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CA Department of Insurance
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Enforcement Branch Overview

ENFORCEMENT BRANCH
The Enforcement Branch of the Department of Insurance is the investigative body for the department. This branch consists of the Fraud Division and the Investigation Division. Leading the nation in consumer protection continues to be the motivating force in providing all investigative and support services necessary for the fight against insurance fraud. The Enforcement Branch maintains its lead through the collaboration of other law enforcement agencies and prosecutors throughout the state.


 

Fraud Division
The core mission of the Fraud Division is to protect the public and prevent economic loss through the detection, investigation, and arrest of insurance fraud offenders.  The Fraud Division acts as the primary law enforcement agency in the State of California for investigating different types of suspected insurance fraud.

Types of Crimes Investigated Include:

  • Automobile Collision
  • Automobile Property
  • Medical
  • Life
  • Workers' Compensation
  • Other
  • Fire
  • Property
  • Healthcare

If you are unsure which category your claim would fall under, please feel free to contact our Consumer Services Division.


Investigation Division
The mission of the Investigation Division is to protect California consumers by investigating suspected violations of laws and regulations pertaining to the business of insurance and seeking appropriate enforcement action against violators.

The Insurance Commissioner has established a case handling priority system for the Investigation Division which helps to categorize major cases and prioritize the Division's resources.

Types of Violations Investigated Include:

  • Premium Theft
  • Life & Health Senior Citizen Abuse
  • Insurance Company Deceptive Fraudulent Acts
  • Bogus/Unauthorized Insurance Companies
  • Public Adjuster Violations
  • Title Company Rebate Activity
  • Bail Industry Misconduct

If you are unsure which category your complaint would fall under, please feel free to contact our Consumer Services Division.

 
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Reporting Fraud
To report a claim, see the quick links below

Investigation Division:
Submit Request for Assistance

Fraud Division:
Submit Electronically
Submit SFC by Mail
and Instructions




Contact Information
Enforcement Branch 
Headquarters Office
9342 Tech Center Drive
Suite 100
Sacramento, CA 95826
Phone: 916-854-5760
Fax: 916-255-3202

Special Investigative Unit (SIU) Compliance Review Program
9342 Tech Center Drive, Suite 100
Sacramento, CA 95826
Phone: 916-854-5760
siu-compliancereport@insurance.ca.gov 
Fax: 916-255-3202

SIU Annual Report

Local Assistance Programs

DA Online Report




PROGRAM REGULATIONS

Special Investigative Unit Regulations
Effective:  10/07/2005

Program for Investigation and Prosecution of Workers' Compensation Insurance Fraud Regulations

Program for Investigation and Prosecution of Automobile Insurance Fraud Regulations

Organized Automobile Insurance Fraud Interdiction Program Regulations

Organized Disability Insurance Fraud Assessment Grant Program Regulations

 

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