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Insurance Fraud and Connecticut State Law: What You Need to Know

by Joseph C. Maya on Mar. 24, 2017

Criminal 

Summary: Blog post on the laws regarding insurance fraud.

For a free consultation with an experienced criminal defense attorney, please call the offices of Maya Murphy, P.C. today at (203) 221-3100 or Joseph C. Maya, Esq. at JMaya@Mayalaw.com.

In Connecticut, there are several laws that prohibit insurance fraud. Insurance fraud consists of intentionally providing false or misleading material information or omitting material information in order to receive insurance money or benefits for oneself or another person. This is a quick summary of Connecticut insurance fraud laws, including potential penalties for a conviction and instructions on how to file a complaint.

Connecticut Insurance Fraud Laws

The following table outlines insurance fraud laws in Connecticut.

Code Sections

CONN. GEN. STAT §§ 53a-215, 38a-287, 53-442

What is Prohibited?

Applying for an insurance policy or claim and knowingly providing false, incomplete, deceptive or misleading information (in writing or orally) or knowingly omitting information which is material to a claim or application with the intent of deceiving or defrauding the health insurer of money or benefits, assisting, soliciting, or conspiring with another person to do any of the above, or obtaining or attempting to obtain money from a life or accident insurance policy by falsely or fraudulently representing that the insured is dead or injured or by filing a policy under a fictitious person.

The policy or claim can be for oneself, a family member or a third party.

Penalties

Insurance fraud is a Class D felony punishable by up to 5 years in prison and up to $5,000 in fines.

For life or accident insurance policies, the maximum prison term is 10 years if the money fraudulently obtained was $2,000 or more. If the money fraudulently obtained was less than $2,000, the maximum penalties are 1 year in prison and $10,000 in fines.

Health insurance fraud is subject to penalties for larceny and each act is a separate offense. In addition to fines and imprisonment, the person must pay back the insurer the value of the benefits received as well as reasonable attorneys' fees and investigation costs.

Maya Murphy P.C. has the resources and expertise to offer you the best possible representation throughout the criminal process. If you are facing criminal charges or wish to appeal your case, please call the offices of Maya Murphy, P.C. today at (203) 221-3100 or Joseph C. Maya, Esq. atJMaya@Mayalaw.com.

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Source- http://statelaws.findlaw.com/connecticut-law/connecticut-insurance-fraud-laws.html

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