Texas Department of Insurance

   
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Fraud Frequently Asked Questions

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Where do I get more information about Insurance Fraud

Facts and Frequently Asked Questions about Insurance Fraud can be found at http://www.tdi.state.tx.us/fraud/faq.html

HOW CAN YOU AVOID BECOMING A VICTIM OF INSURANCE FRAUD?

When Buying Insurance

  • Ensure the company is licensed
  • Beware of unsolicited offers or offers to upgrade
  • Beware of unreasonably low premiums
  • Beware of investments that are too good to be true
  • Be sure to receive policy within 60 days
  • Protect your insurance policy information

When Filing a Claim

  • Review your medical bills
  • Review all explanation of benefits (EOBs)

When Driving

  • Look beyond the vehicle in front of you
  • Allow ample space between your vehicle and the vehicle ahead of you
  • Carry a disposable camera in your vehicle

If You Are in a Collision

  • Call the police
  • Count the number of passengers in the other vehicle
  • Get the names and telephone numbers of all individuals involved
  • Take pictures

HOW CAN YOU FIGHT INSURANCE FRAUD?

Report all suspected insurance fraud to the Texas Department of Insurance Fraud Unit.

HOW SERIOUS IS THE INSURANCE FRAUD PROBLEM?

Insurance fraud is one of the most costly white collar crimes in America, ranking second to tax evasion.

More dollars are involved in insurance claim fraud than in all armed robberies.

WHAT IS INSURANCE FRAUD?

A deliberate deception perpetrated against or by an insurance company or agent for financial gain. It may occur during the process of buying, using, selling or underwriting insurance and is usually motivated by greed.

WHO COMMITS INSURANCE FRAUD?

  • Agents and/or insurance company officials
  • Medical practitioners
  • Medical providers
  • Lawyers
  • Organized fraud rings
  • Policy holders
  • Anyone ???

WHO PAYS FOR INSURANCE FRAUD?

Insurance companies, policy holders, taxpayers and the general public pick up the tab through increased insurance rates, higher taxes, and inflated prices for consumer goods and services.

Insurance fraud costs each U.S. family over $1000 per year.



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Last updated: 04/27/2009




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