Inside the Office > Criminal Division > General Prosecution

Insurance Fraud

The South Carolina Attorney General’s Insurance Fraud Division, in conjunction with the Professional Insurance Agents of South Carolina and the South Carolina Insurance News Service, has established the Insurance Fraud Hotline, available 24 hours a day.

South Carolina has a mandatory reporting act that states “…any person, insurer or authorized agency having reason to believe that another has made a false statement or misrepresentation or has knowledge of a suspected false statement or misrepresentation shall, for purpose of reporting and investigation, notify the Insurance Fraud Division of the Office of the Attorney General of the knowledge or belief and provide any additional information within his possession relative thereto.”

Note: The Office of the Attorney General had been handling the prosecution of Insurance Fraud. As of July 1, 2021 the Department of Insurance is responsible. 

Annual Reports

Links to Helpful Resources

Seven of the Most Common Types of Insurance Fraud

  1. Underreporting the number of miles you drive on your auto policy.
  2. Failing to report an accurate medical history when applying for health insurance.
  3. An employee of a company who fakes or exaggerates injuries to avoid work and draws workers’ compensation payout.
  4. An auto accident victim who falsifies or overstates injuries–or even fakes the accident–to achieve a large settlement or award.
  5. Staging automobile accidents which result in inflated injury claims.
  6. An insured who draws accident and health insurance benefits because of exaggerated or even fabricated injuries or illness.
  7. Exaggerating the amount and value of items stolen from a home or business.

Contact Us

If you suspect someone has committed any type of insurance fraud, call the South Carolina Insurance Fraud Hotline toll free. You don’t have to reveal your identity. Call 1-888-95-FRAUD or you can complete and submit the Insurance Fraud Complaint Form.