Fraud is a type of theft that focuses on the
deception of innocent parties, typically for
financial gain. Fraud can be perpetrated on
individuals as well as on entities such as
corporations and government agencies.
In the context of insurance, fraud is most often the
filing of a false claim to obtain undeserved
compensation. Statutes have made insurance fraud a
crime, punishable by fine and/or imprisonment.
Medical Insurance Fraud
Medical insurance fraud usually consists of filing a
false claim or filing several claims for the same
injury, intending to receive payment for a loss, or
claimed loss.
Additionally, health care practitioners sometimes
commit insurance fraud by submitting false claims to
insurance companies to receive payment for services
that were either not performed or were already paid.
Punishment for this type of fraud can typically
range from 2 to 4 years, usually, along with a hefty
fine. Also, the amount involved in the fraud
typically affects the punishment.
Automobile Insurance Fraud
Automobile insurance fraud is a huge factor
leading to insurance rates increases. This crime
usually consists of a person purposely crashing a
car or submitting false information to obtain
payment for a loss covered under the insurance
policy.
As in medical insurance fraud cases, the punishment
for this crime can include imprisonment as well as a
fine.