District Of Columbia § 22-3225.02 - Insurance fraud in the first degree.

Full text of District Of Columbia D.C. Code § 22-3225.02 — Insurance fraud in the first degree., with citation guidance and answers to common questions.

§ 22-3225.02. Insurance fraud in the first degree.

22-3225.02

A person commits the offense of insurance fraud in the first degree if that person knowingly engages in the following conduct with the intent to defraud or to fraudulently obtain property of another and thereby obtains property of another or causes another to lose property and the value of the property obtained or lost is $1,000 or more:

(1)

Presenting false information or knowingly conceals information regarding a material fact in any of the following transactions:

(A)

Application for, rating of, or renewal of an insurance policy or reinsurance contract;

(B)

Claim for payment or benefit pursuant to an insurance policy or reinsurance contract;

(C)

Premiums paid on an insurance policy or reinsurance contract;

(D)

Payment made in accordance with the terms of an insurance policy or reinsurance contract;

(E)

Application used in a premium finance transaction;

(F)

Solicitation for sale of an insurance policy;

(G)

Application for a license or certificate of authority filed with the Commissioner or the chief insurance regulatory official of another jurisdiction;

(H)

Financial statement or condition of any insurer or reinsurer;

(I)

Acquisition, formation, merger, affiliation, reconsolidation, dissolution, or withdrawal from one or more lines of insurance or reinsurance in the District by an insurer or reinsurer;

(J)

Issuance of written evidence of insurance; or

(K)

Application for reinstatement of an insurance policy;

(2)

Soliciting or accepting insurance or renewal of insurance by or for an insurer which the person knows is insolvent or has a strong likelihood of insolvency;

(3)

Removal or tampering with the records of transaction, documentation, and other material assets of an insurer from the insurer or from the Department of Insurance and Securities Regulation;

(4)

Diversion, misappropriation, conversion, or embezzlement of funds of an insurer, an insured, claimant or applicant regarding any of the following:

(A)

Insurance transaction;

(B)

Other insurance business activities by an insurer or insurance professional; or

(C)

Acquisition, formation, merger, affiliation or dissolution of an insurer.

(5)

Transaction of the business of insurance in violation of laws requiring a license, certificate of authority, or other legal authority for the transaction of the business of insurance; or

(6)

Employing or using any other person or acting as the agent of any other person to procure a client, patient, or customer for the purpose of falsely or fraudulently obtaining benefits under a contract of insurance or asserting a false or fraudulent claim against an insured or insurer.

Annotations

Source: official District Of Columbia text · Last verified 2026-08-27

Frequently Asked Questions About District Of Columbia § 22-3225.02

What does D.C. Code § 22-3225.02 cover?

Section 22-3225.02 ("Insurance fraud in the first degree.") is part of the D.C. Code, the codified statutory law of District Of Columbia. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite District Of Columbia § 22-3225.02?

A common citation format is "D.C. Code § 22-3225.02" (District Of Columbia). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of District Of Columbia law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the District Of Columbia official source linked on this page or consult a licensed District Of Columbia attorney.

How does District Of Columbia § 22-3225.02 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in District Of Columbia can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in District Of Columbia.