REPORTING OF SUSPECTED INSURANCE FRAUD

Home Bulletins 2008 Bulletins cc4.html February 12, 2008 To:   ALL PERSONS DOING THE BUSINESS OF INSURANCE IN THE STATE OF TEXAS Re:   REPORTING OF SUSPECTED INSURANCE FRAUD When insurance fraud occurs, it affects Texas businesses and residents of all races, income and age. The Texas Department of Insurance is dedicated to protecting the public by aggressively investigating and referring for prosecution those who commit insurance fraud. The timely reporting of suspected insurance fraud is an integral part of TDI's fraud fighting efforts. Timely reporting of suspected insurance fraud directly enhances the TDI Fraud Unit's and law enforcement's ability to investigate and take appropriate action, which may result in a referral for prosecution of those persons who defraud insurers and consumers. Indirectly, reporting of suspected fraud alerts officials to new schemes that, while not resulting in legal prosecution, helps to identify emerging fraud patterns and results in better allocation of resources. The timely reporting of suspected fraud allows for warnings to the general public and the insurance industry of particular fraudulent activities, further enhancing fraud detection and deterrence. Texas Insurance Code, Section 701.051 directs each person, including insurers, to report in writing suspected insurance fraud that has been or is about to be committed to the Texas Department of Insurance Fraud Unit. Fraud reports should be made in a format prescribed by TDI or the National Association of Insurance Commissioners (NAIC) no later than thirty days after a determination of fraud is made or a person reasonably suspects that insurance fraud has been or is about to be committed. Reports of fraud may be made to TDI via the internet at www.tdi.texas.gov/fraud/ or toll free at 888-327-8818 . Should you have any questions regarding the reporting of insurance fraud, or comments on how to improve anti-fraud efforts, please contact the Fraud Unit at FraudUnit@tdi.texas.gov or at 512-463-6492. Dennis Pompa, Associate Commissioner Fraud Unit MC 109-3A For further information, please contact Fraud@tdi.state.tx.us _________________________________ Dennis Pompa Associate Commissioner of Fraud Fraud Unit For more information, contact: FraudUnit@tdi.texas.gov Last updated: 10/7/2025