
Two Sources of Insurance Crimes:
The Anti-Fraud Unit's Primary Mission is:
The investigation of regulated entities accused of violating administrative and/or criminal law.
Mandatory Reporting Required (Title 36):
§ 363. Reporting Suspected Fraud
A. Any insurer, employee or agent of any insurer who has reason to believe that a person or entity has engaged in or is engaging in an act or practice that violates any statute or administrative rule of this state related to insurance fraud shall immediately notify the Anti-Fraud Unit of the Insurance Department and, in the case of an allegation of claimant fraud, the Workers' Compensation and Insurance Fraud Unit of the Office of the Attorney General.
Grant of Immunity (Title 36):
§ 363. Reporting Suspected Fraud - Grant of Immunity
B. No insurer, employee or agent of an insurer, or any other person acting in the absence of fraud, bad faith, reckless disregard for the truth, or actual malice shall be subject to civil liability for libel, slander or any other relevant tort or subject to criminal prosecution by virtue of filing of reports or furnishing other information either orally or in writing, concerning suspected, anticipated or completed fraudulent insurance acts to the Anti-Fraud Division of the Insurance Department or the Workers' Compensation and Insurance Fraud Unit of the Office of the Attorney General pursuant to subsection A of this section or to any other agency involved in the investigation or prosecution of suspected insurance fraud.
C. No civil or criminal cause of action of any nature shall exist against the person or entity by virtue of filing of reports or furnishing other information, either orally or in writing, concerning suspected, anticipated or completed fraudulent insurance acts to the Anti-Fraud Division of the Insurance Department pursuant to subsection A of this section or to any other agency involved in the investigation or prosecution of suspected insurance fraud. The immunity provided in this subsection shall extend to the act of providing or receiving information or reports to or from:
Oklahoma Criminal Statute for "Insurance Fraud" (Title 21):
*Note: Claimant Fraud is most often investigated by the Attorney General's Office
§ 1662. Fraudulent Claim Upon Insurance Contract for Payment of Loss
Oklahoma Criminal Statute for "Worker's Compensation Fraud" (Title 21):
*Note: Workers Compensation Fraud is investigated by the Attorney General's Office
§ 1663. Workers' Compensation Fraud - Penalty - Definitions
Helpful Insurance Fraud Links:
fraudstoppers.oid.ok.gov | 1-800-522-0071 | fraudstoppers@oid.ok.gov |