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2751 Prosperity Avenue, Suite 500, Fairfax, VA 22031
10617 Jones Street, Suite 301-A, Fairfax, VA 22030
10560 Main St, #501, Fairfax, VA 22031
916 Prince Street, Alexandria, VA 22314
8444 Westpark Drive, Suite 510, McLean, VA 22102
20 West Market Street, Leesburg, VA 20176
1650 Tysons Blvd, Suite 400, McLean, VA 22102
8000 Towers Crescent Drive, 14th Floor, Tysons Corner, VA 22182
9200 Church Street, Suite 400, Manassas, VA 20110
8350 Broad Street, Suite 1500, Tysons Corner, VA 22102
5881 Leesbuerg Pike, Suite B2, Falls Church, VA 22041
6137 Olivet Dr, Alexandria, VA 22315
2055 North 15th Street, Suite 333, Arlington, VA 22201
10209 Patriot Highway, Fredericksburg, VA 22407
8229 Boone Blvd, Suite 100, Vienna, VA 22182
3955 Chain Bridge Road, Second Floor, Fairfax, VA 22030
1203 Duke Street, Alexandria, VA 22314
10521 Judicial Drive, Suite 310, Fairfax, VA 22030
421 King St, Ste 505, Alexandria, VA 22314
101 W. Market Street, Leesburg, VA 20176
107 East Washington Street, PO Box 903, Middleburg, VA 20118
1550 Wilson Blvd, Suite 700-F, Arlington, VA 22209
9695 C Main Street, Fairfax, VA 22031
2751 Prosperity Avenue, Suite 150, Fairfax, VA 22031
Fairfax Insurance Fraud Information
Lead Counsel independently verifies Insurance Fraud attorneys in Fairfax and checks their standing with Virginia bar associations.
Our Verification Process and Criteria
Ample Experience
Attorneys must meet stringent qualifications and prove they practice in the area of law they’re verified in.Good Standing
Be in good standing with their bar associations and maintain a clean disciplinary record.Annual Review
Submit to an annual review to retain their Lead Counsel Verified status.Client Commitment
Pledge to follow the highest quality client service and ethical standards.
What Is Insurance Fraud?
Insurance fraud is a broad category of criminal offense that can be perpetrated by claimants as well as the insurance policymakers themselves. Insurance agents or firms may, themselves, be complicit in fraud such as by refusing legal, lawful coverage claims by deception or unwillingness to pay.
What Are Some Common Types of Insurance Fraud?
Health care fraud, automobile accident fraud, property insurance fraud and personal injury fraud, as well as workers’ compensation fraud, are common categories of insurance fraud, although many others exist.
Health care fraud takes place when, for example, a doctor or other specialist bills a patient — or their insurer — for treatments that either did not take place whatsoever or were completely unnecessary. This practice is commonly referred to as “padding” a bill.
Auto insurance fraud can occur in situations where an accident is “staged” in order to cause damage to both vehicles, writing them off. Beyond this, healthcare fraud can also get involved, as personal injury claims can be the result of a vehicular accident.
In a similar scenario, property insurance fraud can take place if a property owner pays an individual to destroy an undesirable or unprofitable property via arson or some other means to gain a payout from the insurer.
Is Insurance Fraud Always Classified As a Felony?
Insurance fraud is most commonly classified as a felony — particularly when charged at the federal level, rather than at the state level — but there are instances in which insurance fraud can be charged as a misdemeanor.
In some states, for example, health care fraud is classified as a Class A misdemeanor unless accompanied by aggravated insurance fraud charges (meaning that the accused has participated in three separate instances of fraudulent behavior in the past 18 months). More generally, in other states, insurance fraud is classified as a misdemeanor if the amount defrauded from the insurer is less than $300. For amounts over $300, it is a felony charge (either Class 3 or Class 1).
Other states hold a similar legal categorization concerning health insurance fraud. Any healthcare fraud involving a sum defrauded of $950 or less is classified as a felony, while a sum defrauded of $950 or more is instead a felony.
Can You Go to Jail for Insurance Fraud in Virginia?
Those convicted of insurance fraud can face a jail term or a prison sentence. If you are being charged at the state level, and if you are being charged with a misdemeanor rather than a felony, it may be possible for your defense attorney to negotiate with the prosecution to avoid time in jail.
What Is the Penalty for Insurance Fraud?
Those convicted of insurance fraud at the federal level could face a penalty of up to 10 years. That penalty is generally enhanced to a maximum of 15 years if the insurer is placed into a financially precarious situation such as liquidation, rehabilitation or conservation.
At the state level, insurance fraud penalties vary. In instances of misdemeanor charges, a conviction could result in a penalty of up to one year in county jail as well as a fine. In situations involving more serious felony charges, a maximum of 15 years in prison could be the end result.
Monetary fines or restitution can also be a common penalty in response to an insurance fraud conviction. Such financial penalties also typically take the form of double — or in some cases, treble — damages. This means if you defrauded an insurer for $25,000, it is possible that (if convicted) you could be faced with $50,000 in fines in addition to any incarceration needing to be served.
Are You Accused of Insurance Fraud?
Committing fraud against insurance firms, such as making a false claim, is a serious criminal offense carrying long terms of confinement in state or federal prison. Insurance companies can be very sophisticated in recognizing and investigating fraudulent actions and generally prosecute these cases.
Insurance Fraud Legal Recourse
If you are facing criminal charges for fraud, you should immediately consult a defense lawyer who handles insurance fraud cases. The lawyer can explain your options and protect your constitutional rights. Your lawyer will investigate the alleged facts, challenge evidence and aggressively handle your defense. Your lawyer may also negotiate a plea agreement.