Idaho State Statutes - Idaho Attorney Directory

Any insurer which has facts to support a
belief that a fraudulent claim is being or has been made shall, within sixty
(60) days of the receipt of such notice, send to the director of insurance, on
a form prescribed by the director, the information requested and such
additional information relative to the claim and the parties claiming loss or
damages as the director may require. The director of the department of
insurance shall review such reports and select such claims as, in his
judgment, may require further investigation. He shall then cause an
independent examination of the facts surrounding such claim to be made to
determine the extent, if any, to which fraud, deceit, or intentional
misrepresentation of any kind exists in the submission of the claim. The
director of the department of insurance shall report any alleged violations of
law which his investigations disclose to the appropriate licensing agency and
prosecuting authority having jurisdiction with respect to any such violation.
If, upon examination, the director of the department of insurance
determines that an insurer has intentionally not reported a claim when the
insurer had facts to support a belief that the claim was fraudulent in
accordance with the provisions of this chapter, the director may impose fines
and penalties pursuant to section 41-327, Idaho Code, for each unreported
suspected fraudulent claim.

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