Mo. Code Regs. Ann. tit. 20, § 100-3.100
Fraud Investigation Reports
Effective Jul 30, 2008sections 374.045, 375.992, and 375.993, RSMo 2000 and sections 375.991 and 375.994, RSMo Supp. 2007.* Original rule filed Sept. 15, 1992, effective June 7, 1993. Amended: Filed Nov. 1, 2007, effective July 30, 2008. *Original authority: 374.045, RSMo 1967, amended 1993, 1995; 375.991, RSMo 1990, amended 1992, 1994, 2005; 375.992, RSMo 1990; 375.993, RSMo 1990; and 375.994, RSMo 1990, amended 1993, 2007Insurer Conduct
PURPOSE: This rule sets forth the forms to be used in reporting fraudulent insurance acts to the department under sections 375.991–375.994, RSMo.
- (1) Insurers must report any allegation of a fraudulent insurance claim to the Consumer Affairs Division using a Fraud Investigation Report by Insurer form (Form F-I) adopted and approved by the director in 20 CSR 100- 4.030. This form also may be used by an insurer seeking the department’s assistance in the investigation and prosecution alleged fraudulent insurance claims and other types of fraudulent insurance acts.
- (2) Any person other than an insurer reporting a fraudulent insurance act to the Consumer Affairs Division must use a Fraud Investigation Report by Consumer form (Form F-C) adopted and approved by the director in 20 CSR 100-4.030.
AUTHORITY: sections 374.045, 375.992, and 375.993, RSMo 2000 and sections 375.991 and 375.994, RSMo Supp. 2007.* Original rule filed Sept. 15, 1992, effective June 7, 1993. Amended: Filed Nov. 1, 2007, effective July 30, 2008. *Original authority: 374.045, RSMo 1967, amended 1993, 1995; 375.991, RSMo 1990, amended 1992, 1994, 2005; 375.992, RSMo 1990; 375.993, RSMo 1990; and 375.994, RSMo 1990, amended 1993, 2007.