TABLE OF CONTENTS
It is illegal for anyone—a worker, employer, insurance carrier, medical provider—to intentionally do any of the following:
Make a false claim for any w.c. benefit;
Make a false statement in order to obtain or deny benefits;
Make a false statement in order to prevent someone from filing a legitimate claim;
Make a false certificate of insurance as proof of insurance;
Make a false statement in order to obtain w.c. insurance at less than the proper rate;
Make a false statement in order to obtain approval to self-insure or reduce the security required to self-insure;
Make a false statement to the state’s fraud and noncompliance investigation staff in the course of an investigation;
Help someone commit any of the crimes listed above;
Intentionally present a bill for medical services that were not provided.
Move, destroy, or conceal assets so as to avoid payment of a claim.
A "statement" includes any writing, notice, proof of injury, or any medical bill, record, report, or test result.
Anyone found guilty of any of these actions is guilty of a crime, ranging from a misdemeanor to a Class 1 felony.
The guilty party may be sent to jail, and shall be required to pay complete restitution, including court costs and attorney fees.
To report on a potentially fraudulent situation, contact:
Illinois Department of Insurance
Workers' Compensation Fraud Unit
William Blumthal, Supervisor
122 S. Michigan Ave FL 19
Chicago, IL 60603-6137
320 W. Washington St.
Springfield, IL 62786
To report on a potentially fraudulent situation involving a State of Illinois employee,
call the State's risk management firm, TriStar, at 855-495-1550.
You must provide enough specific information, including your name and contact information, to cause the unit to open an investigation.
Anyone who intentionally makes a false report is guilty of a Class A misdemeanor, punishable by up to 12 months imprisonment and a $2,500 fine.
WC Fraud Unit's accomplishments
The Illinois Department of Insurance WC Fraud Unit investigates cases,
while the Illinois Attorney General or the county State's Attorney decides whether to prosecute.
Insurance fraud information
including annual reports and convictions may be found on the Illinois Department of Insurance website.
If you have questions about the annual report, contact the
Illinois Department of Insurance fraud unit
312-814-5394 or toll-free 877-923-8648