Committees & Activities

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

2015 Charges

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 by conducting the following activities: maintain and improve 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; and provide a liaison function between insurance regulators, law enforcement (federal, state, local and international) and other specific antifraud organizations. The Task Force also will serve as a liaison with the NAIC Information Systems Division and other NAIC committees, task forces and/or working groups to develop technological solutions for data collection and information-sharing. The Task Force will monitor all aspects of antifraud activities by its working groups on the following charges.

Ongoing Support of NAIC Programs, Products or Services:

  1. The Antifraud (D) Task Force will:

    • Work with the Title Insurance (C) Task Force to review issues and concerns related to fraud activities and schemes related to title insurance fraud.—Essential

    • Coordinate efforts to address national concerns related to agent fraud and activities of unauthorized agents related to insurance sales.—Essential

    • Coordinate the enforcement and investigation efforts of state and federal securities regulators with state insurance fraud bureaus.—Essential

    • 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 (D) Task Force to the International Association of Insurance Supervisors on its Insurance Core Principles related to insurance fraud.—Essential

    • Coordinate activities and information from national antifraud organizations and provide information to state insurance fraud bureaus.—Essential

    • Coordinate efforts with the insurance industry to address anti-fraud issues and concerns.—Essential

    • Evaluate and recommend methods to track national fraud trends.—Important

  2. The Antifraud Training and Seminar (D) Working Group will:

    • Develop and present seminars, trainings and webinars regarding insurance fraud.—Essential

  3. The Information and Technology (D) Working Group will:

    • 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
Conference Call Calendar

NAIC conference calls & interim meetings are available on the NAIC Conference Call Calendar. See NAIC's revised policy statement on open meetings.

Advance Materials

Information & Technology (D) Working Group Conference Call
Tuesday, June 30, 2015
10am Pacific/11am Mountain/12pm Central/1pm Eastern.

Basic Fraud Investigations
Available Year-Round

More Information

Go to the exposure draft index.

Navigator White Paper Proposal

In 2013 the Antifraud (D) Task Force was provided a task to assist with the drafting part of a white paper proposal concerning the potential fraud issues related to the activities of navigators, producers and non-navigator assistance personnel. The Task Force created a Navigator Issues (D) Subgroup to complete this draft which was presented to the AFTF and opened for comment.

During the NAIC 2013 Fall National Meeting the AFTF discussed the comments received and the decision was made to the comments and present the Task Force with a revised draft which would be up for adoption at the NAIC 2014 Spring 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

Insurance Department Investigator Safey Guidelines
The Antifraud (D) Task Force developed an Insurance Department Investigator Safety Guidelines to be used by state department investigators and auditors. The safety guideline was adopted by the NAIC full membership during the 2013 Summer National Meeting.

Reporting Fraud

Related NAIC Publications
Draft meeting minutes are available free for meeting attendees 10 business days after a national meeting concludes, using the User ID and Password supplied by the NAIC. Regulators may access minutes via StateNet.
Final committee minutes and Proceedings of the NAIC are available to non–attendees, after adoption at the next national meeting, for free in the PDF format through the NAIC Products & Services website.

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.