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State Insurance Trade Associations Annual Conference October 4, 2010 Alan Haskins, Director of Government Affairs Tim Lynch, Director of Government Affairs
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Mission and Vision Mission: To lead a united effort of insurers, law enforcement agencies and representatives of the public to prevent and combat insurance fraud and crime through Data Analytics, Investigations, Training, Legislative Advocacy (GA) and Public Awareness. Vision: To be the preeminent organization fighting insurance fraud and crime.
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Data Analytics Investigations Training Legislative Advocacy (Government Affairs) Public Awareness NICB Disciplines
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Medical Questionable Claims
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Medical QC By State
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Medical Fraud January 1 – June 30, 2010
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Major Medical Fraud Task Forces Florida (Miami) - 2002 New York - 2002 California (Los Angeles) - 2007 Texas (Houston) - 2007 D.C. - 2008 Florida (Tampa/Orlando) - 2010 PA, NJ, & DL (Edison, NJ) - 2010
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Major Medical Fraud Task Forces What do they do? Collect and analyze questionable medical fraud claims Disseminate strategic and tactical alerts to NICB members Joint investigations Support prosecutive efforts License sanctioning actions by state regulatory agencies
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Key Federal & State Issues
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Federal Issues National Motor Vehicle Title Information System (NMVTIS) Health Care Reform Cheaper Car Insurance Act
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NMVTIS Provides an electronic means for verifying and exchanging title, brand, and theft data among motor vehicle administrations, law enforcement, prospective purchasers, and insurance carriers NICB appointed to DOJ NMVTIS Advisory Board -Enhancements -Reduce negative impacts on affected industries -Self-funded -Next meeting Oct. 7-8, 2010
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Health Care Reform Administration continues to emphasize the need for anti-fraud measures - Directed U.S. Attorneys to increase fraud investigations - HHS to hold regional anti-fraud summits around the country: Las Vegas, Detroit, Philadelphia, New York, Boston, and Los Angeles - Needs effective implementation
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Health Care Reform Dual approaches to establishing a public-private partnership Dual approaches to establishing a public-private partnership - First folds partnership into current HEAT Program - Second establishes free standing advisory committee NICB, CAIF, and NHCAA have expertise that can be of great help to DOJ, HHS and the Administration
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Auto Fraud Auto Fraud 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 penalties o mandates establishment of anti-fraud task forces by DOJ o authorizes insurers to require pre-inspection -Begin outreach to establish common industry position
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State Issues State 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
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State Issues State 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
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State Issues State 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
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Strategies
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Strategies Strategies
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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.
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Strategies Strategies Key Take-a-ways Government Affairs and Support - Legislative - Regulatory access - Expert witness and testimony Reputation - NICB 100 year history
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