23 CAR § 26-106

23 CAR § 26-106. Antifraud plans

Length: 186 wordsOfficial source
(a) Antifraud plans shall be submitted to the Insurance Commissioner for approval and shall outline specific procedures to: (1) Prevent, detect, and investigate suspected fraudulent insurance acts; (2) Educate and train appropriate employees in the insurer's antifraud plan as well as in the identification of suspected fraudulent insurance acts; (3) Comply with the mandatory reporting requirements of Arkansas Code § 23-66-505 and § 11-9-106(d)(6) regarding suspected fraudulent insurance acts; (4) Increase awareness of the impact of fraudulent insurance acts and the methods of preventing insurance fraud; (5) Pursue civil remedies for financial loss caused by fraudulent insurance acts, where appropriate; and (6) Facilitate assistance and communication with the Criminal Investigation Division of the State Insurance Department by identifying a representative within the employ of the insurer to act as a liaison on insurance fraud matters. (b) Each antifraud plan shall state a specific implementation date and a mechanism for review of the plan for effectiveness, which review shall be undertaken no less than every twenty-four (24) months. (c) Amendments to an approved plan shall be submitted to the commissioner within thirty (30) days after their implementation.
23 CAR § 26-106: 23 CAR § 26-106. Antifraud plans | Justis AI