State and Federal Law

CHAPTER 35. INSURANCE FRAUD


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This section of the Texas Penal Code establishes the legal framework for identifying and punishing insurance fraud. It defines fraudulent activity as intentionally providing false or misleading material information to an insurer during the application process or when submitting a claim for payment. The severity of the criminal penalties is primarily dictated by the monetary value of the fraudulent claim, ranging from minor misdemeanors to high-level felonies. Additionally, the law outlines how claim values are calculated and permits the aggregation of multiple offenses into a single, more serious charge if they are part of a continuous scheme. Convicted individuals are legally required to pay restitution to the victimized insurance providers, covering costs such as legal fees. Finally, the statutes authorize the Attorney General to assist local prosecutors in investigating and litigating these financial crimes.

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State and Federal LawBy Ethical Badge