P.R. Laws tit. 26, § 2731
The Board of Directors of every insurer of the country and every health services organization shall adopt a written action plan to detect, prevent and fight fraudulent acts in the insurance business.
Such action plan shall contain at least the following:
(1) A description of the procedures established to fulfill the obligation of detecting and investigating possible acts of fraud in the insurance business and to report said acts to the Antifraud Special Investigations Unit of the Office of the Insurance Commissioner. The procedure must include the establishment of an Antifraud Investigations Unit.
(2) A description of the plan for the education and training of its employees, particularly the one designed for the Antifraud Investigations Unit personnel.
(3) A description of the personnel hired or employed by the Antifraud Investigations Unit to execute the procedures established to detect and investigate acts of fraud and the functions assigned to each.
History —Ins. Code, added as § 27.310 on Jan. 8, 2004, No. 18, § 5; renumbered as § 27.320 and amended on Jan. 19, 2006, No. 10, §§ 3, 4; renumbered as § 27.230 and amended on Aug. 9, 2008, No. 230, § 23, eff. 90 days after Aug. 9, 2008.