Anti-Fraud Compliance
The Department's Anti-Fraud Compliance Division works to ensure licensed entities comply with state and federal regulations aimed at increasing the detection, investigation, and prevention of insurance fraud in Pennsylvania.
Please Note: The Insurance Department does not handle criminal investigations of insurance fraud. To report insurance fraud in PA, please visit our
Reporting Insurance Fraud page.
Industry Compliance Requirements
The Department has compiled an
Overview of Anti-Fraud Compliance Requirements.
Please note, that this is general guidance that provides a summary of the commonwealth's anti-fraud plan filing, reporting, and compliance requirements. You should consult the statutes and regulations for a complete understanding of all requirements associated with anti-fraud plans, filings, reporting, and compliance.
Anti-Fraud Plan Submission
All Anti-Fraud plans should be submitted electronically via email to ra-in-fraud@pa.gov.
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 before the filing deadline. Extensions will be considered on a case-by-case basis.
Certification of No Business: This component of the revised survey only applies to companies licensed but attesting that they did not write or service any premiums in PA during the calendar year surveyed.
Fraud Reporting
Insurance companies are responsible for reporting suspected fraud. When licensees are involved, notification to the Department must be sent, in writing, to:
- Pennsylvania Insurance Department
- Attention: Bureau of Licensing & Enforcement
- 1227 Strawberry Square
- Harrisburg, PA 17120
Invoicing
Two Pennsylvania Authorities issue insurers assessment invoices annually. These are not issued by the PA Insurance Department. We only become involved if they are not paid. Questions regarding these invoices should be directed to:
Anti-Fraud Compliance Updates
To receive periodic communications directly related to anti-fraud compliance, please e-mail your name, agency, and position to
RA-IN-Fraud@pa.gov.
Contact Us
To contact the Anti-Fraud Compliance Division, e-mail
ra-in-fraud@pa.gov