{"id":372410,"date":"2016-04-11T01:21:50","date_gmt":"2016-04-11T06:21:50","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-law\/state\/delaware-law\/delaware-insurance-fraud-laws.html"},"modified":"2016-06-20T19:51:40","modified_gmt":"2016-06-21T00:51:40","slug":"delaware-insurance-fraud-laws","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/state\/delaware-law\/delaware-insurance-fraud-laws.html","title":{"rendered":"Delaware Insurance Fraud Laws"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-9d6595d7 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n    \n    <div class=\"fl-page-articles fl-section-main fl-section-main-full-width\">\n        <h1 class=\"fl-no-margin-top\">Delaware Insurance Fraud Laws<\/h1>\n<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    <p><i>Created by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw&#8217;s team<\/a> of legal writers and editors<\/i><\/p>\n\n                | Last updated\n        <time>\n                            June 20, 2016\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" target=\"_blank\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n<p>In Delaware, <a href=\"https:\/\/www.findlaw.com\/criminal\/criminal-charges\/insurance-fraud.html\">insurance fraud<\/a> is criminalized under the Delaware Insurance Fraud Prevention Act. The purpose of the act is to combat insurance fraud by detecting fraud, reducing the occurrence of fraud, requiring the restitution of fraudulently obtained insurance benefits, and reducing the amount of premium dollars used to pay fraudulent claims.<\/p>\n<p>Insurance fraud can be committed in a variety of different ways. It can be committed by people seeking insurance, people who are insured, insurance practitioners, or by insurance providers. The table below briefly outlines some of the main ways in which insurance fraud can be committed in Delaware.<\/p>\n<table cellspacing=\"0\" cellpadding=\"0\" border=\"1\">\n<tbody><tr><td style=\"width: 109px;\"><p><b>Code Section <\/b><\/p>\n<\/td>\n<td style=\"width: 481px;\">Delaware Code <a href=\"http:\/\/delcode.delaware.gov\/title18\/c024\/index.shtml\" target=\"_blank\" rel=\"noopener\">section 2407<\/a>: <b>Insurance Fraud<\/b><\/td>\n<\/tr><tr><td style=\"width: 109px;\"><p><b>What&#8217;s Prohibited? <\/b><\/p>\n<\/td>\n<td style=\"width: 481px;\"><p>It is a fraudulent insurance act for a person to knowingly, with the intent to injure, defraud, or deceive, engage in any of the following acts:<\/p>\n<ul>\n<li>Present (or assist in the presentation of) any false, incomplete, or misleading statement to an insurer in support of an insurance application or a claim for payment or other benefit under an insurance policy, or<\/li>\n<li>Prepare, present, or demand the issuance of a certificate of insurance that contains any false or misleading information concerning an insurance policy<\/li>\n<\/ul>\n<p>It is a fraudulent insurance act for a practitioner to knowingly and willfully assist, conspire with, or urge any person to violate any prevision of this section.<\/p>\n<p>It is a fraudulent insurance act for any insurer (or any person acting on behalf of an insurer) to knowingly, with the intent to injure, defraud, or deceive present to an insured party false, incomplete, or misleading information regarding the nature, extent, and terms of the insurance coverage that may be available.<\/p>\n<\/td>\n<\/tr><\/tbody><\/table>\n<h2>Reporting Insurance Fraud<\/h2>\n<p>Any insurer who has a reasonable belief that an act of insurance fraud is being or has been committed must report the suspected fraud to the Delaware Insurance Fraud Prevention Bureau (the Bureau). Additionally, an insurer who reports suspected fraud must also submit all requested information that relates to the fraudulent act. Individuals who report suspected insurance fraud in <a href=\"https:\/\/dictionary.findlaw.com\/definition\/good-faith.html\" target=\"_blank\" rel=\"noopener\">good faith<\/a> to the Bureau are immune from civil liability for libel, slander, or any other relevant <a href=\"https:\/\/dictionary.findlaw.com\/definition\/tort.html\" target=\"_blank\" rel=\"noopener\">tort<\/a>.<\/p>\n<h2>Additional Resources<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.findlaw.com\/state\/criminal-laws\/insurance-fraud.html\">State Insurance Fraud Laws<\/a><\/li>\n<li><a href=\"http:\/\/www.delawareinsurance.gov\/services\/reportfraud.shtml\" target=\"_blank\" rel=\"noopener\">The Delaware Insurance Fraud Prevention Bureau<\/a><\/li>\n<\/ul>\n<p>State laws change frequently. For case specific information regarding Delaware&#8217;s insurance fraud laws contact a local <a href=\"https:\/\/lawyers.findlaw.com\/criminal-law\/delaware\/\" target=\"_blank\" rel=\"noopener\">criminal defense lawyer<\/a> or <a href=\"https:\/\/lawyers.findlaw.com\/consumer-protection\/delaware\/\" target=\"_blank\" rel=\"noopener\">consumer protection attorney<\/a>.<\/p>\n<div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                class=\"was-this-helpful__question fl-text-lg-bold\"\n        >Was this helpful?<\/span>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"Yes\"\n                value=\"yes\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">Yes<\/span>\n        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The purpose of the act is to combat insurance fraud by detecting fraud, reducing the occurrence of fraud, requiring the restitution of fraudulently obtained insurance benefits, and reducing the amount of premium dollars used to pay fraudulent claims.<\/p>\n","protected":false},"author":41135,"featured_media":0,"parent":372361,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"app\/Http\/Controllers\/Templates\/ArticleWithBreadcrumbsController.php","meta":{"_acf_changed":false,"_stopmodifiedupdate":true,"_modified_date":"","_autodraft_ids":[],"_cloudinary_featured_overwrite":false,"_sb_is_suggestion_mode":false,"_sb_show_suggestion_boards":false,"_sb_show_comment_boards":false,"_sb_suggestion_history":"","_sb_update_block_changes":"","_is_real_time_mode":false,"_realtime_collaborators":"","footnotes":"","cf_checklist_status":[]},"categories":[2743],"tags":[],"state_laws_tags":[3736,3734],"flmsa":[],"class_list":["post-372410","page","type-page","status-publish","hentry","category-state","state_laws_tags-statelaws_8_11","state_laws_tags-statelaws_8_1"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/372410","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/users\/41135"}],"replies":[{"embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/comments?post=372410"}],"version-history":[{"count":0,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/372410\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/372361"}],"wp:attachment":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/media?parent=372410"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/categories?post=372410"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/tags?post=372410"},{"taxonomy":"state_laws_tags","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/state_laws_tags?post=372410"},{"taxonomy":"flmsa","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/flmsa?post=372410"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}