibility of Claimant as she is the individual attempting
                  to rebut the presumption of Husband’s paternity. Therefore, we believe an SSA adjudicator
                  could not find that the evidence of Husband’s incarceration alone was sufficient evidence
                  to rebut the statutory presumption of his own paternity.
               
               B. Fraud
               Social Security Regulations allow reopening of a determination or decision at any
                  time, if it is obtained by fraud or similar fault.  See 20 C.F.R. § 404.988(c)(1) (2009). If an individual “makes or causes to be made any
                  false statement for representation of a material fact in any application for any payment
                  or for a disability determination under this subchapter,” that individual is guilty
                  of a felony. See Section 208(a) of the Act. In regard to reopening, fraud exists where a person “[w]ith
                  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.b. Similar fault exists
                  when a person “[k]nowingly conceals information that is material to the determination.
                  However, fraudulent intent is not required.” POMS GN 04020.010.A.2.b. Courts have
                  found that misrepresentations about domestic or financial status constitute “fraud
                  or similar fault” for purposes of reopening a Social Security claim. See, e.g., Heins v. Shalala, 22 F.3rd 157, 162 (7th Cir. 1994) (holding reopening justified on ground of similar
                  fault when claimant failed to report remarriage and signed application which stated
                  none other to question regarding other marriages); Marshall v. Chater, 75 F.3d 1421, 1427 (10th Cir. 1996) (holding reopening justified when claimant fraudulently,
                  or at least knowingly, made incorrect statements regarding his income and hours and/or
                  withheld such material information); Fowler v. Bowen,
                     876 F.2d 1451, 1455 (10th Cir.1989) (holding that substantial evidence supported ALJ’s
                  finding that claimant’s incorrect statement regarding employment status and failure
                  to reveal substantial earnings constituted fraud or similar fault).
               
               Here, benefits were filed on behalf of Claimant in 1997 and Claimant was listed as
                  the natural child of Husband. Claimant’s mother alleges that she was not the individual
                  who filled out the application for Claimant’s benefits; rather, she claims Husband’s
                  sister filled out the application. The accuracy of this statement has not been verified
                  by SSA. A copy of 1997 application would need to be obtained to verify this statement.
                  Claimant’s mother also alleges Husband could not possibly be the biological father
                  of Claimant and he was aware of this, as he was incarcerated at the time of Claimant’s
                  probable conception. However, as previously noted, due to Husband’s death, he is unable
                  to provide a statement regarding the nature of his relationship to Claimant’s mother
                  at the time of Claimant’s probable conception. Also, the source that Claimant’s mother
                  stated could verify Husband’s incarceration provided insufficient evidence to support
                  or discount the mother’s allegation. Therefore, we believe the evidence presented
                  is insufficient to show fraud or similar fault on the part of Claimant’s mother. Further
                  development of the evidence is needed before we can provide an opinion on whether
                  an SSA adjudicator could initiate an action against Claimant’s mother for fraud or
                  similar fault.
               
               CONCLUSION
               Therefore, we conclude that, under Alabama law, an SSA adjudicator could conclude
                  that the DNA test results supported by the evidence of Husband’s incarceration during
                  the period of probable conception provide clear and convincing evidence to rebut the
                  presumption of Husband’s paternity and establish NH’s paternity. Consequently, Claimant
                  would be NH’s child under Alabama intestacy law and for the purposes of child’s insurance
                  benefits on NH’s record.
               
               As the evidence presented is insufficient to show fraud or similar fault on the part
                  of Claimant’s mother, further development is needed before we can provide an opinion
                  on whether an SSA adjudicator could initiate an action against Claimant’s mother for
                  fraud or similar fault.
               
               Very truly yours,
               Mary A. S~
 Regional Chief Counsel
               
               /s/
 Simone D. P~ 
 Assistant Regional Counsel
               
               1 We question whether Claimant can qualify as the stepchild of Husband, given that
                  the marriage between a claimant’s parent and the stepparent must have occurred after
                  the claimant’s birth (or at least after her conception). See 20 C.F.R. § 404.357. While an SSA adjudicator might consider the date Claimant’s
                  mother and Husband were married, October 28, 1988, and the date of Claimant’s birth,
                  June 25, 1989, and conclude Claimant was conceived before her mother and Husband were
                  married, such a conclusion is by no means certain. Further development would be needed
                  to determine Claimant’s status as Husband’s stepchild.