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PA Insurance Fraud Prevention Authority: Fighting Insurance Fraud

The Pennsylvania Insurance Fraud Prevention Authority (IFPA) was created by an Act of the Pennsylvania General Assembly in 1995. This Act established IFPA as an independent Commonwealth agency whose sole purpose is to combat insurance fraud throughout the state.

The Pennsylvania Insurance Fraud Prevention Authority (IFPA) was created by an Act of the Pennsylvania General Assembly in 1995. This Act established IFPA as an independent Commonwealth agency whose sole purpose is to combat insurance fraud throughout the state.

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About IF<strong>PA</strong> <strong>Fraud</strong><br />

The Pennsylvania <strong>Insurance</strong> <strong>Fraud</strong> <strong>Prevention</strong> <strong>Authority</strong> (IF<strong>PA</strong>) was created by an Act of<br />

the Pennsylvania General Assembly in 1995. This Act established IF<strong>PA</strong> as an independent<br />

Commonwealth agency whose sole purpose is to combat insurance fraud throughout the<br />

state.<br />

Mission<br />

Since the IF<strong>PA</strong>’s inception, the organization has evolved into a highly collaborative network<br />

that enlists the talents of some of our Commonwealth’s most experienced fraud-fighting<br />

professionals.<br />

The IF<strong>PA</strong> mission is three-fold. The <strong>Authority</strong> helps provide law enforcement and<br />

prosecutors the necessary resources to fight insurance fraud in the Commonwealth, works<br />

to prevent consumer fraud through public awareness, and advises the Governor and the<br />

General Assembly on the nature and scope of the insurance fraud problem in Pennsylvania.


Strategy<br />

The Pennsylvania <strong>Insurance</strong> <strong>Fraud</strong> Protection <strong>Authority</strong> is funded by annual assessments<br />

levied on all insurance companies that write policies within our state. While the IF<strong>PA</strong>’s<br />

work benefits all citizens of Pennsylvania‚ no taxpayer dollars are used to support its<br />

efforts.<br />

The majority of the IF<strong>PA</strong>’s budget is directed toward funding fraud–fighting units that<br />

investigate and prosecute insurance fraud. Currently‚ the IF<strong>PA</strong> commits $12.5 million<br />

annually to the support of 14 law enforcement agencies throughout the state. The IF<strong>PA</strong> also<br />

invests a half-million dollars each year in fraud prevention initiatives‚ such as public<br />

education to discourage instances of opportunistic fraud before they even occur.<br />

Effectiveness<br />

The IF<strong>PA</strong>’s strategic allocation of resources has paid dividends in the fight against<br />

insurance fraud in Pennsylvania.<br />

The <strong>Authority</strong>’s support of enforcement efforts has had a significant impact in identifying<br />

and prosecuting those who commit insurance fraud. Since 1996‚ IF<strong>PA</strong>–funded units have<br />

been responsible for:<br />

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<br />

<br />

<br />

<br />

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6,224 arrests<br />

3,713 convictions<br />

1,681 Accelerated Rehabilitative Dispositions (ARD)<br />

over $2.6 million in court–ordered fines<br />

$2.4 million in civil penalties<br />

$56.4 million in restitution<br />

(Information presented is current through December 2013)<br />

The IF<strong>PA</strong>’s public outreach and educations have also been beneficial to the Commonwealth.<br />

Research has been undertaken to track public awareness of the issue of insurance fraud<br />

and identify pockets of opportunity within our state’s population where opportunistic<br />

fraud can be effectively discouraged. In June 2009‚ the IF<strong>PA</strong> developed and launched a new<br />

prevention campaign which is being monitored for its effectiveness toward this end<br />

through regular follow-up research.<br />

Investigative Units<br />

The IF<strong>PA</strong>’s rationale for supporting law enforcement is simple‚ yet strategic. This funding<br />

supports the professionals who aggressively investigate and prosecute insurance fraud<br />

criminals. That’s precisely why the selected insurance fraud units receive financial<br />

resources from the IF<strong>PA</strong> for personnel‚ training‚ equipment and expenses.


These include an <strong>Insurance</strong> <strong>Fraud</strong> Section in the Pennsylvania Office of Attorney General<br />

and an insurance fraud unit in the Philadelphia District Attorney’s Office‚ as well as other<br />

state and local level fraud prosecution and fraud prevention programs.<br />

Grants fund insurance fraud units in Allegheny‚ Cumberland‚ Delaware‚ Erie‚ Lehigh‚<br />

Montgomery, Philadelphia and York counties‚ as well as a Lackawanna County task force<br />

covering eleven northeastern counties. The IF<strong>PA</strong> also extends grants to the Pennsylvania<br />

State Police and the Dauphin County District Attorney to support arson investigations and<br />

to the Pennsylvania <strong>Insurance</strong> Department to support examinations of the anti–fraud<br />

programs of insurers.

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