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Insurance Fraud Law

What is insurance fraud law? When an individual makes false claims in order to obtain money from insurance companies it may be considered to be insurance fraud. Every state in the US may have a different set of laws and rules that govern fraud for different kinds of insurance. Answered by Experts below are some of the commonly asked questions about insurance fraud.

What is the statute of limitations on insurance fraud in Pennsylvania?

The statute of limitations for insurance fraud in Pennsylvania is 5 years from the date the fraud was committed.

What is the statute of limitations on auto insurance fraud in Florida?

The statute of limitations on auto insurance fraud in Florida may depend on whether it is a criminal fraud or civil fraud. If the fraud is considered to be criminal, the statute of limitations may be 3 years and if it is considered to be civil fraud the statute of limitations may be 4 years.

Can a person be charged with auto insurance fraud if they did not receive any money from the insurance carrier?

An individual need not have to get money from the insurance carrier to be charged with fraud. The individual can be charged even if he/she just files a claim with the intent of defrauding or cheating the insurance company.

Where can an individual file a complaint against insurance fraud in California?

The state of California may have a specific procedure to file a complaint against fraud. The individual may file a complaint on the following website: http://www.insurance.ca.gov/contact-us/0200-file-complaint/

What is the penalty if a person is convicted of first degree felony for insurance fraud?

The penalty for a first degree felony charge may be between 5-99 years jail time, a fine of $10,000 and restitution to the defrauded insurance company.

Would it be considered fraud if an individual has Medicaid in two states?

It may be considered fraud if an individual has Medicaid in two different states. It is important for an individual to report any change in their location so that they can become ineligible for Medicaid in their previous location. Failure to do so may be considered to be fraud.

What is the statute of limitations for insurance fraud in Hawaii?

The statute of limitations for insurance fraud in Hawaii is 2 years.

What is the statute of limitations on insurance fraud in New York?

An individual may have up to 6 years from the date the fraud been committed to file a complaint in New York.

Is it compulsory for a person to take a lie detector test while being investigated for insurance fraud?

A person may not be obligated to take up the lie detector test when being investigated for insurance fraud. If the matter is taken to court, the results of the test may not be accepted as in most cases, it may not be considered to be reliable.

Would it be considered fraud if a physician reports a service that he/she did not provide on a patient’s chart?

It may be considered to be fraud if a physician falsely claims to have conducted a service that was not actually given to the patient and recorded on the individual’s chart.

Insurance fraud laws may differ depending on the state in which you reside and the kind of insurance policy that you have. It is important for you to be aware of these laws in order to make sure that you are not committing fraud unknowingly and are not being dragged into an investigation for no fault of yours. You may take the help of an Expert if you need any clarifications about the laws that govern insurance fraud in your state.

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Tina
Tina, Lawyer
Category: General
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Experience:  JD, BBA Over 25 years legal and business experience.
4460311
Type Your Legal Question Here...
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Lawyers are online & ready to help you now

Tina
Lawyer
Satisfied Customers: 8436
JD, BBA Over 25 years legal and business experience.
Ely
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Private practice with focus on family, criminal, PI, consumer protection, and business consultation.
FiveStarLaw
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Satisfied Customers: 8189
25 years of experience helping people like you.

Recent Insurance Fraud Questions

  • Good evening. My son had his car vandalized by his jealous

    Good evening. My son had his car vandalized by his jealous girlfriend. The insurance is under both their names. They filed a claim with the insurance. The insurance company is doing an investigation that could result in finding that they were not truthful in filing the claim since the girlfriend damaged the car. The insurance took their report today and they are asking for phone records. These two are good kids that did something stupid. Can they be prosecuted for insurance fraud? Is there a way to retract the statements and say they will pay for the damages and not seek repairs thru the insurance claim?
  • I had a surgery on 12-13 outpatient shoulder surgery, the surgery

    I had a surgery on 12-13 outpatient shoulder surgery, the surgery center tried to bill Anthem $52,000 and Anthem denied them everything except they paid they $21,000, I had the same surgery on 8-14 and billed Anthem $42,000, since I met my deductible for the year and the center was out of network, Anthem sent the check to me and made it payable to me only, I in return paid the surgery center $16,999 based on the same charges they allowed on the first bill, and I wrote "paid in full" on the check and the surgery center cashed it, they called me last week and told me they wanted the additional $25,000 and I told them absolutely not, they did not get it the first time and they are not getting it now, they wanted me to fax them a copy of the EOB for them to review it or prove that I mailed the additional $25,000 back to Anthem, what are my rights?
  • I have a ganishment of wages in Louisiana starting on thisFriday.

    I have a ganishment of wages in Louisiana starting on thisFriday. They want to take 25 percent out, which is 1000.00. The original loan was in 2003 for 2100.00 pl;us interest paid over 36 months. I had set up a payment plan of 200.00 per month and paid 1900.00 but fell on hard times and missed some payments. The lawyer filed a garnishment. I told him we couldn't afford 1000.00 a month. I told him I pay out of my 1900.00 bimonthly checks, last year I paid 38,000.00 to the IRS out of 105,000. 470.00 a month is apayment because of an audit of my 2005 and 2006 taxes. I have a 6000.00 draw each month, of which after my insurance and taxes I clear 1900.00 bimonthly, totaling 3800.00. I do somentimes get a bonus check on the 10th of the month , which is the only thing that keeps my family afloat. How can I stop the garnishment? You know the IRS comes first. So what do I do?
    We also had Hurricane Katrina affet us and wqe had to move out of state for 6 1/2 months. My wife did not work for 13 months, and I did not work for almost 6 months. It was a huge stress. We also had 30,000 insurance fraud from our contractor who disappeared after we paid him for the work. In Sept of 2010, my wife became disabled due to sudden death heart. She receives only 1607. a month in income. We cannot afford to pay this garnishment. We did strike a selttlement of 2100.00 in cash. The lawyer said we had to agree to payments if wepaid him 2100.00 just for the amount of time to get it settled. Now he won't talk to us. He won't take the settlement he agreed to just 2 weeks ago. because he wants the garnishment. We have paid a total of 1865.00 andhe says we still owe 4300.00. Please help us. than you, michael.
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