Florida
Department of
Financial Services
Fiscal Year Statistics 2007/2008:
Professionalism
Referrals
9,916
Presentations 873
Arrests
816
Convictions 663
Court Ordered Restitution $94,103,679.08
Fiscal Year Statistics 2006/2007:
Referrals
11,812
Presentation
727
Arrests
819
Convictions
590
Court Ordered Restitution $847,467,524.52
Accountability
Commitment
Division of
Insurance Fraud
A State Law Enforcement Agency
Fiscal Year Statistics 2005/2006:
Referrals
12,920
Presentations
759
Arrests
795
Convictions
620
Court Ordered Restitution $115,633,666.59
Teamwork
2007/2008 Fiscal Year
Annual Report
Referrals
14,000
12,000
10,000
Fiscal Year 2005/2006
Fiscal Year 2006/2007
8,000
Fiscal Year 2007/2008
6,000
4,000
2,000
0
Presentations
900
800
700
600
Fiscal Year 2005/2006
Fiscal Year 2006/2007
500
400
300
200
100
0
Fiscal Year 2007/2008
Arrests
820
815
810
Fiscal Year 2005/2006
805
Fiscal Year 2006/2007
Fiscal Year 2007/2008
800
795
790
785
780
Convictions
680
660
640
620
600
580
560
540
Fiscal Year 2005/2006
Fiscal Year 2006/2007
Fiscal Year 2007/2008
STATISTICS FISCAL YEAR 2007/2008
FRAUD SPECIFIC ONLY (Does not include non-insurance fraud related data).
Referrals Fiscal Year 2007/2008
Application Fraud
Arson for Profit
Banking and Securities
Bonds
Commercial Fraud
Disability Fraud
Financial Fraud
Healthcare Fraud
Homeowner's Fraud
Identity Theft
Licensee Fraud
Life Insurance Fraud
Marine Fraud
My Safe Florida Home Fraud
Personal Injury Protection Fraud
Title Fraud
Unauthorized Entities Fraud
Vehicle Fraud
Warranty Fraud
Workers' Compensation Fraud
Arrests Fiscal Year 2007/2008
Application Fraud
Arson for Profit
Banking and Securities
Bonds
Commercial Fraud
Disability Fraud
Financial Fraud
Healthcare Fraud
Homeowner's Fraud
Identity Theft
Licensee Fraud
Marine Fraud
My Safe Florida Home Fraud
Other Agency Assist
Personal Injury Protection Fraud
Title Fraud
Unauthorized Entities Fraud
Vehicle Fraud
Workers' Compensation Fraud
Convictions Fiscal Year 2007/2008
Application Fraud
Arson for Profit
Banking and Securities
Bonds
Commercial Fraud
Disability Fraud
Financial Fraud
Healthcare Fraud
Homeowner's Fraud
Licensee Fraud
Life Insurance Fraud
Personal Injury Protection Fraud
Title Fraud
Unauthorized Entities Fraud
Vehicle Fraud
Workers' Compensation Fraud
Presentations Fiscal Year 2007/2008
Application Fraud
Arson for Profit
Banking and Securities
Bonds
Commercial Fraud
Disability Fraud
Financial Fraud
Healthcare Fraud
Homeowner's Fraud
Licensee Fraud
Marine Fraud
My Florida Safe Home Fraud
Personal Injury Protection Fraud
Title Fraud
Unauthorized Entities Fraud
Vehicle Fraud
Workers' Compensation Fraud
STAT PACK FISCAL YEAR 2007/2008
Case Totals by Case Type
From 7/1/2007 To 7/1/2008
ADMINISTRATIVE
Type of Case
BACKGROUND INVESTIGATION
EXTRA DUTIES PERFORMED
Complaints
Cases
Opened
Cases Presented for
Closed
Approval
Arrest
Convictions
40
79
69
29
0
0
0
1
1
0
0
0
15
0
0
0
0
0
55
0.55%
80
4.6%
70
3.99%
29
3.32%
0
0.00%
0
0.00%
Type of Case
Complaints
Cases
Opened
Arrest
Convictions
COMMERCIAL
18
4
6
1
1
2
2
0
0
0
0
0
TESTING
APPLICATION FRAUD
CREDIT LIFE
DISABILITY
Cases Presented for
Closed Prosecution
8
2
2
1
0
0
HEALTH
80
3
5
6
3
2
HOMEOWNERS
51
5
7
4
1
3
LIFE
83
8
5
5
3
0
286
66
58
44
38
19
4
0
0
0
0
0
532
5.37%
88
5.1%
83
4.73%
61
6.99%
46
5.64%
26
3.92%
VEHICLE
VESSEL
Thursday, August 07, 2008
Case Totals by Case Type
From 7/1/2007 To 7/1/2008
ARSON FOR PROFIT
Type of Case
Complaints
Cases
Opened
Arrest
Convictions
COMMERCIAL
9
1
1
0
1
0
HOME
54
4
3
0
0
1
VEHICLE
53
6
5
3
3
2
VESSEL
Cases Presented for
Closed Prosecution
1
0
0
0
0
0
117
1.18%
11
0.63%
9
0.51%
3
0.34%
4
0.49%
3
0.45%
Complaints
2
Cases
Opened
0
Arrest
0
Convictions
0
FINANCE FRAUD
3
0
0
0
0
0
FINANCIAL
1
0
0
0
0
0
114
17
4
1
1
2
BANKING AND SECURITIES
Type of Case
BANK FRAUD
MORTGAGE FRAUD
SECURITIES FRAUD
Cases Presented for
Closed Prosecution
0
0
5
1
3
0
2
5
125
1.26%
18
1.03%
7
0.39%
1
0.115%
3
0.37%
7
1.06%
Complaints
0
Cases
Opened
1
Arrest
2
Convictions
4
0
0.00%
1
0.06%
2
0.25%
4
0.60%
BONDS
Type of Case
FICTITIOUS BONDS
Thursday, August 07, 2008
Cases Presented for
Closed Prosecution
6
1
6
0.34%
1
0.115%
Case Totals by Case Type
From 7/1/2007 To 7/1/2008
COMMERCIAL
Type of Case
FICTITIOUS CERTIFICATE OF INSURANCE
FICTITIOUS CLAIM OR DAMAGE
FICTITIOUS LIABILITY CLAIM
ILLEGAL KICKBACKS
INFLATED CLAIM
LIFE
SLIP & FALL
VEHICLE
Complaints
Cases
Opened
Cases Presented for
Closed Prosecution
Arrest
Convictions
22
10
13
5
3
4
107
14
10
5
6
1
47
1
1
1
1
1
3
1
2
1
1
0
53
7
5
2
0
0
1
0
0
0
0
0
122
19
17
1
1
1
1
0
0
0
0
0
356
3.59%
52
2.99%
48
2.73%
15
1.72%
12
1.47%
7
1.06%
Type of Case
Complaints
Cases
Opened
Arrest
Convictions
BY CLAIMANT
1
0
0
0
0
0
FICTITIOUS CLAIM
48
10
8
6
1
1
WORKING WHILE COLLECTING
43
11
9
2
3
1
92
0.93%
21
1.21%
17
.97%
8
0.92%
4
0.49%
2
0.30%
Complaints
Cases
Opened
Arrest
Convictions
1
0
0
0
0
0
84
1
0
0
0
0
1
0
0
0
0
0
86
0.87%
1
0.06%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
DISABILITY FRAUD
Cases Presented for
Closed Prosecution
DUPLICATE ENTRIES
Type of Case
AGENCY
DUPLICATE
STAGED ACCIDENT
Thursday, August 07, 2008
Cases Presented for
Closed Prosecution
Case Totals by Case Type
From 7/1/2007 To 7/1/2008
FINANCIAL INVESTIGATION
Complaints
Cases
Opened
Arrest
Convictions
1
0
0
0
0
0
58
31
18
25
19
7
59
0.59%
31
1.78%
18
1.03%
25
2.86%
19
2.33%
7
1.06%
Complaints
Cases
Opened
Arrest
Convictions
AGENT
1
0
0
0
0
0
BY EMPLOYER
1
0
0
0
0
0
99
35
24
13
15
10
Type of Case
BY PERSON
FINANCIAL
Cases Presented for
Closed Prosecution
HEALTHCARE
Type of Case
BY PATIENT
BY PROVIDER
Cases Presented for
Closed Prosecution
678
58
59
22
23
9
DISABILITY
8
2
2
1
1
0
EMPLOYER POCKETING PREMIUMS
2
1
3
0
0
0
FICTITIOUS INSURANCE CARD
3
0
1
0
0
1
FICTITIOUS PROVIDER
8
3
2
0
0
1
MEDICAL DISCOUNT CARDS
4
0
0
0
0
0
OTHER MEDICAL PROVIDER
17
2
4
0
0
1
9
1
1
0
0
0
32
2
2
1
2
2
862
8.69%
104
5.97%
98
5.59%
37
4.24%
41
5.03%
24
3.62%
PATIENT BROKERING
SERVICES BY UNLICENSED PERSON
Thursday, August 07, 2008
Case Totals by Case Type
From 7/1/2007 To 7/1/2008
HOMEOWNERS
Type of Case
FICTITIOUS CLAIM OR DAMAGE
FICTITIOUS LIABILITY CLAIM
INFLATED CLAIM
Complaints
Cases
Opened
Cases Presented for
Closed Prosecution
Arrest
Convictions
291
55
54
24
18
19
18
6
2
1
0
1
128
23
45
15
13
20
437
4.41%
84
4.82%
101
5.75%
40
4.58%
31
3.80%
40
6.04%
Complaints
Cases
Opened
Arrest
Convictions
1
0
0
0
0
0
28
1
0
0
1
0
29
0.29%
1
0.06%
0
0.00%
0
0.00%
1
0.12%
0
0.00%
Complaints
14
Cases
Opened
0
Arrest
0
Convictions
0
1
0
0
0
0
0
15
0.15%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
IDENTITY THEFT
Type of Case
BY ENTITY
BY PERSON
Cases Presented for
Closed Prosecution
INFORMATION ONLY
Type of Case
No Sub Type
HOME
Thursday, August 07, 2008
Cases Presented for
Closed Prosecution
0
0
Case Totals by Case Type
From 7/1/2007 To 7/1/2008
LICENSEE FRAUD
Type of Case
ADJUSTER
AGENCY
Complaints
116
Cases
Opened
16
Cases Presented for
Closed Prosecution
9
4
Arrest
4
Convictions
1
44
5
6
1
2
2
196
58
78
28
32
37
BAIL BOND AGENT
15
6
4
4
3
1
CARRIER
19
0
0
0
0
0
FICTITIOUS CERTIFICATE OF INSURANCE
0
1
0
1
0
0
HEALTH MAINTENANCE ORGANIZATION
5
4
3
0
0
0
SERVICE WARRANTY COMPANY
2
1
2
1
1
0
THIRD PARTY ADMINISTRATOR
1
0
0
0
0
0
AGENT
TITLE INSURANCE
28
8
3
1
0
0
UNLICENSED AGENT OR ADJUSTER
64
19
9
5
7
4
VIATICAL BROKER
0
0
1
0
0
1
VIATICAL PROVIDER
1
1
0
0
0
0
491
4.95%
119
6.8%
115
6.55%
45
5.16%
49
6.00%
46
6.94%
Complaints
0
Cases
Opened
0
Arrest
0
Convictions
0
LIFE INSURANCE FRAUD
Type of Case
No Sub Type
BENEFICIARY FORGERY
Cases Presented for
Closed Prosecution
0
1
22
6
7
1
0
0
CREDIT LIFE
5
3
3
0
0
0
QUESTIONABLE DEATH
6
2
3
0
0
1
33
0.33%
11
0.63%
13
0.74%
2
0.23%
0
0.00%
1
0.15%
Complaints
2
Cases
Opened
1
Arrest
0
Convictions
0
25
7
6
2
2
0
2
0
0
0
0
0
29
0.29%
8
0.46%
7
0.40%
2
0.23%
2
0.25%
0
0.00%
MARINE FRAUD
Type of Case
ACCESSORIES
FICTITIOUS CLAIM
INFLATED CLAIM
Thursday, August 07, 2008
Cases Presented for
Closed Prosecution
1
0
Case Totals by Case Type
From 7/1/2007 To 7/1/2008
MY SAFE FLORIDA HOME
Type of Case
Complaints
Cases
Opened
Cases Presented for
Closed Prosecution
Arrest
Convictions
CONTRACTOR
10
1
0
1
1
0
GRANT APPLICATION
5
1
0
0
0
0
HOME INSPECTION APPLICATION
2
0
0
0
0
0
HOME INSPECTOR
2
0
0
0
0
0
HOMEOWNER IMPROVE ROOF COVERINGS
3
0
0
0
0
0
HOMEOWNER ROOF FRAMING
1
0
0
0
0
0
HOMEOWNER WIND RESISTANT IMPROVEMENTS
1
1
1
0
0
0
24
0.24%
3
0.17%
1
0.06%
1
0.11%
1
0.12%
0
0.00%
Complaints
Cases
Opened
Arrest
Convictions
NON-INSURANCE FRAUD RELATED REFERRAL
Type of Case
INTRA-AGENCY RESPONSE LETTER
NO ACTION
OUTSIDE AGENCY û RESPONSE LETTER
Cases Presented for
Closed Prosecution
6
0
0
0
0
0
54
0
0
0
0
0
1
0
0
0
0
0
61
0.62%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
Complaints
38
Cases
Opened
21
Arrest
9
Convictions
5
0
1
1
0
0
0
38
0.38%
22
1.26%
23
1.31%
5
0.57%
9
1.10%
5
0.75%
OTHER AGENCY ASSISTANCE
Type of Case
ASSISTANCE
TITLE INSURANCE
Thursday, August 07, 2008
Cases Presented for
Closed Prosecution
22
5
Case Totals by Case Type
From 7/1/2007 To 7/1/2008
PERSONAL INJURY PROTECTION FRAUD
Type of Case
Complaints
Cases
Opened
BY ATTORNEY
17
3
2
1
1
0
BY CLAIMANT
929
66
78
28
24
25
BY PROVIDER
1176
58
73
25
22
24
38
16
22
14
7
11
0
1
0
1
2
0
159
34
26
23
18
7
LOST WAGES
14
2
1
1
2
0
PAPER ACCIDENT
15
1
2
0
0
0
PATIENT BROKERING
21
2
5
0
0
2
1
0
0
0
0
0
97
15
13
2
1
1
657
115
141
131
143
188
27
2
0
0
0
0
0
1
1
1
1
1
3151
31.78%
316
18.13%
364
20.73%
227
26.0%
221
27.08%
259
39.06%
Complaints
0
Cases
Opened
0
Arrest
0
Convictions
1
0
0.00%
0
0.00%
0
0.00%
1
0.15%
Complaints
Cases
Opened
Arrest
Convictions
HOME
50
5
9
12
11
1
PROPERTY
16
2
9
3
3
4
6
1
1
0
0
0
72
0.73%
8
0.46%
19
1.08%
15
1.72%
14
1.72%
5
0.75%
FICTITIOUS INSURANCE CARD
ILLEGAL POSSESSION OF ACCIDENT REPORT
JUMP IN
PROVIDER
SOLICITATION
STAGED ACCIDENT
UNLICENSED ACTIVITY
VEHICLE
Cases Presented for
Closed Prosecution
Arrest
Convictions
RISK MANAGEMENT
Type of Case
GOVERNMENT EMPLOYEE
Cases Presented for
Closed Prosecution
0
0
0
0.00%
0
0.00%
TITLE FRAUD
Type of Case
VEHICLE
Thursday, August 07, 2008
Cases Presented for
Closed Prosecution
Case Totals by Case Type
From 7/1/2007 To 7/1/2008
UNAUTHORIZED ENTITIES FRAUD
Complaints
Cases
Opened
Arrest
Convictions
1
0
1
0
1
0
18
2
4
0
0
1
LIFE AND ANNUITIES
8
0
1
0
0
0
MARINE
2
0
1
0
0
0
PROPERTY/CASUALTY
5
3
1
0
0
0
PROVIDER
7
1
1
2
0
0
VEHICLE
4
0
3
0
0
1
45
0.45%
6
0.34%
12
0.68%
2
0.23%
1
0.12%
2
0.30%
Complaints
Cases
Opened
Arrest
Convictions
ACCESSORIES
51
8
9
5
3
2
BODY SHOP
81
7
12
4
4
1
2
0
0
0
0
0
399
54
61
23
20
24
Type of Case
FICTITIOUS BONDS
HEALTH
Cases Presented for
Closed Prosecution
VEHICLE FRAUD
Type of Case
BY CLAIMANT
DAMAGE TO VEHICLE
DITCHING
Cases Presented for
Closed Prosecution
683
59
49
22
28
17
1216
12.27%
128
7.34%
131
7.46%
54
6.19%
55
6.74%
44
6.64%
Complaints
1
Cases
Opened
0
Arrest
0
Convictions
0
HOME
3
0
0
0
0
0
VEHICLE
2
0
1
0
0
0
VESSEL
1
0
0
0
0
0
7
0.07%
0
0.00%
2
0.11%
0
0.00%
0
0.00%
0
0.00%
WARRANTY FRAUD
Type of Case
CELL PHONE
Thursday, August 07, 2008
Cases Presented for
Closed Prosecution
1
0
Case Totals by Case Type
From 7/1/2007 To 7/1/2008
WORKERS' COMPENSATION FRAUD
Complaints
0
Cases
Opened
0
AGENT PREMIUM
5
3
4
BY ATTORNEY
6
5
1
BY CLAIMANT
1
0
1089
Type of Case
No Sub Type
BY EMPLOYEE CLAIMANT
BY EMPLOYER
Cases Presented for
Closed Prosecution
0
0
Arrest
0
Convictions
0
0
0
1
1
1
0
0
0
0
0
241
195
92
78
45
145
0
2
1
1
1
BY PROVIDER
9
4
4
0
1
0
EMPLOYEE PAYROLL DEDUCTION
4
2
1
0
0
0
52
36
48
19
13
6
EMPLOYER PREMIUM
FICTITIOUS CERTIFICATE OF EXEMPTION
7
4
4
2
3
1
FICTITIOUS CERTIFICATE OF INSURANCE
57
28
38
50
47
22
268
88
144
32
57
34
0
0
2
1
1
2
12
ID THEFT OF NUMBER OR NAME
LEASING COMPANY
VIOLATION OF STOP WORK ORDER
WORKING WITHOUT COVERAGE
Grand Total
Thursday, August 07, 2008
53
42
29
26
20
288
176
140
76
79
56
1984
20.01%
629
36.10%
612
34.85%
300
34.36%
301
36.88%
180
27.15%
Complaints
Cases
Opened
Arrest
Convictions
9916
1742
816
663
Cases Presented for
Closed
Prosecution
1756
873