{"data":{"id":"us-dc/d.c.-code-22-3225.09","jurisdiction":"us-dc","citation":"D.C. Code § 22-3225.09","heading":"Insurance fraud prevention and detection.","body":"(a)\nWithin 6 months of April 27, 1999, every insurer licensed in the District shall submit to the Department of Insurance and Securities Regulation, an insurance fraud prevention and detection plan (“plan”). The plan shall indicate specific procedures for the accomplishment of the following:\n(1)\nPrevention, detection, and investigation of insurance fraud;\n(2)\nOrientation of employees on insurance fraud prevention and detection;\n(3)\nEmployment of fraud investigators;\n(4)\nReporting of insurance fraud to the appropriate authorities; and\n(5)\nCollection of restitution for financial loss caused by insurance fraud.\n\n(b)\nThe Commissioner may review the plan for compliance with this section and may order reasonable modification or request a summary of the plan. The Commissioner may establish by regulation a fine for an insurer failing to comply with the plan. The plan shall not be deemed a public record for the purposes of any public records or subchapter II of Chapter 5 of Title 2.\n\n(c)\nNotwithstanding any other provisions of law, an insurer who fails to submit an insurance prevention and detection plan, or the warning provision required by subsection (d) of this section shall be subject to a fine of $500 per day, not to exceed $25,000.\n\n(d)\n“WARNING: It is a crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false information materially related to a claim was provided by the applicant.”.\n\n(e)\nNone of the requirements of this section shall be deemed to apply to reinsurers, reinsurance contracts, reinsurance agreements, or reinsurance claims transactions.","path":["Title 22. Criminal Offenses and Penalties.","Chapter 32. Theft; Fraud; Stolen Property; Forgery; and Extortion.","Subchapter III-A. Insurance Fraud."],"source_url":"https://code.dccouncil.gov/us/dc/council/code/sections/22-3225.09","current_through":"2026-08-20 (D.C. Law 26-175)","vintage":"","retrieved_at":"2026-08-29T05:44:07Z","sha256":"f9cf3afbbc3c44ca82ecf4139c4298bf99ba42e599c4280fac440ed031038d6b","source_id":"us-dc","stale":false,"prev":"us-dc/d.c.-code-22-3225.08","next":"us-dc/d.c.-code-22-3225.10"},"notice":"GroundRules: Original legal text. Not legal advice."}