With the goal in mind to obtain uniformity in insurance regulation, address concerns expressed by the industry, and ultimately, to protect consumer interests, the National Association of Insurance Commissioners (NAIC) has developed a central online location to report suspected fraud. The NAIC On-Line Fraud Reporting System (OFRS) for Industry is now available on the NAIC Web site (www.naic.org
Forty states, including the District of Columbia, are currently accepting reports of suspected fraud from both consumers and the industry through the new NAIC system. Additional states are expected to utilize the system in the next few months. Those reporting fraud in the 11 states still not connected to the system will be directed to those states reporting format via the NAIC system.
In order to utilize the system, participants need an NAIC Company Code (C0-Code) or the code of the company you are reporting on behalf of, in addition to the following information:
· Reporting Person – your contact information.
· Subject – the person suspected of fraud.
· Claim – the information that was provided with the insurance company.
· Fraud Type – the classification of the fraud allegedly committed.
· Fraud & Investigation – detailed information about the fraudulent activity and the status of any current investigations.
· Involved Party – any person that has information regarding the fraudulent activity.
Headquartered in Kansas City, Mo., NAIC is a voluntary organization of the chief insurance regulatory officials of the 50 states, the District of Columbia and five U.S. territories.
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