Texas Suspected Insurance Fraud Reporting Form for Consumer is a form that allows Texans to report suspected insurance fraud to the Texas Department of Insurance (TDI). This form can be used by consumers, insurance agents, insurance companies, and other stakeholders to report suspected fraud involving insurance products and services sold in the state of Texas. The form is divided into three sections: Consumer Information, Suspected Fraud Information, and Supporting Documentation. In the Consumer Information section, the consumer must provide their name, contact information, and a description of their relationship to the suspected fraud. The Suspected Fraud Information section requires the consumer to provide details about the suspected fraud, such as type of insurance, date of fraud, and other relevant information. Finally, in the Supporting Documentation section, the consumer must provide documents that support the reported information. There are two different types of Texas Suspected Insurance Fraud Reporting Forms for Consumers. The first is the TDI-Fraud-0031 form, which is used for reporting suspected insurance fraud from individuals. The second is the TDI-Fraud-0032 form, which is used for reporting suspected fraud from businesses or organizations.
Texas Suspected Insurance Fraud Reporting Form for Consumer
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How to fill out Texas Suspected Insurance Fraud Reporting Form For Consumer?
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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.
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 (
Contacting the Texas State Auditor's Office Hotline (SAO) by calling (800) TX-AUDIT (892-8348); visiting the Texas State Auditor's Office Website; contacting the Office of the Attorney General (OAG) by calling the main OAG Switchboard at (800) 252-8011 or (512) 475-4413; or.
The Texas Department of Insurance can help you with insurance problems, complaints, and questions. File a complaint using its online Insurance Complaint Process. Call (800) 252-3439 if you have questions or need help filing a complaint with them.
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.
A whistleblower who knows of insurance fraud can file a complaint under seal, serving the State's Attorney or Attorney General. If the state intervenes, a successful plaintiff will receive not less than 30% of the proceeds. If the state does not intervene, a successful plaintiff will receive not less than 40% .