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Fraud Reporting and Information for Insurers

Reporting Fraud Referrals

Filing Fraud Prevention Plans and Annual SIU Reports

Insurers who write private or commercial auto insurance, workers’ compensation insurance, or individual, group, or blanket accident and health insurance, and who have 3,000 or more policies in force in the state of New York, and insurers licensed Under Art. 44 of the Public Health Law with an enrolled population of 60,000 insureds or greater, unless licensed under §§4403(a), )c), (d), (f), or §4408(a), must file a Fraud Prevention Plan and Annual SIU Reports with the New York State Department of Financial Services. Fraud Prevention Plans and Annual SIU Reports must be submitted electronically through the DFS portal.

In order to file the Annual SIU Reports, each filing company must establish a minimum of two portal accounts (for its Trusted Source and two Approvers – an Approver may also be a Trusted Source) and sign up for the FraudsSIU application.

Annual SIU Report for Life Settlement Providers

Pursuant to New York Insurance Law Section 411(e), life settlement providers are required to file an Annual Report with the Criminal Investigations Unit describing experience, performance, and cost effectiveness in implementing Life Settlements Fraud Prevention Plan. The Report also requires information pertaining to your company’s public awareness program required by Section 411(b)(5). The Report must be completed and filed no later than March 15th of each year.

Please send all completed and signed Reports, along with the public awareness questionnaire and supporting public awareness attachments (if applicable), to:

Data Calls

Insurers Writing Private Passenger Auto With 3,000 or More Policies in Effect:

Misrepresentations of the Location Where Vehicles are Garaged or Driven

 

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