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«Insurance Fraud Bureau: Does Wisconsin Really Need One? Nathan L. Taarud Abstract Wisconsin is one of nine states without an insurance fraud bureau. ...»

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5. Is there anything else you would like to add?

Questionnaire for Anti-Fraud Leaders/Managers

1. Some in Wisconsin do not believe enough frauds and swindles exist in Wisconsin to justify a state fraud bureau. Do you agree or disagree with his belief? Why or why not?

2. Do you believe Wisconsin residents can benefit from the existence of a state fraud bureau and if so how?

3. Do you believe charging and convicting more people for insurance fraud will result in reduced premiums? If not, should that matter?

4. Regarding states with state fraud bureaus, what do you believe was the single greatest challenge for their creation?

5. What other, if any, recommendations would you make regarding whether or not Wisconsin should create a state fraud bureau?

6. Is there anything else you would like to add?

Questionnaire for Insurance Fraud Experts

1. Wisconsin prosecutes/convicts fewer insurance fraudsters than most states in the United States. When compared with Iowa for instance, Wisconsin convicts half as many fraudsters per capita. Why do you think this is?

2. In your ______ years of insurance fraud investigation, how many cases of insurance fraud have you investigated?

3. How many of the cases you have investigated, do you believe actually contained some element of fraud?

4. Approximately how many of your cases have seen charged in court?

5. How do you explain the above numbers?

6. What do you believe sets Wisconsin apart from most other states that prosecute more cases of insurance fraud?

7. Is there anything else you would like to add?

References

Abramovsky, A. (2005). Criminal law and procedure; organized crime control act:

Insurance Fraud and Attorney. [Electronic version]. New York Law Journal, May 13, 3.

Accenture. (2003, February 12). One-Fourth of Americans Say it's Acceptable to Defraud Insurance Companies, Accenture Survey Finds (2003 News Release). Florham Park, NJ: Marykate Reese. Retrieved May 22, 2005, from Accenture.com Web site: http://accenture.com/xd/ xd.asp?it=enweb&xd=_dyn/dynamicpressrelease_577.xml Agencies Attack Insurance Fraud in Lawrence. Ifb E-Report. Retrieved May 9, 2005, from Insurance Fraud Bureau Web site: www.ifb.org/CIFI/Lawrence/ lawrence.com

Albrecht & Albrecht. (2004). Fraud Examination & Prevention. Mason, OH:

Thomson/South-Western.

Asian Organisation of Supreme Audit Institutions. (2005). Understanding fraud and corruption. Retrieved June 15, 2005, from http://www.asosai.org/guidelines/guide_un_st_fru_corruption.htm Baldauf, S. (1995). State Cracks Down on fake job injuries. [Electronic version].

Christian Science Monitor, 87(120), 4.

Beadle, J., & Pinder, J. (2005, February 24). Claims Supplement; Insurance Fraud; the one that got away. [Electronic version]. Post Magazine, 22.

Boyd, W. & Stempel, J. (Sept 1999). Attorney General's prosecution of law firm for auto industry fraud not improper or unconstitutional because of funding by and contact with state. [Electronic version]. Journal of Risk and Insurance, 66:3, 505.

“Claims Fraud” Brochure. Property Casualty Insurers Association of American.

Retrieved from PCI Website on August 4, 2005 from:

www.pciaa.net/sitehome.nsf/main Coalition Against Insurance Fraud. (2002). Latest Study-Fraud Bureaus. A statistical study of state insurance fraud bureaus: a quantitative analysis

from 1995 to 2002. Retrieved on June 15, 2005 from:

http://insurancefraud.org/fraud_bureaus/convictions.htm Coalition Against Insurance Fraud. (2005). Insurance Fraud: The crime you pay for (Consumer Information). Washington, DC. Retrieved May 22, 2005, from: http://www.insurancefraud.org/fraud_backgrounder_set.html Cornejo, R. (2005, May 17). New Jersey Adopts New Rule For Insurers' FraudPrevention Reports. [Electronic version]. Bestweek.

Crimes and Offenses, Pennsylvania State, Title 18, Chapter 41, SS 4117, (a) 2.

D&M Disney & Associates, Inc. (2005). Fraud Defined. Retrieved June 15, 2005 from http://www.dmdisney.com/Fraud_Defined.htm The Disaster Center (2005). United States: Uniform Crime Report-State Statistics from 1960-2004. Data Source: FBI Uniform Crime Reports 1960-2000.

Retrieved on July 9, 2006 from The Disaster Center Web site:

http://www.disastercenter.com/crime/ FedStats. (2000). Arrests in Dane county Wisconsin. Retrieved on June 16, 2005 from: http://www.fedstats.gov/mapstats/arrests/county/55025.html Genera Cologne Re. (2001), “Guide on insurance fraud-insurance fraud reporting and immunity statutes”, With Katten Muchin Zavis, 2001, 1-48. [IFFR-318].

Abstract

received from Insurance Fraud Research Register on July 7, 2006 from: http://www.derrig.com/ifrr/Search_Title.asp Grzincic, B. (2005, May 11). MD lawyer disbarred over false bill to her own insurer. [Electronic version]. The Baltimore Daily Record.

Insurance Fraud Bureau’s 2004 Annual Report (2004). Expansion of the task

force concept. Retrieved from IFB Web site on August, 4, 2005 from:

www.ifb.org/STATS/statistics/mainframe.htm Insurance Information Services. (2005). Hot topics & issue updates. Insurance

fraud. Retrieved June 15, 2005 from:

http://www.iii.org/media/hottopics/insurance/fraud/?table_sort_717120=5 Insurance Services Organization. (1992, 1997). Fighting Insurance Fraud-Survey of Insurer Anti-Fraud Efforts [Executive Summary]. Available from http:// www.iso.com/studies_analyses/docs/study017.html Kriedler, M. 2006. Washington State Office of the Insurance Commissioner. OIC News Release, January 16, 2006. Retrieved on January 26, 2006 from;

http://www.insurance.wa.gov/news/dynamic/newsreleasedetail.asp?rcdNu m=485 National Association of Mutual Insurance Companies. (2005, March 28).

Insurance Fraud: Most States Take Action to Curb Abuses. Vermont One the Last States To Act (Public Policy Paper). Washington, DC: Kenneth Marshall.

National Association of Mutual Insurance Companies (2005). Statutory Remedies to Curb Fraud Abuse Spreading Across U.S. Retrieved July 6, 2006, from NAMIC Web site: www.namic.org/newreleases05/050525nr1.asp National Insurance Crime Bureau. (2002). 2002 Annual Report. In Fraud Solutions Now. Palos Hills, Illinois. Retrieved May 22, 2005, from NICB Web site: www.nicb.org/public/publications/annualreport2002.pdf National News. Accenture survey targets industry fraud. Insurance Journal, May 25, 2004. Retrieved from Insurance Journal Web site on July 7, 2006

from:

http://www.insurancejournal.com/news/national/2004/05/25/42545.htm Nearly 1 in 10 Consumers Likely to Commit Insurance Fraud. The Daily Fraud

Caster (2001). Retrieved May 22, 2005, from Insurance Journal Web site:

http://www.insurancejournal.com/news/national/2001/09/07/14267.htm

Quiggle, J. (2005, April). Fraud Bureaus Deliver Despite Tough Resources:

Agencies stretched as fraud cases keep pouring in. Coalition Against Insurance Fraud. Retrieved May 22, 2005, from www.insurancefraud.org/releases_2005_set.html. (See also http://insurancefraud.org/siu_study.htm for the actual study report.) Rabe, B. & Champion, D. (2002). Criminal Courts Structure, Process and Issues (Special Edition (University of Phoenix) ed.). Upper Saddle River, New Jersey: Prentice-Hall, Inc.

Shaw, S. (2005). Lenient Laws Blamed as cases of fraud double to 756 M.

[Electronic version]. The Independent, 3/29/05(1st Edition), 19.

State of New York. (2004). In Press Office (NA) (Ed.), Governor Pataki Announces Reduction In Auto Insurance Rates. Success of Anti-Fraud Measures Reaffirms the Need for Even Tougher Measures. [Electronic

version]. (Release Date July 7, 2004). New York City, New York:

Executive Chamber. Retrieved July 8, 2006 from New York’s Press Office from Web site: www.ins.state.ny.us/press/2004/p0407071.htm Superintendent of Insurance Howard Mills. (2005). The Annual Report to the Governor and the Legislature of the State of New York on the Operations

of the Insurance Fraud Prevention Act [Electronic version]. New York:

State of New York Insurance Department Sutherland. E. (1940). White-collar criminality. [Electronic version]. American Sociological Review, 5(1), 1-12.

Virginia State Police news release. (2006, March 28). Virginia: 2005 Statistics Show Continued Success in Stamping Out Insurance Fraud. Message posted to NAMIC Online electronic mailing list, archived at www.naimc.org/topnews/060328st3.asp

Wisconsin Workers Compensation. (2000). Annual report for calendar year 1999:

allegations of worker’s compensation fraud. State of Wisconsin workforce development worker’s compensation division November 1, 2000.

Retrieved on June 16, 2005 from:

http://www.dwd.state.wi.us/wc/fraud/1999_Fraud_Report.htm



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