Current through the 2024 Regular Session
Section 48.30A.050 - Insurance antifraud plan-Specific proceduresAn insurer's antifraud plan must establish specific procedures to:
(1) Prevent insurance fraud, including internal fraud involving employees or company representatives, fraud resulting from misrepresentation on applications for insurance coverage, and claims fraud;(2) Review claims in order to detect evidence of possible insurance fraud and to investigate claims where fraud is suspected;(3) Report fraud to appropriate law enforcement agencies and cooperate with those agencies in their prosecution of fraud cases;(4) Undertake civil actions against persons who have engaged in fraudulent activities;(5) Train company employees and agents in the detection and prevention of fraud.