Committees & Activities

Antifraud (D) Task Force
Market Regulation and Consumer Affairs (D) Committee

Mission

The mission of the Antifraud (D) Task Force is to serve the public interest by assisting the state insurance supervisory officials, individually and collectively, to promote the public interest through the detection, monitoring and appropriate referral for investigation of insurance crime, both by and against consumers. The Task Force will assist the insurance regulatory community through the maintenance and improvement of electronic databases regarding fraudulent insurance activities. Disseminate the results of research and analysis of insurance fraud trends as well as case-specific analysis to the insurance regulatory community. Provide a liaison function between insurance regulators, federal, state, local and international law enforcement and other specific antifraud organizations. The Task Force also will serve as a liaison with the NAIC Information Systems Division and other NAIC committees to develop technological solutions for data collection and information-sharing. The Task Force will monitor all aspects of antifraud activities by its working groups and subgroups on the following charges.

Ongoing Support of NAIC Programs, Products or Services:

  1. Work with the Title Insurance (C) Task Force to review issues and concerns related to fraud activities and schemes related to title insurance fraud and consider a joint regulator education program.—Essential

  2. Complete a State Department of Insurance Safety Manual for Investigators and Auditors.—Essential

  3. Appoint the Agent and Unlawful Activities (D) Working Group to coordinate efforts to address national concerns related to agent fraud and activities of unauthorized agents related to insurance sales.—Essential

  4. Appoint the Antifraud Liaison (D) Working Group to coordinate activities and information from national antifraud organizations and provide information to state insurance fraud bureaus.—Essential

  5. The Working Group will evaluate and recommend method to track national fraud trends.—Important

  6. Appoint the Antifraud Training and Seminar (D) Working Group to develop and present seminars, trainings and webinars regarding insurance fraud.—Essential

  7. Appoint the Federal and International Enforcement Coordination (D) Working Group to coordinate with state, federal and international law enforcement agencies in addressing antifraud issues relating to the insurance industry. The Working Group will review and provide comments on behalf of the Antifraud Task Force on Insurance Core Principles related to insurance fraud for the International Association Insurance Supervisors.—Essential

  8. Appoint the Information Sharing and Technology (D) Working Group to evaluate sources of antifraud data and propose methods for enhancing the utilization and exchange of information among insurance regulators, fraud investigative divisions, law enforcement officials, insurers and antifraud organizations.—Essential

  9. Appoint the Securities Enforcement Coordination (D) Working Group to coordinate the enforcement and investigation efforts of state and federal securities regulators with state insurance fraud bureaus.—Essential

 

Conference Call Calendar

A full list of NAIC conference calls & interim meetings is available on the NAIC Conference Call Calendar.

Advance Materials

There are no advance materials at this time.

Conducting Undercover Operations as Part of a Health Care Fraud Investigation
June 20, 12:00 p.m - 1:30 p.m. CT

More Information
Register Online

Basic Fraud Investigations
Available Year-Round

More Information
Register Online

Go to the exposure draft index.

The Antifraud (D) Task Force has developed an Insurance Department Investigator Safety Guidelines to be used by state department investigators and auditors. The current draft has been opened for comment through April 12th, 2013. All comments will be distributed and the Task Force will hold an open conference call in May to address the comments received and to finalize the draft.

The Task Force will present the final guideline to the Market Regulation and Consumer Affairs (D) Committee to consider for adoption during the Summer National Meeting.

documents and resources
Financial Crimes Network (FinCEN) presentation
Frequently Asked Questions - Anti-Money Laundering Program and Suspicious Activity Reporting Requirements for the Insurance Industry
For informational purposes only

Reporting Fraud

Related NAIC Publications
Minutes for the four most recent NAIC National Meetings are available free for meeting attendees and members. Members may access minutes via StateNet. If you do not know your User ID or password, please contact the NAIC Help Desk.

Annual Antifraud Statistical Report Form

Antifraud Resources Report

Application and Use of Insurance Fraud-Related Databases and Sources of Information: A Guide for State Insurance Departments

Guidelines for Industry for Reporting Suspicious Claims or Activity to State Fraud Bureaus

Model Laws, Regulations and Guidelines

Contacts
Media queries should be directed to the NAIC Communications Division at 816-783-8909 or news@naic.org.

Greg Welker
Antifraud Coordinator & Market Regulation Specialist II
816-783-8872

Lois Alexander
Market Regulation Manager
816-783-8517
Tim Mullen
Director Market Regulation
Phone: 816-783-8260
Fax: 816-460-7875
Please see the current Committee List for a complete list of committee members.