Revised Dec. 11 2019
Overview: The following Anti-Fraud protocol works to identify and report any/all possible fraud for the application of the life insurance policy, medical history and for the purposes of selling a life insurance policy to a verified Provider (ie: Life/Viatical Settlement).
A) USE OF FRAUD INVESTIGATORS
Vandergrutz Investigations – https://vandergrutzinvestigations.com/ –
Dorothy Grutzner (President)
Cred: F.A.L.I: Florida Association of Licensed Investigators Agency License: A1900021
PI number: C1300476
Phone: (727) 222-3245
Schedule Meeting: https://vandergrutzinvestigations.com/apps/book-an-appointment/appointments/new
B) APPLICATION: CONSUMERS & EMPLOYEES DISCLOSURES
Bridge’s Life Settlement and Employee Applications includes the following notice;
“Any person who knowingly and with intent to injure, defraud, or deceive any application for insurance or viatical/life settlement contract or a viatical/life settlement purchase agreement files a statement of claim containing any false, incomplete, or misleading information is guilty of a felony of the third degree and may be subject to fines and confinement in prison.”
“I CERTIFY THAT I AM EXECUTING AND DELIVERING THIS AUTHORIZATION FREELY AND UNILATERALLY AS OF THE DATE WRITTEN BELOW AND THAT ALL INFORMATION CONTAINED IN THIS AUTHORIZATION IS TRUE AND CORRECT.”
C) DETECTION PROCEDURES OF LIFE SETTLEMENT ACTS
How we help identify possible fraud is by cross-referencing original and/or original copies of documents which include but are not limited to the following core procedures;
Cross reference the viatical/life settlement application with a copy and/or the original life insurance policy for material errors of Policy Type, Effective Date, Face Amounts, Age (Date of Birth), Personal Identifiable Information (PII) to ensure accuracy.
Cross referencing Medical Records (print/digital copies) with Physician Statements and Application for material errors of Personal Identifiable Information (PII), Patient Diagnosis Statements and Effective Diagnosis Dates, and Formulary Drug List.
Verbal Confirmation of PII, Diagnosis, Formulary, and Diagnosis Dates with Medical Professional (if applicable).
D) RESOLUTION PROCEDURES
A Bridge Agent who identifies potential fraudulent activities must present the material “in writing” immediately within (1-2) business days directly to Management. An Agent who knowingly, fails to disclose fraud (written or verbal) may be discharged for failure to report fraudulent acts.
Material inconsistencies and/or deliberate cases are resolved in the following manner;
Discovery: Written and/or verbal notification of error, verification/clarification.
Detection: If fraud seems evident; client and/or employee(s) are notified (written or verbal), and are reported to the Department of Commerce and Consumer Affairs and notification to the Life Settlement Provider.
Employee(s): Immediately revoked access of all internal/external communications and databases, exit of physical premise (potential law enforcement involvement), contact Florida State Insurance & Regulation Authority, contact Issuing State Director, submission of case forms, contact Applicant/Client.
Client: Decline representation and contact Florida State Insurance & Regulation Authority. Contact Issuing State Director. Submission of case forms.
*All information is held in confidentiality without accusation.
E) EMPLOYEE BACKGROUND CHECK: FELONY, BREACH OF TRUST
*Bridge does not employ anyone who has been convicted of a felony and/or breach of trust.
Every employee who works with Bridge, will undergo a background check with the following process;
Reference check: Call on 2-3 references to confirm any known convictions or felonies.
Audit via 3rd Party (State and/or National criminal offense search): https://www.criminalwatchdog.com/criminal-background-check?c=1
Verbal check: We verbally ask the employee if they have been convicted of crimes or breach of trust and obtain an acknowledgement signature on the application.
F) STATES CONTACTS
FLORIDA (Alex Toledo, Director – 200 E. Gaines Street Tallahassee, FL 32399)
OREGON (Andrew Stolfi, Director – 350 Winter St. NE Room 410 PO Box 14480 Salem, OR 97309)
G) FRAUD EDUCATION
Upon staff expansion and reasonable costs, Bridge Management will outsource a Fraud Education course. We will encourage employees/contracts to use any Continued Education (CE) credits as required by most states to pursue a Anti-Fraud course. Bridge will require a signed statement of the Bridge’s Anti-Fraud Policy annual review. Bridge Management will forward any/all important emails or news articles via RSS feed to staff/contractors to stay up-to-date on current events.
H) PLAN IMPLEMENTATION
As a Sole Proprietor, the person responsible for implementing and maintaining the integrity of this AntiFraud Plan is Brandon Selfors (President of Bridge Insurance Group, LLC) – [email protected]