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Frequently Asked Questions
About Fraud Prevention Plans And Special Investigations Units

- What Insurers Need to Know

Section 409 of the New York Insurance Law and Regulation 95 require insurers to file with the Department of Financial Services, Financial Fraud & Consumer Protection Division, Criminal Investigations Unit, Insurance Frauds Bureau a plan for the detection, investigation and prevention of insurance fraud. The Fraud Prevention Plan must include provisions for establishing a Special Investigations Unit (SIU), apart from any underwriting or claims units, to perform these functions. The following questions and answers provide information that may be useful to insurers in implementing this mandate.