California Insurance Code ARTICLE 2 - Bureau of Fraudulent Claims

• Section 1872.
  There is created within the department the Fraud Division to enforce the provisions of Sections 549, and 550 of the Penal Code, and to administer...
• Section 1872.2.
  For purposes of this article, “insurer” means any person who undertakes to indemnify another against loss, damage, or liability arising from a contingent or unknown...
• Section 1872.3.
  (a) If, by its own inquiries or as a result of complaints, the Fraud Division has reason to believe that a person has engaged in, or...
• Section 1872.4.
  (a) Any company licensed to write insurance in this state that reasonably believes or knows that a fraudulent claim is being made shall, within 60 days...
• Section 1872.45.
  A district attorney who files a criminal complaint pursuant to Section 549 or 550 of the Penal Code shall promptly do all of the following:(a) Notify...
• Section 1872.5.
  No insurer, or the employees or agents of any insurer, shall be subject to civil liability for libel, slander, or any other relevant tort cause...
• Section 1872.6.
  Nothing contained in this article shall:(a) Preempt the authority of other law enforcement or licensing agencies to investigate and prosecute suspected violations of law.(b) Prevent or prohibit...
• Section 1872.8.
  (a) An insurer doing business in this state shall pay an annual special purpose assessment to be determined by the commissioner, but not to exceed one...
• Section 1872.81.
  In addition to the special purpose assessment imposed pursuant to Section 1872.8, effective July 1, 2014, an insurer doing business in this state shall, until...
• Section 1872.83.
  (a) The commissioner shall ensure that the Fraud Division aggressively pursues all reported incidents of probable workers’ compensation fraud, as defined in Sections 11760 and 11880,...
• Section 1872.84.
  The commissioner shall ensure that the Fraud Division forwards to the appropriate disciplinary body, in addition to the names and supporting evidence of individuals described...
• Section 1872.85.
  (a) Every admitted disability insurer or other entity liable for any loss due to health insurance fraud doing business in this state shall pay an annual...
• Section 1872.86.
  (a) An insurer doing business in this state shall pay an annual special purpose assessment to be determined by the commissioner, not to exceed five thousand...
• Section 1872.87.
  (a) Each insurer required to pay special purpose assessments pursuant to Sections 1872.8, 1872.81, 1872.85, 1874.8, or subdivision (a) of Section 1872.86 may, over a reasonable...
• Section 1872.9.
  The Fraud Division shall annually compile and report, as a part of the commissioner’s annual report as required by Section 12922, the following information:(a) The number...
• Section 1872.95.
  (a) Within existing resources, the Medical Board of California, the Board of Chiropractic Examiners, and the State Bar shall each designate employees to investigate and report...
• Section 1872.96.
  The commissioner shall prepare an annual report, which shall be a public record, with respect to the receipts, expenditures, and activities of the Fraud Division...

Last modified: October 22, 2018