RCW 48.30A.050
Insurance antifraud plan—Specific procedures.
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.
[ 1995 c 285 § 10.]
Structure Revised Code of Washington
Chapter 48.30A - Insurance Fraud.
48.30A.015 - Unlawful acts—Penalties.
48.30A.020 - Defenses to proceedings under this chapter.
48.30A.030 - Injunction available—Remedies—Costs—Attorneys' fees—Degree of proof—Time limit.
48.30A.040 - Violation—Cause for discipline—Unprofessional conduct—Regulatory penalty.
48.30A.045 - Insurance antifraud plan—File plan and changes with commissioner—Exemptions.
48.30A.050 - Insurance antifraud plan—Specific procedures.
48.30A.055 - Insurance antifraud plan—Review—Disapproval—Notice—Audit to ensure compliance.
48.30A.060 - Insurance antifraud plan—Actions taken by insurer—Report—Not public records.
48.30A.070 - Duty to investigate, enforce, and prosecute violations.