Current through 2024 Legislative Session
Section 65-05-33 - Filing false claim or false statement - Penalty1. A person who claims benefits or payment for services under this title or the employer of a person who claims benefits or payments for services is guilty of a class A misdemeanor if the person or employer does any one or more of the following: a. Willfully files a false claim or makes a false statement or an omission in an attempt to secure payment of benefits or payment for services.b. Willfully misrepresents that person's physical condition, including deceptive conduct which misrepresents that person's physical ability.c. Has a claim for disability benefits that has been accepted by the organization and willfully fails to notify the organization of:(1) Work or other activities as required under subsection 3 of section 65-05-08;(2) The receipt of income from work; or(3) An increase in income from work.2. If any of the acts or omissions in subsection 1 are committed to obtain, or pursuant to a scheme to obtain, more than one thousand dollars in benefits or payment for services, the offense is a class C felony.3. In addition to any other penalties provided by law, the person claiming benefits or payment for services in violation of this section shall reimburse the organization for any benefits paid based upon the false claim, false statement, or omission, and, if applicable, under section 65-05-29 and shall forfeit any additional benefits relative to that injury.4. For purposes of this section, "statement" includes any testimony, claim form, notice, proof of injury, proof of return-to-work status, bill for services, diagnosis, prescription, hospital or doctor records, x-ray, test results, or other evidence of loss, injury, or expense.Amended by S.L. 2021, ch. 500 (HB 1084),§ 9, eff. 7/1/2021.Amended by S.L. 2017, ch. 439 (HB 1086),§ 4, eff. 8/1/2017. See S.L. 2021, ch. 500 (HB 1084), § 13.