A typical concealment or fraud provision in an insurance policy authorizes the insurer to deny coverage for a first-party claim by the insured if the insured intentionally concealed or misrepresented any material fact or circumstance or engaged in fraudulent conduct before or after a claimed loss. (Image: iStock)
There are many different kinds of insurance fraud. There can be fraud contained in applications for insurance policies, fraudulently staged accidents, and fraudulent claims by health care providers treating injured policyholders, among other things.
Insurance policies try to eliminate, or at least to cut down on, insurance fraud in a variety of ways. This column focuses on two particular policy provisions focused on that goal: the "concealment or fraud" provision, and the "cooperation" clause.
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