Insurance Fraud

New Jersey Insurance Fraud

Criminal Defense Attorney

A conviction for Insurance Fraud can have devastating consequences including jail or prison time.  It can also impact employment, housing, finances, education, reputation, and relationships.  Because of this, it is crucial to have an experienced, skilled, and aggressive attorney by your side. 

Ms. Denholtz is a fierce criminal defense trial attorney with over a decade of experience.  Ms. Denholtz offers relentless advocacy, strategic defense, and exceptional service to clients accused of Insurance Fraud throughout New Jersey. 

At Denholtz Criminal Defense, you can trust that your case will receive the meticulous attention and tireless advocacy it deserves.  Ms. Denholtz is ready to fight for you. Contact Denholtz Criminal Defense today for your FREE consultation: (862) 842-0811 or Tracy@DenholtzCriminalDefense.com.

Insurance Fraud

(N.J.S.A. 2C:21-4.6)

Insurance Fraud: A person is guilty of the crime of insurance fraud if that person knowingly makes, or causes to be made, a false, fictitious, fraudulent, or misleading statement of material fact in, or omits a material fact from, or causes a material fact to be omitted from, any record, bill, claim or other document, in writing, electronically, orally or in any other form, that a person attempts to submit, submits, causes to be submitted, or attempts to cause to be submitted as part of, in support of or opposition to or in connection with:

1. A claim for payment, reimbursement or other benefit pursuant to an insurance policy, or from an insurance company or the "Unsatisfied Claim and Judgment Fund Law;”

2. An application to obtain or renew an insurance policy;

3. Any payment made or to be made in accordance with the terms of an insurance policy or premium finance transaction; or

4. An affidavit, certification, record or other document used in any insurance or premium finance transaction.

2nd Degree Offense: Insurance fraud constitutes a crime of the 2nd degree if the person knowingly commits 5 or more acts of insurance fraud, including acts of health care claims fraud and if the aggregate value of property, services or other benefit wrongfully obtained or sought to be obtained is at least $1,000. A 2nd degree offense is punishable by up to 10 years in New Jersey State Prison.

3rd Degree Offense: Otherwise, insurance fraud in violation of subsection a. of this section is a crime of the 3rd degree, which is punishable by up to 5 years in New Jersey State Prison.

4th Degree Offense: Insurance fraud in violation of subsection b. of this section is a crime of the 4th degree, which is punishable by up to 18 months in New Jersey State Prison.

*NOTE RE: Separate Acts of Insurance Fraud: Each act of insurance fraud shall constitute an additional, separate and distinct offense, except that 5 or more separate acts may be aggregated for the purpose of establishing liability pursuant to this subsection. Multiple acts of insurance fraud which are contained in a single record, bill, claim, application, payment, affidavit, certification or other document shall each constitute an additional, separate and distinct offense for purposes of this section.

*NOTE RE: Signatures: Proof that a person has signed or initialed an application, bill, claim, affidavit, certification, record or other document may give rise to an inference that the person has read and reviewed the application, bill, claim, affidavit, certification, record or other document.

*NOTE RE: De Minimis Conduct: Nothing in this act shall preclude an assignment judge from dismissing a prosecution of insurance fraud if the assignment judge determines, pursuant to N.J.S. 2C:2-11, the conduct charged to be a de minimis infraction.

Contact a New Jersey White Collar Crime Lawyer for a FREE Consultation

If you or a loved one are facing criminal charges, it is crucial to hire an experienced criminal defense attorney.  At Denholtz Criminal Defense, we understand the stakes involved and are committed to providing you with skilled, aggressive, and personalized legal representation.  No matter what the allegations, Ms. Denholtz will provide an honest and detailed evaluation of your case, outline the best legal options available, and craft a defense strategy designed to achieve the best possible result for your unique situation.  Contact Denholtz Criminal Defense today for your free consultation: (862) 842-0811 or Tracy@DenholtzCriminalDefense.com.