state insurance trade associations annual conference october 4, 2010 alan haskins, director of...
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State Insurance Trade Associations State Insurance Trade Associations Annual Conference Annual Conference
October 4, 2010October 4, 2010
Alan Haskins, Director of Government AffairsAlan Haskins, Director of Government AffairsTim Lynch, Director of Government AffairsTim Lynch, Director of Government Affairs
Mission and VisionMission and Vision
MissionMission:: To lead a united effort of insurers, To lead a united effort of insurers, law enforcement agencies and representatives law enforcement agencies and representatives of the public to prevent and combat insurance of the public to prevent and combat insurance fraud and crime through Data Analytics, fraud and crime through Data Analytics, Investigations, Training, Legislative Advocacy Investigations, Training, Legislative Advocacy (GA) and Public Awareness.(GA) and Public Awareness.
VisionVision:: To be the preeminent organization To be the preeminent organization fighting insurance fraud and crime.fighting insurance fraud and crime.
Data Analytics Investigations Training Legislative Advocacy (Government Affairs) Public Awareness
NICB DisciplinesNICB Disciplines
Medical Questionable Claims
Medical QC By State
Medical FraudMedical Fraud
January 1 – June 30, 2010
Major Medical Fraud Task ForcesMajor Medical Fraud Task Forces
Florida (Miami) - 2002Florida (Miami) - 2002New York - 2002New York - 2002California (Los Angeles) - 2007California (Los Angeles) - 2007Texas (Houston) - 2007 Texas (Houston) - 2007 D.C. - 2008D.C. - 2008Florida (Tampa/Orlando) - 2010Florida (Tampa/Orlando) - 2010PA, NJ, & DL (Edison, NJ) - 2010PA, NJ, & DL (Edison, NJ) - 2010
Major Medical Fraud Task ForcesMajor Medical Fraud Task Forces
What do they do?What do they do?
Collect and analyze questionable medical fraud Collect and analyze questionable medical fraud claims claims
Disseminate strategic and tactical alerts to NICB Disseminate strategic and tactical alerts to NICB members members
Joint investigationsJoint investigations
Support prosecutive effortsSupport prosecutive efforts
License sanctioning actions by state regulatory License sanctioning actions by state regulatory agenciesagencies
Key Federal & State IssuesKey Federal & State Issues
Federal IssuesFederal Issues
National Motor Vehicle Title Information National Motor Vehicle Title Information System (NMVTIS)System (NMVTIS)
Health Care ReformHealth Care Reform
Cheaper Car Insurance ActCheaper Car Insurance Act
NMVTISNMVTIS
Provides an electronic means for verifying and Provides an electronic means for verifying and exchanging title, brand, and theft data among exchanging title, brand, and theft data among motor motor vehicle administrations, law vehicle administrations, law enforcement, enforcement, prospective purchasers, and insurance carriersprospective purchasers, and insurance carriers
NICB appointed to DOJ NMVTIS Advisory BoardNICB appointed to DOJ NMVTIS Advisory Board- Enhancements Enhancements - Reduce negative impacts on affected industriesReduce negative impacts on affected industries- Self-fundedSelf-funded- Next meeting Oct. 7-8, 2010Next meeting Oct. 7-8, 2010
Health Care ReformHealth Care Reform
Administration continues to emphasize the need Administration continues to emphasize the need for anti-fraud measuresfor anti-fraud measures
- Directed U.S. Attorneys to increase fraud - Directed U.S. Attorneys to increase fraud investigationsinvestigations
- HHS to hold regional anti-fraud summits around the - HHS to hold regional anti-fraud summits around the country: Las Vegas, Detroit, Philadelphia, New country: Las Vegas, Detroit, Philadelphia, New
York, York, Boston, and Los AngelesBoston, and Los Angeles
- Needs effective implementation- Needs effective implementation
Health Care ReformHealth Care Reform
Dual approaches to establishing a public-private Dual approaches to establishing a public-private partnershippartnership - First folds partnership into current HEAT Program - Second establishes free standing advisory committee
NICB, CAIF, and NHCAA have expertise that can be of NICB, CAIF, and NHCAA have expertise that can be of great help to DOJ, HHS and the Administration great help to DOJ, HHS and the Administration
Auto FraudAuto Fraud
Cheaper Car Insurance Act of 2010 – U.S. S3546 Cheaper Car Insurance Act of 2010 – U.S. S3546 U.S. Senator Chuck Schumer (D-NY)U.S. Senator Chuck Schumer (D-NY) -Senator Schumer’s response to NY PIP fraud problem:
o defines auto fraud o establishes criminal penaltieso mandates establishment of anti-fraud task forces by DOJo authorizes insurers to require pre-inspection
-Begin outreach to establish common industry position
State IssuesState Issues
Key States:
Texas Summit - Dallas - October 26, 2010
New York - NY Summit – April 21, 2010
California – Authorizes immunity to share information with the DOI
Florida - Insurance Consumer Advocate Roundtable
Louisiana - Three anti-fraud bills enacted
Arizona - Automobile glass repair
State IssuesState Issues
Key States:
Virginia - Anti-fraud refinements
Pennsylvania - Anti-fraud package
Michigan - “runner/capper” & PIP fraud
Illinois - Towing bill enacted
Kentucky – Anti-solicitation
New Jersey -Information sharing, immunity, rate evasion, regulatory restructuring
State IssuesState Issues
Key States:
Bills successfully defeated
- Massachusetts – “Right to Repair”
- Colorado – Restricting surveillance
- Maine – Defining ALPR’s
- Washington – ATPA surcharge
- Wisconsin – Access to records
NAIC-NICB-ISO Fraud Bureau Reporting Program- 46 jurisdictions
Contact: Frank Scafidi August 3, 2010 916.979.1510 www.nicb.org
Crime Stoppers USA and NICB Partner to Fight Insurance Crime
Des Plaines, IL — Crime Stoppers USA and the National Insurance Crime Bureau (NICB) today announced an agreement to join forces in efforts to increase awareness of insurance fraud and assist law enforcement in putting insurance criminals behind bars.
StrategiesStrategies
StrategieStrategiess
StrategieStrategiess
Key Take-a-ways Data
- 14% rise in QC first half 2010 QC- 46% increase staged/caused accidents- 57% increase in slip and fall claims- 107% in hail damage claims- 527% in auto glass claims
Expertise- Leading industry anti-fraud organization dedicated
to the detection, investigation and elimination of insurance fraud and vehicle theft.
StrategieStrategiess
Key Take-a-ways Government Affairs and Support
- Legislative
- Regulatory access
- Expert witness and testimony
Reputation- NICB 100 year history