There are many different kinds of insurance fraud, as this column regularly observes. There can be fraud contained in applications for insurance policies, fraudulently staged accidents, and fraudulent claims by health care providers treating injured policyholders, among other things.
Insurance policies try to eliminate, or at least to cut down on, insurance fraud in a variety of ways. This column focuses on two particular policy provisions focused on that goal: the “concealment or fraud” provision, and the “cooperation” clause.
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