|
Fraud and Enforcement detects, prevents, investigates and
assists in the prosecution of consumer and provider fraud relating
to the business of insurance. The office investigates allegations
of agent misconduct.
Fraud:
Fraud investigates allegations of insurance fraud and works
with local, state, and federal law enforcement agencies and
prosecutors toward the goal of criminally prosecuting those
who commit insurance fraud. Insurance fraud includes, but
is not limited to inflating claims, misrepresenting facts
in order to obtain insurance coverage or lower premiums,
a doctor padding a health insurance claim, individual submitting
false claims, or claims being made after false burglary reports.
Insurance companies are required to report suspected fraudulent
insurance claims to Fraud.
Enforcement:
Every person who sells insurance in Ohio must be licensed and
must adhere to the standards of conduct set forth in Ohio
law. When an insurance agent’s conduct falls below
those standards, Enforcement will conduct an investigation.
An agent who violates an insurance law may lose his/her license
or be subject to a fine and/or other sanctions. If the agent’s
conduct is criminal in nature, the case is also referred
to local or federal prosecutors for potential criminal prosecution.
Contact Fraud and Enforcement
|
