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North Carolina Fraud Reporting

Mandatory Fraud Reporting Statute(s)

NCGS § 58-2-163 report to Commissioner:

Whenever any insurance company, or employee or representative of such company, or any other person licensed or registered under Articles 1 through 67 of this Chapter knows or has reasonable cause to believe that any other person has violated G.S. 58-2-161, 58-2-162, 58-2-164, 58-2-180, 58-8-1, 58-24-180(e), or whenever any insurance company, or employee or representative of such company, or any other person licensed or registered under Articles 1 through 67 of this Chapter knows or has reasonable cause to believe that any entity licensed by the Commissioner is financially impaired, it is the duty of such person, upon acquiring such knowledge, to notify the Commissioner and provide the Commissioner with a complete statement of all of the relevant facts and circumstances. Such report is a privileged communication, and when made without actual malice does not subject the person making the same to any liability whatsoever. The Commissioner may suspend, revoke, or refuse to renew the license of any licensee who willfully fails to comply with this section. (1945, c. 382; 1987, c. 752, s. 2; 1989 (Reg. Sess., 1990), c. 1054, s. 2; 2007-443, s. 4.)


*Statutory references within NCGS § 58-2-163 (above) are to:
• NCGS 58-2-161, false statement re a claim
• NCGS 58-2-162, embezzlement by an insurance agent
• NCGS 58-2-164, for auto insurance – does not apply for title insurance
• NCGS 58-2-180, willful misstatement re financial or other statement required by this Chapter
• NCGS 58-8-1, applies to a mutual insurance company – not applicable to ANTIC
• NCGS 58-24-180(e), applies to a fraternal benefit society – not applicable to ANTIC

How to Report Fraud

North Carolina Department of Insurance Criminal Investigations Division:
www.NC DOI.Com

Methods of reporting fraud are as follows: