"Insurance Company Fraud Contact Form" - Nebraska

Insurance Company Fraud Contact Form is a legal document that was released by the Nebraska Department of Insurance - a government authority operating within Nebraska.

Form Details:

  • The latest edition currently provided by the Nebraska Department of Insurance;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Nebraska Department of Insurance.

ADVERTISEMENT
ADVERTISEMENT

Download "Insurance Company Fraud Contact Form" - Nebraska

295 times
Rate (4.4 / 5) 15 votes
RE: Insurance Company – Fraud Contact
The Insurance Fraud Prevention Division (IFPD) of the Nebraska Department of Insurance is requesting your
assistance in updating and expanding the IFPD’s list of a current contact responsible for investigating insurance
fraud cases involving your company. This will allow the IFPD to communicate with the appropriate member of
your staff and make the gathering of evidence and sharing of information more efficient.
Please complete the form below and return it to the Nebraska Department of Insurance by March 1. This form
may be submitted with your premium tax forms or mailed to P. O. Box 82089, Lincoln, NE 68501-2089; faxed
to 402.471.8335; or e-mailed to DOI.FraudPrevention@nebraska.gov.
If you suspect fraud, you are required to report it (Neb.Rev.Stat. §44-393)! Prosecution is more likely to occur
if we join together as many claims or instances of wrongdoing into a single case. This demonstrates a systematic
pattern of criminal conduct that is likely to get prosecutor’s attention.
If
you
have
any
questions
or
comments,
please
contact
the
Fraud
Division
at
DOI.FraudPrevention@nebraska.gov. Thank you for your cooperation and continued support in our mutual effort
in the fight against insurance fraud.
NAIC
Co. #
Insurance Company
Name
*Fraud Contact
Title
Mailing Address
City, State, Zip Code
Telephone
Facsimile
Email Address
Use the table below to list additional insurance companies represented by the fraud contact listed above.
NAIC Co. #
Insurance Company Name
*List only one (1) fraud contact per company.
Bruce R. Ramge, Director
Department of Insurance
941 O Street, Suite 400
402-471-2201
402-471-4610
OFFICE
FAX
P.O. Box 82089
www.doi.nebraska.gov
Lincoln, Nebraska 68501-2089
RE: Insurance Company – Fraud Contact
The Insurance Fraud Prevention Division (IFPD) of the Nebraska Department of Insurance is requesting your
assistance in updating and expanding the IFPD’s list of a current contact responsible for investigating insurance
fraud cases involving your company. This will allow the IFPD to communicate with the appropriate member of
your staff and make the gathering of evidence and sharing of information more efficient.
Please complete the form below and return it to the Nebraska Department of Insurance by March 1. This form
may be submitted with your premium tax forms or mailed to P. O. Box 82089, Lincoln, NE 68501-2089; faxed
to 402.471.8335; or e-mailed to DOI.FraudPrevention@nebraska.gov.
If you suspect fraud, you are required to report it (Neb.Rev.Stat. §44-393)! Prosecution is more likely to occur
if we join together as many claims or instances of wrongdoing into a single case. This demonstrates a systematic
pattern of criminal conduct that is likely to get prosecutor’s attention.
If
you
have
any
questions
or
comments,
please
contact
the
Fraud
Division
at
DOI.FraudPrevention@nebraska.gov. Thank you for your cooperation and continued support in our mutual effort
in the fight against insurance fraud.
NAIC
Co. #
Insurance Company
Name
*Fraud Contact
Title
Mailing Address
City, State, Zip Code
Telephone
Facsimile
Email Address
Use the table below to list additional insurance companies represented by the fraud contact listed above.
NAIC Co. #
Insurance Company Name
*List only one (1) fraud contact per company.
Bruce R. Ramge, Director
Department of Insurance
941 O Street, Suite 400
402-471-2201
402-471-4610
OFFICE
FAX
P.O. Box 82089
www.doi.nebraska.gov
Lincoln, Nebraska 68501-2089