Fraud and Investigations Unit
INVESTIGATIONS
Producers, Adjusters, Appraisers & Insurance Agencies
The Fraud & Investigations Unit investigates reports and allegations of misconduct by individual licensees including producers, adjusters and appraisers. The unit levies administrative sanctions against licensees as necessary, and/or refers criminal actions to the appropriate jurisdiction for possible prosecution. Types of investigations of individual licensees routinely handled by the unit include:
- Failure to remit premiums or place insurance
- Forgery
- False/fictitious binders
- Misrepresentation
- Misappropriation of insurance funds
Reminder: companies have a responsibility to report producer terminations “for cause.” Additionally, companies are required to report any producer for failure to remit premiums.
Enforcement Actions
Actions taken against licensees can include: fines, probation, suspension or revocation of licenses issued by the Department.
Surety Bail bonds
The Fraud & Investigations unit conducts investigations of licensees (bail bond agents/agencies) when possible violations of law are alleged or suspected. The unit also licenses bail bond agents and agencies.
- Bail Bonds regulation page (forms can be found here).
Questions may be sent to: bailbonds@ct.gov
INSURANCE FRAUD
The Fraud & Investigations unit promotes insurance fraud prevention, detection, and reporting through consumer outreach and education. The unit also provides assistance to insurer’s anti-fraud or special investigative units (SIU’s) and facilitates cooperation and communication among insurers, state and federal agencies, law enforcement, and insurance industry groups. The Fraud Unit coordinates anti-fraud efforts among, and offers assistance as appropriate to, the following entities or agencies: National Insurance Crime Bureau (NICB) local, state and federal law enforcement, and other state agencies such as Department of Public Health, Department of Consumer Protection and Department of Motor Vehicles.
Additionally, the unit reviews allegations of insurance fraud and makes referrals to other agencies or law enforcement for criminal prosecution as needed. Typical referrals include, among others, reports of arson, staged auto accidents, false reports of auto theft and improper medical billing.
Insurance Companies are reminded that they are required to report individual cases of insurance fraud as well as file an annual insurance fraud report with the Department by March 31st.
Questions may be sent to: cid.fraud@ct.gov
LICENSING OF OTHER INSURANCE BUSINESS ENTITIES