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RCW 48.30A.050

Insurance antifraud plan—Specific procedures.

Applied in 2 court decisions — leading case Pilgrim v. State Farm Fire & Cas. Ins. Co. (1997)

Most recently applied in Pilgrim v. State Farm Fire & Cas. Ins. Co. (December 1997)

1995 c 285 s 10.

An insurer's antifraud plan must establish specific procedures to:

(1) Prevent insurance fraud, including internal fraud involving employees or company representatives, fraud resulting from misrepresentation on applications for insurance coverage, and claims fraud;

(2) Review claims in order to detect evidence of possible insurance fraud and to investigate claims where fraud is suspected;

(3) Report fraud to appropriate law enforcement agencies and cooperate with those agencies in their prosecution of fraud cases;

(4) Undertake civil actions against persons who have engaged in fraudulent activities;

(5) Train company employees and agents in the detection and prevention of fraud.

Official source: Washington State Legislature. Reproduced from public-domain Washington statutes; confirm against the official source for the current text. Not legal advice.