US Lawyer Database

§  405. Reports. (a) Any person licensed or registered pursuant to the
provisions of this chapter, and any person engaged in  the  business  of
insurance  or  life  settlement  in  this  state  who  is  exempted from
compliance with the licensing requirements of  this  chapter,  including
the  state  insurance fund of this state, who has reason to believe that
an insurance transaction or life settlement act may  be  fraudulent,  or
has knowledge that a fraudulent insurance transaction or fraudulent life
settlement  act is about to take place, or has taken place shall, within
thirty days after determination by  such  person  that  the  transaction
appears  to  be  fraudulent,  send  to  the  superintendent  on  a  form
prescribed by the superintendent, the information requested by the  form
and such additional information relative to the factual circumstances of
the  transaction  and  the  parties  involved  as the superintendent may
require. The superintendent shall accept reports of suspected fraudulent
insurance transactions or fraudulent life settlement acts from any  self
insurer,  including  but  not  limited to self insurers providing health
insurance coverage or those defined in section  fifty  of  the  workers'
compensation  law,  and  shall  treat such reports as any other received
pursuant to this section.

(b) The superintendent shall review each report and undertake such further investigation as the superintendent deems necessary and proper to determine the validity of the allegations.