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Maine.gov > PFR Home > Insurance Regulation > Company Information > Forms > Fraud Report

State of Maine Fraud and Abuse Report

To: Maine Authorized Insurers
From: Superintendent of Insurance
Date: January 10, 2008
Re: Annual Fraud Report Filing

Each year the Maine Bureau of Insurance requires insurance companies to file a Fraud and Abuse Annual Report on or before March 1st, pursuant to Title 24-A, M.R.S.A. § 2186 and Rule Chapter 920, Reporting of Fraudulent Insurance Acts. This report is a statistical summary of all suspected and/or known fraudulent acts that occurred in the preceding calendar year involving insurance policies written in the State of Maine. It is not the insurer’s Anti-Fraud Plan.

File online:

GROUP (if you are reporting on a group basis) or

COMPANY (if you are reporting on a company basis)

The Bureau encourages companies to complete and submit this form online. This will reduce the chance of input error and will ensure that the filing is on time and accurate. If the report is successfully submitted on-line, please DO NOT submit a hardcopy filing. This will cause duplicate reporting.

  1. Submissions will not be successful if an apostrophe (') or quote marks are used ("). Also, telephone numbers must be typed using this format: 123-555-1234. If the telephone number is a toll-free number, please do not put the one (1) in front of the number. Use this format: 800-555-1234.

    IMPORTANT NOTE to those electing to file on a group basis: Please be sure to accurately report ALL individual companies that are included in the filing. This should alleviate a non-compliance letter to a member insurer of the group.
  2. If the report is being submitted on a group basis, the following fields are required: Group Code, Group Name, NAIC CoCode for each subsidiary reporting on the form, Contact Person and Phone Number. The on-line form allows up to 20 different companies to report with the group. If the group wants to report more than 20 insurers, then the form must be submitted in hard copy or as an e-mail attachment.
  3. If the company is filing on a stand alone basis, the following fields are required: Company Name, NAIC CoCode, Company Contact Person and Phone Number.
  4. The Maine Fraud and Abuse Annual Report must be filed even if the insurer did not write any direct business in Maine. If there was no known or suspect fraudulent activity, then the report must be filed with zeros (0’s).

Questions regarding the Maine Fraud and Abuse Annual report may be directed to:
Kelly Rogers
Tel: (207) 624-8438
e-mail: kelly.e.rogers@maine.gov

 

 

Last Updated: January 2, 2009