What does fraudulent insurance mean?

Insurance fraud is a kind of insurance fraud, and it is very common to cheat medical insurance and insurance.

Both parties may constitute insurance fraud. If the insured in an insurance relationship does not abide by the principle of good faith, deliberately conceals the true situation of the subject matter insured, induces the insurer to underwrite, or uses the contents of the insurance contract to deliberately create or fabricate an insurance accident to cause damage to the insurance company in order to obtain insurance compensation, it belongs to the fraud of the insured.

Insurers engage in business without necessary solvency or approval, and take advantage of the opportunity of formulating insurance clauses and insurance rates, or exaggerate the scope of insurance liability to induce and deceive the insured and the insured, which belongs to insurer fraud. Once insurance fraud is implemented, it will inevitably produce harmful results and needs to be strictly guarded against.

Extended data

Disposal of fraudulent insurance:

20 18 12 15 the national medical insurance bureau issued the interim measures for rewarding medical insurance funds for reporting fraudulent insurance. The "Measures" clarify the fraudulent insurance behaviors involving designated medical institutions and their staff, designated retail pharmacies and their staff, insured persons, and staff of medical insurance agencies. The medical security department in the overall planning area can reward qualified informants according to a certain proportion of the amount of fraudulent insurance, with a maximum of 654.38+10,000 yuan. In principle, non-cash payment is adopted.

20 19 With the support of big data technology, Nanjing Public Security Bureau conducted an industry "clean-up" on auto insurance fraud. In this "clean-up", Nanjing Public Security Bureau destroyed 109 insurance fraud gangs at one time, detected nearly 4,000 insurance fraud cases, and arrested 356 gang leaders and related personnel.

20 19 Yunnan province continues to crack down on insurance fraud. As of 20 19, 1 65438+126, the province * * inspected designated medical institutions 17857, handled 3984 designated medical institutions, suspended medical insurance services in 299, cancelled service agreements and closed payment systems in 63.

Baidu encyclopedia-fraudulent insurance

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