§ 27-54.1-1. Definitions. As used in this chapter: (1) “Business of insurance” means the writing of insurance or the reinsuring of risks by an insurer, including acts necessary or incidental to writing insurance or reinsuring risks and the activities of persons who act as or are officers, directors, agents or employees of insurers, or who […]
§ 27-54.1-2. Fraudulent insurance acts, interference and participation of convicted felons prohibited. (a) A person shall not commit a fraudulent insurance act. (b) A person shall not knowingly or intentionally interfere with the enforcement of the provisions of this chapter or investigations of suspected or actual violations of this chapter. (c)(1) A person convicted of […]
§ 27-54.1-3. Fraud warning required. (a) Notwithstanding any similar requirements in title 28, every claim form and application for insurance, regardless of the form of transmission, shall contain the following statement or a substantially similar statement: “Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly […]
§ 27-54.1-4. Other law enforcement or regulatory authority. This chapter shall not: (1) Preempt the authority or relieve the duty of other law enforcement or regulatory agencies to investigate, examine and prosecute suspected violations of law; (2) Prevent or prohibit a person from disclosing voluntarily information concerning insurance fraud to a law enforcement or regulatory […]
§ 27-54.1-5. Insurer antifraud initiatives. (a) Insurers shall have antifraud initiatives reasonably calculated to detect, report, prosecute and prevent fraudulent insurance acts, antifraud initiatives may include: (1) Fraud investigators, who may be insurer employees or independent contractors; or (2) An antifraud plan. (b) A person engaged in the business of insurance having knowledge or a […]
§ 27-54.1-6. Penalties. A person who violates this chapter is subject to suspension or revocation of license or certificate of authority or administrative penalties per § 42-14-16 or both. Suspension or revocation of license or certificate of authority and imposition of administrative penalties shall be pursuant to an order of the commissioner issued under § […]
