375.992. Fraudulent claims for benefits — form — notice to department, when — procedure.
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375.992. Fraudulent claims for benefits — form — notice to department, when — procedure. — Any company which believes that a fraudulent claim is being made shall, within sixty days of the receipt of such notice, send to the department of commerce and insurance, on a form prescribed by the department, the information requested and such additional information relative to the claim and the parties claiming loss or damages because of the accident as the department may require. The department of commerce and insurance shall review such reports and select such claims as, in its judgment, may require further investigation.
It shall then cause an independent examination of the facts surrounding such claim to be made to determine the extent, if any, to which fraud, deceit, or intentional misrepresentation of any kind exists in the submission of the claim. The department of commerce and insurance shall report any alleged violations of law which its investigations disclose to the appropriate licensing agency and prosecutive authority having jurisdiction with respect to any such violation.
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(L. 1990 H.B. 1739 § 3 subsec. 4)