The Office of Attorney General's Insurance Fraud Section began operation and acceptance of referrals during August, 1995. Since then, over 1,500 referrals alleging insurance fraud have been reviewed by the Section, resulting in more than 700 criminal investigations and 160 arrests for insurance fraud and related criminal acts. These offenders, when questioned about their conduct, are typically shocked that they are the subject of a criminal investigation. The answer is simple.
Insurance fraud is a very serious crime.
Insurance fraud is described in the Pennsylvania Crimes Code at Section 4117. For example, lying about a known pre-existing medical condition, the condition of personal property or even your address on an insurance application may not only void the coverage but subject you to criminal prosecution. Instead of going to the doctor immediately, you recognize an opportunity and suffer through the night in pain. At work the next day you stand next to a heavy box and, when no one is looking, fall to the ground screaming in agony. You are rushed to the hospital where the doctor discovers several dislocated vertebrae.