The Texas Suspected Insurance Fraud Reporting form for Consumers is a document that consumers can use to report suspected insurance fraud in the state of Texas. The form allows consumers to provide information about the suspected fraud, including the name and contact information of the person or organization suspected of fraud, a description of the fraud, and any additional evidence or information that may be available. There are two types of forms: one for reporting suspected fraud involving an insurance company or agent, and another for reporting suspected fraud involving an insurance policy or claim. The form is available online, and consumers can also contact the Texas Department of Insurance to request a paper version. The form must be completed and submitted to the Texas Department of Insurance in order for an investigation to be initiated.
Texas Suspected Insurance Fraud Reporting form for Consumers
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On the other hand, if you defraud the insurance company out of more than $300,000, it is a first-degree felony, punishable by up to 99 years in prison. Making false statements on an insurance application is a state jail felony.
Contacting the Texas State Auditor's Office Hotline (SAO) by calling (800) TX-AUDIT (892-8348); visiting the Texas State Auditor's Office Website; contacting the Office of the Attorney General (OAG) by calling the main OAG Switchboard at (800) 252-8011 or (512) 475-4413; or.
The Texas Department of Insurance can help you with insurance problems, complaints, and questions. File a complaint using its online Insurance Complaint Process. Call (800) 252-3439 if you have questions or need help filing a complaint with them.
Reporting suspected fraud You can report fraud online or by calling our Help Line at 800-252-3439. Report fraud involving Medicare, Medicaid, or drug or health care discount programs to the Texas Attorney General's Consumer Protection Hot Line at 800-621-0508.
Section 35.02 - Insurance Fraud (a) A person commits an offense if, with intent to defraud or deceive an insurer, the person, in support of a claim for payment under an insurance policy: (1) prepares or causes to be prepared a statement that: (A) the person knows contains false or misleading material information; and (
A whistleblower who knows of insurance fraud can file a complaint under seal, serving the State's Attorney or Attorney General. If the state intervenes, a successful plaintiff will receive not less than 30% of the proceeds. If the state does not intervene, a successful plaintiff will receive not less than 40% .