Antifraud Technology (D) Working Group

2022 Adopted Charges

The Antifraud Technology (D) Working Group will:

Review and provide recommendations for the development of an Antifraud Plan Repository to be used by insurers to create and store an electronic fraud plan for distribution among the states/jurisdictions.
Evaluate sources of antifraud data and propose methods for enhancing the utilization and exchange of information among insurance regulators, fraud investigative divisions, law enforcement officials, insurers and antifraud organizations. Complete by the 2020 Fall National Meeting.

Calendar

There are no call materials at this time.

Antifraud Plan Repository Workflow

The Antifraud Technology (D) Working Group has been working on their first charge which is to: Review and provide recommendations for the development of an Antifraud Plan Repository to be used by insurers to create and store an electronic fraud plan for distribution among the states/jurisdictions. To assist with this process the Working Group created a subject matter expert (SME) group to finalize the Antifraud Plan Repository Workflow document. The SME Group exposed the draft to the Antifraud Technology (D) Working Group on May 6, 2022.

The Working Group adopted the draft on May 19, 2022 and it was presented to the Antifraud (D) Task Force. The Task Force will hold a meeting on June 30, 2022 to review any comments received and potentially adopt the draft.

Antifraud Plan Repository Workflow

At this time the Online Fraud Reporting System (OFRS) is going through a redesign. The enhancements have been posted poned pending completion of the redesign.

As of 2013 the Antifraud Task Force began tracking and reporting on requests for enhancements to the Online Fraud Reporting System (OFRS), This new process with the Uniform System Enhancement Request (USER) process will ensure that all requests are acknowledged and tracked.

The NAIC understands that enhancement request(s) are open and transparent for public exposure. Therefore an ongoing USER Form Status Report will be updated and posted for changing progress.

NAIC Uniform System Enhancement Request (USER) Form Template

NAIC USER Form Status Report

2014 Status Reports

2015 Status Reports

2016 Status Reports

April

Meeting Materials

Related NAIC Publications

Minutes for recent national meetings are available for meeting attendees via an event app within 10 days after a meeting concludes. On the NAIC.org website, free access to meeting minutes is available 30 days after a meeting concludes. They are posted to the interactive agenda for each meeting tab on the meetings page. The Proceedings of the NAIC are made available after the minutes are adopted at each subsequent meeting and may be accessed via the NAIC Publications page.

Contacts

Media Inquiries
(816) 783-8909
news@naic.org

Greg Welker

Antifraud & Producer Licensing Program Manager
Phone: 816-783-8872

Please see the current Committee List for a complete list of committee members.

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