Pennsylvania law requires all motor vehicle insurers to develop, file, and maintain antifraud plans aimed at preventing and detecting insurance fraud. These plans must outline procedures for fraud prevention, claim review, and investigation, and be updated regularly. The law also specifies filing deadlines for new and existing insurers to ensure compliance.
All insurers licensed to write motor vehicle insurance in Pennsylvania are required to develop and file an antifraud plan with the Department.
Insurers licensed before December 31, 1990, had to file by that date. New insurers must file within six months of licensure, and all plans must be updated within 30 days of any changes.
The plan must establish procedures to prevent insurance fraud, review claims for fraud indicators, and investigate suspected fraud.
Insurers must file any modifications to their antifraud plans within 30 days of making changes.