(1) Every insurer admitted to do business in the Commonwealth shall maintain effective procedures and resources to deter and investigate fraudulent insurance acts prohibited by this subtitle, including a unit that will investigate suspected fraudulent insurance acts. For the purpose of this section, “insurer” does not include reinsurers or reinsurance as defined in KRS § 304.5-130.
(2) Insurers may maintain the unit required by subsection (1) of this section, using its employees or by contracting with others for that purpose.

Terms Used In Kentucky Statutes 304.47-080

  • Fraud: Intentional deception resulting in injury to another.

(3) Insurers shall establish the unit required by this section no later than July 15, 1995. (4) The unit may include the assignment of fraud investigation to employees whose
principal responsibilities are the investigation and disposition of claims. If an
insurer creates a distinct unit, hires additional employees, or contracts with another entity to fulfill the requirements of this article, the additional cost incurred shall be included as an administrative expense.
Effective: July 14, 2000
History: Amended 2000 Ky. Acts ch. 253, sec. 9, effective July 14, 2000. — Amended
1998 Ky. Acts ch. 129, sec. 1, effective July 15, 1998. — Created 1994 Ky. Acts ch.
496, sec. 24, effective July 15, 1994.