48.30A.050 - Insurance antifraud plan -- Specific procedures. - Washington Statutes

Insurance antifraud plan — Specific procedures.

An 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.

[1995 c 285 § 10.]