The Louisiana Department of Insurance published a bulletin informing insurers of the amended anti-fraud plan filing requirements as a result of the passing of Act 614 of the 2024 Legislative Regular Session.

Insurers are required to file with the Department their anti-fraud plan, material changes to the plan, and a mandatory annual summary report in electronic format. These must be filed before April 1 every year.

The amended requirements state that insurers must file a summary report of any material change to their anti-fraud plan, including the following information:

• The total number of claims and the number of claims referred to the Commissioner as suspicious
• The number of policies in effect
• The amount of premiums written
• The number of claims received
• The number of claims referred to the insurer’s fraud investigators
• The number of claims investigated by the insurer’s fraud investigators
• The number of fraud matters investigated that were not claim related
• The number of cases referred to the Department
• The estimated dollar amount of losses and the estimated dollar amount of recoveries attributable to fraudulent insurance acts 
• The dollar amount of claims denied or not paid based on fraud investigation
• The amount of resources committed to investigating fraud for the prior year, organized by product line.

Authorized insurers and health maintenance organizations are required to comply with the statute.