Created in 1993 by the Legislature, the New Hampshire Insurance Fraud Unit (NHIFU) is comprised of a staff of four and has the assistance of an insurance fraud prosecutor from the New Hampshire Department of Justice. The Fraud Unit processes an average of over 300 fraud referrals each year. NH RSA 417:28 requires all insurers to report suspected insurance fraud to the NH Insurance Department fraud unit. Pursuant to NH RSA 417:30 all insurers are also required to have antifraud initiatives in place that will result in the detection, prosecution, and prevention of fraudulent insurance acts.

The fraud unit also has a fraud outreach program, where staff will go out in the community to discuss insurance fraud, its consequences, and how to recognize and prevent it. To set up an appointment for a fraud presentation before your group, or to report a possible insurance fraud crime, please call 1-800-852-3416.

• NH Statutes & Rules Relevant to Insurance Fraud Investigations

Fraud Referral Form:

• Fraud Referral Form - Insurers & Individuals can use this form to report suspected insurance fraud.

Resources:

• Centers for Medicare & Medicaid Services, US Department of Health & Human Services, Medicare Fraud
• Coalition Against Insurance Fraud
• Medicaid/Healthcare Fraud Unit, New Hampshire Department of Justice
• National Association of Insurance Commissioners, Online Insurance Fraud Reporting System
• National Association of Insurance Commissioners, What is Insurance Fraud?
• National Insurance Crime Bureau