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New York State Seal

STATE OF NEW YORK
INSURANCE DEPARTMENT

160 WEST BROADWAY
NEW YORK, NEW YORK 10013

NOTE: WITHDRAWN EFFECTIVE OCTOBER 11, 2002


                                                                                                

Circular Letter No. 8 (1994)
July  5, 1994

                                                                                                  

TO: All Licensed Insurers and Exempt Organizations Including Health Maintenance Organizations (HMOs)
RE: Insurance Fraud Reporting

This letter is intended to remind all SIU managers and all corporate officers with underwriting and claims responsibility that Section 405(a) requires licensees of the Department and other affected organizations including HMOs, to submit reports of suspected fraudulent insurance transactions to the Insurance Frauds Bureau. Reporting the suspect transaction to another agency does not relieve the organization of the obligation to make the required report to the Insurance Frauds Bureau within the time specified.

Regulation 95 (11 NYCRR86) prescribes the reporting form and indicates the method for submission. Licensees and other affected organizations are hereby reminded that it is their responsibility to alert their staffs to the reporting requirements contained in Regulation 95.

The Insurance Department intends to review compliance with Regulation 95 during examinations and market conduct investigations.

Each recipient of this letter within thirty days is requested to furnish the name(s), title, address, fax and telephone numbers of those responsible for filing fraud reports. This information is to be sent to John T. Dolan, Director, Insurance Frauds Bureau, at the above address.

 

Very truly yours,

SALVATORE R. CURIALE
SUPERINTENDENT OF INSURANCE