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Texas Department of Insurance
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Fast facts and FAQ

Fiscal Year 2021 statistics
Description Count/Figure
Fraud reports received 14,645
Cases opened for investigation 198
Indictments or information issued resulting from investigations 38
Fines assessed by courts on Fraud Unit cases $14,500
Restitution assessed by courts on Fraud Unit cases $53.8 million
Subpoenas issued 239

How serious is the insurance fraud problem?

According to the Coalition Against Insurance Fraud:

  • “The FBI estimates non-medical insurance fraud to be at least $40 billion every year.”
  • “Fraud occurs in about 10% of property-casualty losses.”

According to the National Health Care Anti-Fraud Association:
“… the financial losses due to health care fraud are in the tens of billions of dollars each year. A conservative estimate is 3% of total health care expenditures, while some government and law enforcement agencies place the loss as high as 10% of our annual health outlay, which could mean more than $300 billion.”

According to the FBI:
“… Insurance Fraud costs the average U.S. family between $400 and $700 per year in the form of increased premiums.”

Who pays for insurance fraud?

Insurance companies, policy holders, and taxpayers pick up the tab through increased insurance rates, higher taxes, and inflated prices for consumer goods and services.

Who commits insurance fraud?

Insurance fraud perpetrators can be members of complex organized fraud rings or a neighbor looking for additional income. People who would never think of committing a crime can find the temptations of claim money from insurance fraud hard to resist.

For more information, contact:

Last updated: 2/18/2022