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2004 Florida Statutes

Section 626.99278, Florida Statutes 2004

626.99278  Viatical provider anti-fraud plan.--Every licensed viatical settlement provider and viatical settlement broker must adopt an anti-fraud plan and file it with the Division of Insurance Fraud of the department on or before December 1, 2000. Each anti-fraud plan shall include:

(1)  A description of the procedures for detecting and investigating possible fraudulent acts and procedures for resolving material inconsistencies between medical records and insurance applications;

(2)  A description of the procedures for the mandatory reporting of possible fraudulent insurance acts to the Division of Insurance Fraud of the department;

(3)  A description of the plan for anti-fraud education and training of its underwriters or other personnel; and

(4)  A written description or chart outlining the organizational arrangement of the anti-fraud personnel who are responsible for the investigation and reporting of possible fraudulent insurance acts, and investigating unresolved material inconsistencies between medical records and insurance applications.

History.--s. 10, ch. 2000-344.