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48.30A.050 Insurance antifraud plan—Specific procedures.

WA Rev Code § 48.30A.050 (2019) (N/A)
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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.]

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48.30A.045 Insurance antifraud plan—File plan and changes with commissioner—Exemptions.
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48.30A.055 Insurance antifraud plan—Review—Disapproval—Notice—Audit to ensure compliance.