{"id":374610,"date":"2016-04-11T01:23:08","date_gmt":"2016-04-11T06:23:08","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-law\/state\/montana-law\/montana-insurance-fraud-laws.html"},"modified":"2016-06-20T19:51:40","modified_gmt":"2016-06-21T00:51:40","slug":"montana-insurance-fraud-laws","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/state\/montana-law\/montana-insurance-fraud-laws.html","title":{"rendered":"Montana 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\">Montana 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 reviewed\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 Montana, <a href=\"https:\/\/www.findlaw.com\/criminal\/criminal-charges\/insurance-fraud.html\">insurance fraud<\/a> is criminalized under the state&#8217;s Insurance Fraud Protection Act. The purpose of the act is to spot cases of insurance fraud and to reduce their occurrence. The table below outlines Montana&#8217;s main insurance fraud law.<\/p>\n<table cellspacing=\"0\" cellpadding=\"0\" border=\"1\">\n<tbody><tr><td style=\"width: 121px;\"><p><b>Code Section <\/b><\/p>\n<\/td>\n<td style=\"width: 469px;\">Montana Code <a href=\"http:\/\/www.leg.mt.gov\/bills\/mca\/33\/1\/33-1-1202.htm\" target=\"_blank\" rel=\"noopener\">section 33-1-1202<\/a>: <b>Insurance Fraud<\/b><\/td>\n<\/tr><tr><td style=\"width: 121px;\"><p><b>What&#8217;s Prohibited? <\/b><\/p>\n<\/td>\n<td style=\"width: 469px;\"><ul>\n<li>Purposely obtaining any money or benefit by presenting (or causing to be presented) a written or oral statement to an insurer that contains false, incomplete, or misleading information about any material support for a claim for payment or for another benefit under an insurance policy<\/li>\n<li>Assisting, abetting, soliciting, or conspiring with another to prepare or make any written or oral statement containing false, incomplete, or misleading information about any fact that is intended to be presented to an insurer in order to support a claim for payment or for another benefit under an insurance policy<\/li>\n<li>Presenting (or causing to be presented) a materially false or altered insurance application to an insurer<\/li>\n<li>Accepting premium money knowing that coverage won&#8217;t be provided<\/li>\n<li>As a health care provider, submitting a false or altered bill, or a false report of physical condition to an insurer<\/li>\n<li>Offering or accepting a direct or indirect inducement to file a false insurance claim with the intent of deceiving an insurer, or<\/li>\n<li>Presenting (or causing to be presented) counterfeit insurance documents to any person<\/li>\n<\/ul>\n<\/td>\n<\/tr><tr><td style=\"width: 121px;\"><p><b>Penalties<\/b><\/p>\n<\/td>\n<td style=\"width: 469px;\"><p>The commissioner may:<\/p>\n<ul>\n<li>Impose a fine of up to $25,000 (for insurance producers or adjusters the fine may not exceed $5,000)<\/li>\n<li>Require the offender to pay the costs of the proceeding, and<\/li>\n<li>Require the offender to make <a href=\"https:\/\/www.findlaw.com\/criminal\/criminal-procedure\/restitution.html\">restitution<\/a> to the insurer (or to any other person harmed) for all financial loss sustained as a result of the insurance fraud<\/li>\n<\/ul>\n<p>Additionally, any person who purposefully or knowingly commits insurance commits theft, and can be punished under <a href=\"http:\/\/leg.mt.gov\/bills\/mca\/45\/6\/45-6-301.htm\" target=\"_blank\" rel=\"noopener\">section 45-6-301<\/a>.<\/p>\n<\/td>\n<\/tr><\/tbody><\/table>\n<h2>Reporting Insurance Fraud<\/h2>\n<p>In Montana, any person who knows or who believes that an act of insurance fraud is being or has been committed may report the suspected fraud to the fraud commissioner. So long as the report isn&#8217;t made with <a href=\"https:\/\/dictionary.findlaw.com\/definition\/malice.html\" target=\"_blank\" rel=\"noopener\">malice<\/a>, an insurer, officer, employee, producer of the insurer, independent adjuster, administrator, consultant, or any private person receives immunity from civil liability in Montana if the person:<\/p>\n<ul>\n<li>Cooperates with, furnishes evidence to, or provides information about any suspected insurance fraud to the commissioner (or to another designated fraud prevention organization), or<\/li>\n<li>Complies with a court order requesting evidence or testimony<\/li>\n<\/ul>\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=\"https:\/\/www.findlaw.com\/criminal\/criminal-charges\/fraud.html\">Fraud<\/a><\/li>\n<\/ul>\n<p>State laws change frequently. For case specific information regarding Montana&#8217;s insurance fraud laws contact a local <a href=\"https:\/\/lawyers.findlaw.com\/criminal-law\/montana\/\" target=\"_blank\" rel=\"noopener\">criminal defense attorney<\/a> or <a href=\"https:\/\/lawyers.findlaw.com\/consumer-protection\/montana\/\" target=\"_blank\" rel=\"noopener\">consumer protection lawyer<\/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 spot cases of insurance fraud and to reduce their occurrence. The table below outlines Montana&#8217;s main insurance fraud law.<\/p>\n","protected":false},"author":41135,"featured_media":0,"parent":374561,"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":[3134,3132],"flmsa":[],"class_list":["post-374610","page","type-page","status-publish","hentry","category-state","state_laws_tags-statelaws_27_11","state_laws_tags-statelaws_27_1"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/374610","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=374610"}],"version-history":[{"count":0,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/374610\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/374561"}],"wp:attachment":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/media?parent=374610"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/categories?post=374610"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/tags?post=374610"},{"taxonomy":"state_laws_tags","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/state_laws_tags?post=374610"},{"taxonomy":"flmsa","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/flmsa?post=374610"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}