1.    The North Dakota insurance fraud unit is established within the insurance department.

Terms Used In North Dakota Code 26.1-02.1-08

  • Arrest: Taking physical custody of a person by lawful authority.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • Person: means an individual, organization, government, political subdivision, or government agency or instrumentality. See North Dakota Code 1-01-49
  • Probable cause: A reasonable ground for belief that the offender violated a specific law.
  • State: when applied to the different parts of the United States, includes the District of Columbia and the territories. See North Dakota Code 1-01-49

The commissioner may appoint the full-time supervisory and investigative personnel of the insurance fraud unit, who must be qualified by training and experience to perform the duties of their positions. The commissioner may also appoint clerical and other     staff necessary for the insurance fraud unit to carry out its duties and responsibilities under this chapter.

2.    The insurance fraud unit shall:

a.    Initiate independent inquiries and conduct independent investigations when the insurance fraud unit has cause to believe that a fraudulent insurance act may be, is being, or has been committed; b.    Review reports or complaints of alleged fraudulent insurance activities from federal, state, and local law enforcement and regulatory agencies, persons engaged in the business of insurance, and the public to determine whether the reports require further investigation and to conduct these investigations; and

c. Conduct independent examinations of alleged fraudulent insurance acts and undertake independent studies to determine the extent of fraudulent insurance acts.

3.    The insurance fraud unit may:

a.    Inspect, copy, or collect records and evidence; b.    Serve subpoenas; c.    Administer oaths and affirmations; d.    Share records and evidence with federal, state, or local law enforcement or regulatory agencies; e.    Execute search warrants and arrest warrants for criminal violations of this chapter; f.    Arrest upon probable cause without warrant a person found in the act of violating or attempting to violate a provision of this chapter; g.    Make criminal referrals to prosecuting authorities; and

h.    Conduct investigations outside of this state. If the information the insurance fraud unit seeks to obtain is located outside this state, the person from whom the information is sought may make the information available to the insurance fraud unit to examine at the place where the information is located. The insurance fraud unit may designate a representative, including an official of the state in which the matter is located, to inspect the information on behalf of the insurance fraud unit, and the insurance fraud unit may respond to a similar request from an official of another state.