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Insurance Fraud Questions

Insurance fraud can be of many types. Car insurance, life insurance, health insurance and medical insurance fraud are just a few. Read below five of most commonly asked insurance fraud questions that have been answered by Experts.

What is the statue of limitations in Virginia on insurance fraud on a navy life insurance policy?

The statute of limitations for a fraud cause of action starts to run at the time that you discovered, or should have discovered the fraud. The statute of limitations for fraud arising under federal law is three years. In Virginia, under state law, it is two years. Even though the statute of limitations may have passed, check with SGLI or VGLI website http://www.military.com/benefits/survivor-benefits/servicemembers-group-life-insurance) to see if you were a beneficiary and may have a claim still pending that can be claimed.

Is it insurance fraud if someone accidentally damaged their vehicle then claimed it to be vandalism on an insurance claim and if so how long could they be prosecuted after doing so?

Under Texas law, Insurance fraud is an intentional deception committed by applicants, policyholders, claimants, providers, agents and company employees. In this case yes, it would be insurance fraud, since you knowingly reported it as vandalism and it was not in fact vandalism. If a fraud investigation occurred, you would then have to prove that any wrong doing on your claim was not intentional. Insurance fraud is often punished as a felony and could face over a year jail sentence.

Can someone be indicted for insurance fraud if most of the evidence is hearsay from a witness?

This will vary depending on each specific situation, however, a lot of evidence that seems like it is hearsay to a layman is actually not hearsay, and a lot of evidence that actually is hearsay is still admissible under various exceptions in the rules of evidence. If you have an attorney, your attorney can always make a motion before the trial to exclude evidence that is hearsay, and if the evidence is excluded, the State may not be able to proceed.

If someone witnessed insurance fraud in Alabama, can someone report anonymously and will everyone involved be prosecuted?

In most instances an anonymous call to the police with details of what was seen, can start an investigation. This same "tip" could also be anonymously given to the insurance company as well. Yes, everyone involved could be prosecuted to some degree. In Alabama, insurance fraud is a felony and punishable as such.

Is it insurance fraud when an dentist office offers an x-ray service only because insurance will pay for more frequent x-rays even if the patient is not needing x-rays at this specific visit?

If it can be shown that the x-rays are unnecessary treatment, then it could indeed be considered insurance fraud, but of course the doctor will come up with some medically necessary excuse for the yearly x-rays and most times it will require a full investigation by the dental board or department of health to prove that this is indeed fraud.

Medical insurance fraud seems to be one of the highest fraud related crimes. If you feel that you are a victim of insurance fraud, or you have questions regarding other types of insurance fraud, feel free to ask an Expert for legal insights based on an evaluation of your case details.

Ask a Criminal Lawyer

Ely
Ely, Counselor at Law
Category: General
Satisfied Customers: 2436
Experience:  Private practice with focus on family, criminal, PI, consumer protection, and business consultation.
7286322
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Criminal Lawyers are online & ready to help you now

Fran L.
JustAnswer Criminal Law Mentor
Satisfied Customers: 8061
18 yrs of NYC public defense. Extensive arraignment, hearing, trial experience.
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Counselor at Law
Satisfied Customers: 2079
Private practice with focus on family, criminal, PI, consumer protection, and business consultation.
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Satisfied Customers: 1625
Over 10 years of criminal defense practice.

Recent Insurance Fraud Questions

  • i want to know of all these records are any available for expungement,

    i want to know of all these records are any available for expungement, non-disclosure or a set aside? Most were reduced from a dwi to something else :
    ARREST DATE 8/27/2006 (1 CHARGES)
    ARREST DETAIL
    ARREST DATE 8/27/2006
    SEQUENCE CODE A
    TRACKING NUMBER **********
    ARRESTING AGENCY SUGAR LAND PD (TX0790500)
    ARREST DATE 8/27/2006 (CHARGE A001)
    OFFENSE RECORD
    AGENCY SUGAR LAND PD (TX0790500)
    INTERNAL AGENCY PERSON NUMBER P95001006
    INTERNAL AGENCY CASE NUMBER 065292
    ARREST OFFENSE DRIVING WHILE INTOXICATED (54040009)
    ARREST OFFENSE LITERAL DWI
    ARREST OFFENSE CITATION 49.04
    LEVEL AND DEGREE OF OFFENSE MISDEMEANOR - CLASS B (MB)
    ARREST DISPOSITION DATE 8/27/2006
    ARREST DISPOSITION REFER TO MAGISTRATE (221)
    ARREST DISPOSITION LITERAL REFER TO MAGISTRATE
    PROSECUTOR ORI REFERRED TO DISTRICT ATTORNEYS OFFICE RICHMOND (TX079015A)
    PROSECUTION DETAIL
    AGENCY DISTRICT ATTORNEYS OFFICE RICHMOND (TX079015A)
    PROSECUTOR ACTION FIELD PROSECUTOR ACCEPTS THE CHARGE (A)
    PROSECUTOR OFFENSE CITATION 49.04
    PROSECUTOR OFFENSE DRIVING WHILE INTOXICATED (54040009)
    LEVEL AND DEGREE PROSECUTED MISDEMEANOR - CLASS B (MB)
    COURT STATUS A
    AGENCY DESCRIPTION FORT BEND COUNTY COURT AT LAW 1 RICHMOND (TX079093J)
    COURT OFFENSE CLASS C MISDEMEANOR (99999999)
    COURT OFFENSE LITERAL RECKLESS DRIVING
    LEVEL AND DEGREE OFFENSE MISDEMEANOR - CLASS C (MC)
    COURT DISPOSITION CONVICTED (310)
    COURT DISPOSITION DATE 3/22/2007
    DATE OF SENTENCE/STATUS 3/22/2007
    CAUSE NUMBER 126257
    FINAL PLEADING NO CONTEST OR NOLO CONTENDERE (C)
    COURT FINE 200
    COURT COSTS 224
    AGENCY RECEIVING CUSTODY FORT BEND COUNTY COURT AT LAW 1 RICHMOND ()
    COURT PROVISION LITERAL REDUCED OFFENSE
    ARREST DATE 9/11/2010 (1 CHARGES)
    ARREST DETAIL
    ARREST DATE 9/11/2010
    SEQUENCE CODE A
    TRACKING NUMBER **********
    ARRESTING AGENCY SUGAR LAND PD (TX0790500)
    ARREST DATE 9/11/2010 (CHARGE A001)
    OFFENSE RECORD
    AGENCY SUGAR LAND PD (TX0790500)
    INTERNAL AGENCY PERSON NUMBER P95001006
    INTERNAL AGENCY CASE NUMBER 105748
    ARREST OFFENSE DRIVING WHILE INTOXICATED (54040009)
    ARREST OFFENSE LITERAL DWI
    ARREST OFFENSE CITATION 49.04
    LEVEL AND DEGREE OF OFFENSE MISDEMEANOR - CLASS B (MB)
    ARREST DISPOSITION DATE 9/11/2010
    ARREST DISPOSITION REFER TO MAGISTRATE (221)
    ARREST DISPOSITION LITERAL REFER TO MAGISTRATE
    PROSECUTOR ORI REFERRED TO DISTRICT ATTORNEYS OFFICE RICHMOND (TX079015A)
    PROSECUTION DETAIL
    AGENCY DISTRICT ATTORNEYS OFFICE RICHMOND (TX079015A)
    PROSECUTOR ACTION FIELD PROSECUTOR ACCEPTS THE CHARGE (A)
    PROSECUTOR OFFENSE CITATION 49.04
    PROSECUTOR OFFENSE DRIVING WHILE INTOXICATED (54040009)
    LEVEL AND DEGREE PROSECUTED MISDEMEANOR - CLASS B (MB)
    COURT STATUS A
    AGENCY DESCRIPTION FORT BEND COUNTY COURT AT LAW 3 RICHMOND (TX079113J)
    COURT OFFENSE CLASS C MISDEMEANOR (99999999)
    COURT OFFENSE LITERAL FAIL TO MAINTAIN SINGLE LANE
    LEVEL AND DEGREE OFFENSE MISDEMEANOR - CLASS C (MC)
    COURT DISPOSITION CONVICTED - LESSER CHARGE (311)
    COURT DISPOSITION DATE 5/11/2012
    DATE OF SENTENCE/STATUS 5/11/2012
    CAUSE NUMBER 10-CCR-151954
    FINAL PLEADING NO CONTEST OR NOLO CONTENDERE (C)
    COURT FINE 200
    COURT COSTS 324
    AGENCY RECEIVING CUSTODY FORT BEND COUNTY COURT AT LAW 3 RICHMOND ()
    COURT PROVISION LITERAL REDUCED TO CLASS "C"
    ARREST DATE 9/3/2012 (1 CHARGES)
    ARREST DETAIL
    ARREST DATE 9/3/2012
    SEQUENCE CODE A
    TRACKING NUMBER **********
    ARRESTING AGENCY SUGAR LAND PD (TX0790500)
    ARREST DATE 9/3/2012 (CHARGE A001)
    OFFENSE RECORD
    AGENCY SUGAR LAND PD (TX0790500)
    INTERNAL AGENCY PERSON NUMBER P95001006
    INTERNAL AGENCY CASE NUMBER 345120903862
    ARREST OFFENSE DRIVING WHILE INTOXICATED (54040009)
    ARREST OFFENSE LITERAL DWI
    ARREST OFFENSE CITATION 49.04
    LEVEL AND DEGREE OF OFFENSE MISDEMEANOR - CLASS B (MB)
    ARREST DISPOSITION DATE 9/3/2012
    ARREST DISPOSITION REFER TO MAGISTRATE (221)
    PROSECUTOR ORI REFERRED TO DISTRICT ATTORNEYS OFFICE RICHMOND (TX079015A)
    PROSECUTION DETAIL
    AGENCY DISTRICT ATTORNEYS OFFICE RICHMOND (TX079015A)
    PROSECUTOR ACTION FIELD PROSECUTOR ACCEPTS THE CHARGE (A)
    PROSECUTOR OFFENSE CITATION 49.04
    PROSECUTOR OFFENSE DRIVING WHILE INTOXICATED (54040009)
    LEVEL AND DEGREE PROSECUTED MISDEMEANOR - CLASS B (MB)
    COURT STATUS A
    AGENCY DESCRIPTION FORT BEND COUNTY COURT AT LAW 1 RICHMOND (TX079093J)
    COURT OFFENSE OBSTRUCTING HIGHWAY PASSAGEWAY (53070001)
    COURT OFFENSE CITATION 42.03
    LEVEL AND DEGREE OFFENSE MISDEMEANOR - CLASS B (MB)
    COURT DISPOSITION CONVICTED (310)
    COURT DISPOSITION DATE 12/3/2013
    DATE OF SENTENCE/STATUS 12/3/2013
    COURT SENTENCE SUSPENDED TIME 0Y0M180D
    CAUSE NUMBER 12-CCR-163970
    FINAL PLEADING NO CONTEST OR NOLO CONTENDERE (C)
    COURT CONFINEMENT 0Y0M180D
    COURT PROBATION 0Y12M0D
    COURT FINE 500
    COURT COSTS 262
    AGENCY RECEIVING CUSTODY FORT BEND COUNTY COURT AT LAW 1 RICHMOND (TX079015G)
    COURT PROVISION LITERAL 24HRS CSR
  • Would like to purchase a firearm, but have a juvenile felony

    Would like to purchase a firearm, but have a juvenile felony
  • An acquaintance accused me of grabbing them. A law

    An acquaintance accused me of grabbing them. A law enforcement officer reached out to let me know a complaint was filed and to get a statement. I declined to speak to the LEO and referred him to a good friend who is an attorney. The LEO told my friend
    he was looking at a simple assault charge (misdemeanonr) My friend told me not to make a statement since the LEO made up his mind already. The LEO was told this and now says he is referring to the DA to decide whether to file simple assault. Should I talk
    to them?
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