Important Fraud Notices

Alaska 21.36.380 requires the following notice on claim forms:

"A person who knowingly and with intent to injure, defraud, or deceive an insurance company files a claim containing false, incomplete, or misleading information may be prosecuted under state law."

Arkansas 23.66.503 requires the following notice on applications and claim forms or any proof of loss:

"Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly present false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison."

California 1871.2 requires the following notice on claim forms:

"For your protection California law requires the following to appear on this form.  Any person who knowingly presents false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison."

Colorado 10-1-127(7)(a) requires the following notice on the application or the policy or the claim form:

"It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company.  Penalties may include imprisonment, finds, denial of insurance, and civil damages.  Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policy holder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado division of insurance within the department of regulatory agencies."

District of Columbia 12-273 requires the following notice on all applications and claim forms:

"WARNING: It is a crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person.  Penalties include imprisonment and/or fines.  In addition, an insurer may deny insurance benefits if false information materially related to a claim was provided by the applicant."

Florida Bulletin 96-1 requires the following notice on the application and claim forms:

"A person who knowingly and with intent to defraud, or deceive an insurance company files a statement of claim or an application containing false, incomplete, or misleading information is guilty of a felony of the third degree."

Indiana 27-2-16-3 requires the following notice on claim forms:

"A person who knowingly and with intent to defraud an insurer files a statement of claim containing false, incomplete, or misleading information commits a felony."

Kentucky 304.47-030 requires the following notice on applications:

"Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime."

Kentucky 304.47-030 requires the following notice on claim forms:

"Any person who knowingly and with intent to defraud any insurance company or other person files a statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime."

Louisiana HB 1868, Section 1424 B requires the following notice on applications:

"Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison."

Maine 2186 requires the following notice on application and claim forms:

"It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company.  Penalties may include imprisonment, fines or a denial of insurance benefits."

Minnesota 60A.955 requires the following notice on claim forms:

"A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime."

New Hampshire 402.82 requires the following notice on claim forms:

"Any person who, with a purpose to injure, defraud or deceive any insurance company, files a statement of claim containing any false, incomplete or misleading information is subject to prosecution and punishment for insurance fraud, as provided in RSA 638.20."

New Jersey 17:33A-6 requires the following notice on applications:

"Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties."

New Jersey 17:33A-6 requires the following notice on claim forms:

"Any Person who knowingly files a statement of claim containing any false or misleading information is subject to criminal and civil penalties."

New Mexico 59A-16C-8 requires the following notice on applications and claim forms:

"Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to civil fines and criminal penalties."

New York 403(d) requires the following notice on applications and claim forms:

"Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation."

Ohio 3999.21 requires the following notice on applications and claim forms:

"Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud."

Oklahoma 3613.1 requires the following notice on policies and claim forms:

"WARNING: Any person who knowingly and with intent to injure, defraud, or deceive any insurer, makes a claim for the proceeds on an insurance policy containing false, incomplete or misleading information is guilty of a felony.

Pennsylvania 40-3-901.1 NILS (40 p.s. 474.1) does not specifically state that the following notice on applications and claim forms is required, but the DOI requires it:

"Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal to and civil penalties."

Virginia 52-40 (Related Laws) requires the following notice on applications:

"It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company.  Penalties include imprisonment, fines and denial of insurance benefits."