Statutes

State insurance fraud statutes

Full-text language of all laws is available in members-only.

Footnotes by state

Arkansas: Fraud Warning - Also has requirement for a warning on a benefit check. License Board Notification - law gives the Chiropractic Board the authority to suspend or revoke a license if provider violates the anti-runner statute.

Colorado: Fraud bureau is in the attorney general’s office.

Connecticut: Mandatory Reporting - Health insurance only. Annual report - Automobile insurance only. - Also has workers comp unit.

Delaware: Fraud warning - also has requirement for a warning on a benefit check.

Georgia: Also has workers comp unit.

Illinois: Only workers comp unit.

Kansas: Also has workers comp unit.

Louisiana: Fraud Bureau - the state has fraud bureaus in the insurance department, attorney general’s office and the state police to work together to investigate and prosecute fraud. Also has workers comp unit.

Maine: Annual report - Insurers to report aggregate information about insurance fraud.

Massachusetts: Fraud Bureau - the insurance fraud bureau is a quasi-government entity set up by law operated by the insurance industry in the state.

Michigan: Mandatory reporting - insurers are required to supply information about suspected fraud when requested by law enforcement.

Mississippi: Fraud Bureau - in the Attorney General’s office.

Nebraska: SIU Requirement - The state does not require insurers to have fraud investigators but requests that insurers send to the state’s fraud prevention division a list of current contact responsible for investigating insurance fraud cases.

Nevada: Fraud bureau - in the attorney general’s office.

New Jersey: Fraud Bureau - both the Department of Banking and Insurance and the attorney general’s office have fraud units that coordinate the state’s effort.

New Mexico: Annual report: law gives the department the authority to require an annual report but does not at this time.

New York: Fraud Warning - Also has requirement on benefit checks.

Ohio: Also has workers comp unit.

Oklahoma: Fraud bureau - Both the insurance department and attorney general’s office have fraud units that work together.

Oregon: The fraud warning is not law but department recommendations. Optional on the part of an insurer.

Pennsylvania: Fraud Bureau - the state has an insurance fraud prevention authority that funds units in the attorney general’s office and local prosecutors and law enforcement agencies. Annual reporting- Automobile insurance only.

Rhode Island: Law requires insurers to have either a fraud plan or have an SIU. Only workers comp unit

South Carolina: Mandatory reporting - to the attorney general’s office. Fraud Bureau - in the Attorney General’s office.

Tennessee: Annual reporting - for workers comp only. Law gives insurance department the authority to require a report but does not at this time. Fraud bureau - workers comp only.

Texas: The fraud plan is for health and life insurers.

Utah: Fraud warning - workers comp only; also warning on benefit check.

Virginia: Fraud bureau - in the State Police.

Washington: Also has workers comp unit.

Wisconsin: Mandatory reporting - for workers compensation only.