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

Public Conference Call
Thursday, May 19, 2022
1:00 PM ET, 12:00 PM CT, 11:00 AM MT, 10:00 AM PT
Expected Length of Call: 1 hr
Webex Link

The goal of this conference call will be to review the final draft of the Antifraud Plan Repository Template and Workflow document to potentially adopt. Once adopted the Working Group will expose to the Antifraud (D) Task Force for comment and eventual adoption.

Agenda: Coming Soon

See all Current Exposure Drafts

Antifraud Plan Guideline

The Antifraud Technology (D) Working Group has been reviewing the 2011 NAIC Antifraud Plan Guideline for potential revisions. The focus has been to reorganize the guidelines into a more intuitive order, to eliminate repetitive requirements within the existing guidelines, and add suggestions to better meet existing requirements for nearly all states.

In order to finalize the review of the NAIC Antifraud Plan Guideline the Working Group will be holding conference calls through October. The dates for the scheduled conference calls are listed below.

Conference Call Schedule:

Thursday, September 17th - 9am Alaska/10am Pacific/11am Mountain/12pm Central/1pm Eastern
- Webex Link
- Agenda: 9.17.20

Wednesday, October 14th - 9am Alaska/10am Pacific/11am Mountain/12pm Central/1pm Eastern
- Webex Link
- Agenda - 10.14.20

Thursday, October 29th - 9am Alaska/10am Pacific/11am Mountain/12pm Central/1pm Eastern
- Webex Link
- Agenda - 10.29.20

NAIC 2011 Antifraud Plan Guideline

Comments Received by January 5, 2020

MN DOI - 1.2.20

Center For Economic Justice - 3.12.20

Coalition Against Insurance Fraud - 12.26.20

NAMIC - 1.11.20

NICB - 12.26.20

Comments Received by September 8, 2020 (Draft 3 8.3.20)

AIG - 9.5.20

American Property Casualty Insurance Association - 9.8.20

Center For Economic Justice - 9.8.20

Coalition Against Insurance Fraud - 9.8.20

All Comments Compiled - 9.16.20

Guideline Drafts

At this time the Online Fraud Reporting System (OFRS) is going through a redesign. The enhancements have been postedponed 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.

Contacts

Services

Resources

Support

Insurance Departments

Search NAIC

Recommended

Contacts