California Code of Regulations: Section 2698.40 SIU Annual Report 10 CCR ยง 2698.40 SIU Annual Report. (a) Each insurer shall file a report as prescribed herein, at the time its initial Certificate of Authority is issued, and annually thereafter. The annual report shall be due no later than 90 days after the date of mailing of the notification by the Department. The Department shall issue the notification in June of each year. (b) A complete, accurate and truthful annual report shall be submitted on a form as prescribed by the Department and shall include the following information. (1) The name(s), title(s) and contact information of the insurer’s SIU personnel; or (2) The name of the organization and organizational contacts with whom the insurer has contracted for the maintenance of the SIU or any function thereof; and (3) The names of personnel whose duties include communication with the Fraud Division on matters related to the reporting, investigation and prosecution of suspected fraudulent claims or other suspected insurance fraud. (4) A description of the insurer’s methods and written procedures used for detecting, investigating and reporting suspected insurance fraud. (5) A description of the insurer’s plan for initial and on-going fraud education and training for integral anti-fraud personnel pursuant to these regulations. (6) A written description or chart outlining the organizational arrangement of the insurer’s anti-fraud personnel who are responsible for the investigation and reporting of suspected insurance fraud. (7) A description of how the SIU is adequately staffed to meet the requirements herein and the expertise of the staff. (8) The number of claims processed by the insurer and the number of claims referred to the SIU, for each reported company, for the past calendar year. (9) The number of incidents of suspected insurance fraud reported to the Department and to district attorney offices, for each reported company, for the past calendar year. (10) A description of any significant, anticipated changes to the insurer’s structure and operations. (11) Insurers who enter into contracts for the purpose of compliance with these regulations shall provide a complete copy of the fully executed, existing contract, including all attachments and addendum, to the Department and shall specify the manner in which the contract is monitored. (12) The number and type of civil actions initiated by each reported company alleging acts of insurance fraud during the preceding calendar year. (c) A statement signed under penalty of perjury pursuant to the laws of the state of California, must accompany all reports mentioned herein. This statement must be signed by an officer of the holder of or applicant for the Certificate of Authority who attests to the accuracy of the reported information and the signor’s personal knowledge of the existence and proper maintenance of an SIU described in this report and these regulations. (d) The insurer is to maintain a copy of the annual report that will be available for review during examinations as conducted pursuant to section 2698.41 of these regulations or as otherwise requested by the Department. (e) For the purpose of these regulations, the name(s) of the insurer’s personnel who will communicate with the Fraud Division shall not be made part of the public record and shall be released only pursuant to the provisions of CIC Section 1873.1 applicable to information acquired pursuant to Article 3 of the Insurance Frauds Prevention Act. Note: Authority cited: Sections 1875.24, 1879.5 and 1879.6, Insurance Code; Calfarm Ins. Co. v. Deukmejian(1989) 48 Cal.3d. 805, 824, 258 Cal. Rptr. 161, 771 P.2d 1247; Credit Ins. Gen. Agents Assn. v. Payne(1976) 16 Cal.3d 651, 656, 128 Cal. Rptr. 881, 547 P.2d 993; and Garris v. Carpenter(1939) 33 Cal. App. 2d. 649, 653, 92 P.2d 688. Reference: Sections 1875.20, 1875.21, 1875.24, 1879.5, 12921(a) and 12926, Insurance Code.