Pennsylvania law requires insurers to submit antifraud plans for review and approval by the Department of Insurance. Disapproved plans must be revised and resubmitted within 60 days, and insurers are subject to audits for compliance. Additionally, insurers must annually report on their antifraud activities, including measures taken, resources used, and fraud recovered.
Insurers must file antifraud plans with the Department of Insurance for review and approval. Disapproved plans must be revised and resubmitted within 60 days.
Yes, the Department can audit insurers to ensure they comply with antifraud plans as part of their examinations.
Insurers must report actions taken to prevent and combat fraud, data on resources used, and the amount of fraud identified and recovered.
The insurer must revise and refile the plan within 60 days of receiving notice of disapproval from the Department.