The antifraud plans of each insurer shall establish specific procedures:
(1) To prevent insurance fraud, including internal fraud involving employees or company representatives, fraud resulting from misrepresentation on applications for insurance coverage, and claims fraud.
(2) To review claims in order to detect evidence of possible insurance fraud and to investigate claims where fraud is suspected.
(3) To report fraud to appropriate law enforcement agencies and to cooperate with such agencies in their prosecution of fraud cases.
(4) To undertake civil actions against persons who have engaged in fraudulent activities.
(5) To report fraud-related data to a comprehensive database system.
(6) To ensure that costs incurred as a result of insurance fraud are not included in any rate base affecting the premiums of motor vehicle insurance consumers.
(Dec. 18, 1992, P.L.1411, No.174, eff. imd.)
Cross References. Section 1812 is referred to in sections 1813, 1815 of this title.
Structure Pennsylvania Consolidated & Unconsolidated Statutes
Pennsylvania Consolidated & Unconsolidated Statutes
Chapter 18 - Motor Vehicle Insurance Fraud
Section 1811 - Filing of plans
Section 1812 - Content of plans
Section 1813 - Review by commissioner
Section 1814 - Report on antifraud activities
Section 1816 - Confidentiality of plans and reports
Section 1817 - Reporting of insurance fraud
Section 1821 - Membership in system
Section 1822 - Warning notice on application for insurance and claim forms
Section 1823 - Rules and regulations