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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: 2456
Experience:  Private practice with focus on family, criminal, PI, consumer protection, and business consultation.
7286322
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Fran L.
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Recent Insurance Fraud Questions

  • In New York City I was hit by a BB pellet and filed a police

    In New York City I was hit by a BB pellet and filed a police report. Now the court has issued a protection order against the defendant and they have a subpoena for me to testify in front of a grand jury, I'm afraid what can I do.
  • A private school in San Jose, CA, last Thursday disclosed to

    A private school in San Jose, CA, last Thursday disclosed to the 24 families of special needs kids that the school was running out of money due to mis-management. They have told the families if each family does not come up with $5,000 by tomorrow the school will close on 12/29/14. Not all families can afford so other families are going to try and make up the difference. A total of $136,000 has to be raised.
    Is this not extortion or something criminal? To tell people you have to commit X amount of money or we are closing the school immediately when these families have no other place to take their children?
  • Hello, I had a following out with a former employer since

    Hello,
    I had a following out with a former employer since I work for a competing company now. When I worked for the former company we were allowed to buy our items at employee costs. There were no policies in place saying how much we could buy or how little. It was a very "casual" working environment. Now a former coworker told my the former boss is going to try to go after me for embezzlement for reselling what I had purchased. The guy has some major temper issues and he can be pretty scary at times. On top of that, just from how he conducted work when I was there I know he can bend things to get things done the way he wants. From product customs false statements etc.
    Basically now that I work for the competition he is trying to do personal things to stop me. Could the situation above be considered embezzlement? I have credit card receipts showing consistent work purchases twice a month but I don't have the breakdown of the product. What would stop him from just claiming what I was selling was stolen without the breakdown of purchases?
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