During 2017 the Antifraud (D) Task Force agreed that a charge should be added to addressing the innovation and technology from the insurance fraud perspective.

The Task Force received suggested language the Center for Economic Justice and a litter from trade associations concerning the suggested language. During the 2017 Fall National Meeting the Task Force discussed the suggested language, the Trade Association letter and presented new suggested language for a new charge. The Task Force agreed to table the discussion and revisit in 2018.

2018 Antifraud (D) Task Force – New Charge Draft Language
Received 12/3/17

The following draft charge language was presented during at the Antifraud (D) Task Force during the 2017 Fall National Meeting.

"The Task Force will serve as a resource to those NAIC Task Forces and Working Groups (i.e. Innovation and Technology (EX) Task Force and its Working Groups who are reviewing the insurance industry's use of data algorithms, artificial intelligence and technology to further anti-fraud efforts."

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

Education & Training Events

Related NAIC Publications

Contacts

Antifraud (D) Task Force

 

2018 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:

The Antifraud (D) Task Force will:

  1. Work with NAIC committees, task forces and working groups (e.g., Title Insurance (C) Task Force, Public Adjuster (C/D) Working Group, etc.) to review issues and concerns related to fraud activities and schemes related to insurance fraud.
  2. Coordinate efforts to address national concerns related to agent fraud and activities of unauthorized agents related to insurance sales.
  3. Coordinate the enforcement and investigation efforts of state and federal securities regulators with state insurance fraud bureaus.
  4. Coordinate with state, federal and international law enforcement agencies in addressing antifraud issues relating to the insurance industry.
  5. Review and provide comments to the International Association of Insurance Supervisors (IAIS) on its Insurance Core Principles (ICPs) related to insurance fraud.
  6. Coordinate activities and information from national antifraud organizations and provide information to state insurance fraud bureaus.
  7. Coordinate efforts with the insurance industry to address antifraud issues and concerns.
  8. Evaluate and recommend methods to track national fraud trends.