7
State Variations of Fraud Warnings
Kindly refer to the applicable fraud warnings for your state of residence.
Arizona For your protection Arizona law requires the
following statement to appear on this form. Any person
who knowingly presents a false or fraudulent claim for
payment of a loss is subject to criminal and civil penalties.
California For your protection California law requires
the following to appear on this form: Any person who
knowingly presents a false or fraudulent claim for the
payment of a loss is guilty of a crime and may be subject to
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Colorado It is unlawful to knowingly provide false,
incomplete, or misleading facts or information to an
insurance company for the purpose of defrauding or
attempting to defraud the company. Penalties may
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damages. Any insurance company or agent of an insurance
company who knowingly provides false, incomplete,
or misleading facts or information to a policyholder or
claimant for the purpose of defrauding or attempting
to defraud the policyholder or claimant with regard to a
settlement or award payable from insurance proceeds
shall be reported to the Colorado Division of Insurance
within the department of regulatory agencies.
District of Columbia Any person who knowingly presents
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or knowingly presents false information in an application
for insurance is guilty of a crime and may be subject to
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Florida Any person who knowingly and with intent to
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claim or an application containing any false, incomplete,
or misleading information is guilty of a felony of the third
degree.
Maryland Any person who knowingly or willfully
presents a false or fraudulent claim for payment of a loss
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information in an application for insurance is guilty of a
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prison.
New Jersey$Q\SHUVRQZKRNQRZLQJO\ƬOHVD
statement of claim containing any false or misleading
information is subject to criminal and civil penalties.
New York Any person who knowingly and with intent
to defraud any insurance company or other person
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containing any materially false information, or conceals
for the purpose of misleading, information concerning
any fact material thereto, commits a fraudulent
insurance act, which is a crime, and shall also be subject
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the stated value of the claim for each such violation.
Oregon Any person who knowingly and with intent
to defraud any insurance company or other person
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containing any materially false information or conceals,
for the purpose of misleading, information concerning
any fact material thereto may be subject to prosecution
for insurance fraud. Any person who provides mis-
information material to the content of the contract,
which is relied upon by the insurer, and which is either
material to the risk assumed by the insurer or provided
fraudulently, may be subject to the denial of insurance
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Pennsylvania Any person who knowingly and with
intent to defraud any insurance company or other person
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containing any materially false information or conceals
for the purpose of misleading, information concerning
any fact material thereto commits a fraudulent insurance
act, which is a crime and subjects such person to criminal
and civil penalties.
Puerto Rico Any person who knowingly and with the
intention of defrauding presents false information in
an insurance application, or presents, helps, or causes
the presentation of a fraudulent claim for the payment
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one claim for the same damage or loss, shall incur a
felony and, upon conviction, shall be sanctioned for
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imprisonment for three (3) years, or both penalties.
Should aggravating circumstances be present, the
penalty thus established may be increased to a
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are present, it may be reduced to a minimum of
two (2) years.
Other States Any person who knowingly and with the
intent to defraud any insurance company or other person
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containing any materially false information, or conceals,
for the purpose of misleading, information concerning
any fact material thereto, commits a fraudulent
insurance act, which is a crime and subjects such person
to criminal and civil penalties. Penalties may include
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if a person provides false information.
23442 (5/2018)
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