Colorado Definition of Insurance FraudC.R.S.A. § 10-4-1002(1.5) “Fraudulent insurance act” has the meaning set forth in section 10-1-128 or…

Arkansas Definition of Insurance Fraud A.C.A. § 23-66-501  June 15, 2015  A person who violates § 20-463 or 20-463.01 with the intent to injure,…

Case Study – Workers Compensation Fraud-Paying by CashUnited States v. McElroy, 587 F.3d 73 (1st Cir. 11/20/2009) June 15, 2015 Primary…

Hawaii Definition of Insurance FraudHRS § 431:2-403 June 15, 2015 a) A person commits the offense of insurance fraud if the person: (1)…

Facts of Loss Red Flags   June 15, 2015   Fraud can be easy or difficult to determine, depending on the expertise of the person committing the…

This checklist highlights when the timing of the loss or filing of the claim could indicate fraudulent activity.

Case Study – Inflated ClaimU.S. v. Alphas, --- F.3d ----, 2015 WL 2124771 (C.A.1 (Mass.) 5/7/15)  June 15, 2015 Primary policy:…

Wyoming Definition of Insurance FraudW.S.1977 § 26-13-201 June 15, 2015 (a) No person shall knowingly or willfully: (i) Make any…

This checklist can be used when professionals such as doctors, attorneys, or other professionals may be engaged in fraudulent activity.

This checklist reviews behaviors or situations that may indicate fraud is present in the claim.