The Department's Anti-Fraud Compliance Division works to ensure licensed entities are in compliance with state & federal regulations aimed at increasing the detection, investigation and prevention of insurance fraud in Pennsylvania.
Please note that the Department does not handle criminal investigations of insurance fraud. To report insurance fraud in PA, please visit our Reporting Insurance Fraud page.
To report insurance fraud in Pennsylvania,
The Department has compiled an overview of Anti-Fraud
compliance requirements, available here. Please note this is general guidance and a
brief summary of the Commonwealth's Anti-Fraud plan filing, reporting and
compliance requirements. You should
consult the actual statutes and regulations for a complete understanding of all
requirements associated with Anti-Fraud plans, filings, reporting and
Insurers are responsible for meeting the reporting
requirements in a timely manner as set forth below. Insurance companies failing to file or timely
file statements or reports are subject to the penalty provisions of Section
320(e)(1) (40 P.S. §443) of The Insurance Company Law. Extensions to the filing deadline may be
considered at the discretion of the Division Chief. Any request for an extension must be
submitted via mail or email no later than 10 business days prior to the filing
deadline. Extensions will be considered on
a case-by-case basis.
licensees are involved, notification to the Department must be sent, in writing,
Pennsylvania Insurance Department
Attention: Bureau of Licensing & Enforcement
1227 Strawberry Square
Harrisburg, PA 17120
Helpful Anti-Fraud Resources:
The Pennsylvania Insurance Department does not handle criminal insurance fraud investigations. Please see the Reporting Insurance Fraud