Texas Suspected Insurance Fraud Report (SIU) Form

State:
Texas
Control #:
TX-FR028-0
Format:
PDF
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Description

Suspected Insurance Fraud Report (SIU) Form

The Texas Suspected Insurance Fraud Report (SIX) Form is a document used to report an incident of suspected insurance fraud in the state of Texas. This form contains key details, such as the name and contact information of the person making the report, the types of insurance involved, and a detailed description of what allegedly occurred. The information gathered on the form is intended to help insurance companies investigate possible fraudulent activity and take appropriate action. There are two types of Texas Suspected Insurance Fraud Report (SIX) Forms: one for individuals, and one for businesses. Both forms require the same basic information, such as the name and contact information of the person making the report, the name of the insurance company, and the type of insurance involved. However, the business form also requires additional information, such as the name of the business, the business address, and the contact information for the person reporting the fraud.

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FAQ

An insurance fraud investigation is a type of fraud investigation that centers around attempts to benfit from decietful claims. Seeking compensation for false or inflated claims is illegal, dangerous, and raises the price of insurance for everyone.

Five years: Most felony robbery and theft crimes. Child endangerment. Insurance fraud.

Section 35.02 - Insurance Fraud (a) A person commits an offense if, with intent to defraud or deceive an insurer, the person, in support of a claim for payment under an insurance policy: (1) prepares or causes to be prepared a statement that: (A) the person knows contains false or misleading material information; and (

Reporting suspected fraud You can report fraud online or by calling our Help Line at 800-252-3439. Report fraud involving Medicare, Medicaid, or drug or health care discount programs to the Texas Attorney General's Consumer Protection Hot Line at 800-621-0508.

On the other hand, if you defraud the insurance company out of more than $300,000, it is a first-degree felony, punishable by up to 99 years in prison. Making false statements on an insurance application is a state jail felony.

All lines of insurance are susceptible to fraud, but it is particularly prevalent in automobile insurance, healthcare, and workers' compensation. If you are solicited to commit insurance fraud, STOP! Insurance Fraud is a felony punishable by up to five years in state prison and a $50,000 fine.

(b) A person commits an offense if, with intent to defraud or deceive an insurer, the person solicits, offers, pays, or receives a benefit in connection with the furnishing of goods or services for which a claim for payment is submitted under an insurance policy.

More info

Download Suspected Insurance Fraud Report (SIU) Form (FR028) – Insurance (Texas) form. Complete this form to report policyholder or claimant fraud to the Texas Department of Insurance Fraud. Unit.We take matters related to suspicious or fraudulent activity, related to American Fidelity, very seriously. (o) "Special Investigative Unit" (SIU) means an insurer's unit or division that is established to investigate suspected insurance fraud. Cal. Code Regs. tit. Fill out, sign and date one claim form at a time. The AOS has created a Fraud Reporting Model Form (pdf) to help employers comply with these requirments. Request a Public Log Fraud Report. We report suspected fraud, waste and abuse to state and federal agencies, as required. 6. Collaborate. If you suspect insurance fraud, you should report it right away.

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Texas Suspected Insurance Fraud Report (SIU) Form