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Insurance Fraud Laws in Delaware

How Delaware law treats insurance fraud: what is illegal, whether it is a misdemeanor or felony, and the penalties, from the state code.

Short answer: Insurance fraud (presenting, or helping prepare, a statement in support of an insurance claim knowing it contains false, incomplete or misleading material information, intending to defraud the insurer) is a class G felony (up to 2 years), with no dollar tiers. 11 Del. C. §§ 913, 913A; 11 Del. C. § 4205

Insurance fraudInsurance fraud (presenting, or helping prepare, a statement in support of an insurance claim knowing it contains false, incomplete or misleading material information, intending to defraud the insurer) is a class G felony (up to 2 years), with no dollar tiers. Health-care fraud (fraudulent claims to a health-care benefit program) is a class G felony, raised to class D (up to 8 years) for an intended loss over $50,000, a provider, or a pattern of claims, and to class B (2 to 25 years) for $100,000 or more or a provider with a pattern; a fine of up to five times the gain sought may be added.

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FAQ

Is insurance fraud a felony in Delaware?
Insurance fraud (presenting, or helping prepare, a statement in support of an insurance claim knowing it contains false, incomplete or misleading material information, intending to defraud the insurer) is a class G felony (up to 2 years), with no dollar tiers. Health-care fraud (fraudulent claims to a health-care benefit program) is a class G felony, raised to class D (up to 8 years) for an intended loss over $50,000, a provider, or a pattern of claims, and to class B (2 to 25 years) for $100,000 or more or a provider with a pattern; a fine of up to five times the gain sought may be added.
Can I get a court-appointed lawyer for insurance fraud in Delaware?
Delaware's rule on court-appointed lawyers: The Office of Defense Services 'shall represent, without charge, each indigent person who is under arrest or charged with a crime' if the person requests it or the court orders it and the person does not reject it on the record. The Office of Defense Services makes the determination of indigency. A person under 18 arrested or charged with a crime or act of delinquency is automatically eligible. The former administrative fee assessment (§ 4607) was repealed effective April 3, 2023. 29 Del. C. §§ 4602, 4607
How much does a lawyer for insurance fraud cost in Delaware?
Lawyers set their own fees, and Delaware has rules on how they may charge. See hiring a criminal defense lawyer in Delaware for fee rules, how to check a lawyer's license and free help.
What happens after an arrest for insurance fraud in Delaware?
How release before trial works in Delaware: Pretrial release is decided by a 'court' — including the Superior Court, Court of Common Pleas, Family Court and Justice of the Peace Court. A capital crime is not bailable (§ 2103(a)). Under the version in effect until February 1, 2027, a person charged with a noncapital crime is released on one of four bond types, ranging from a conditions-of-release bond to a bond secured by cash only (§ 2104(a)); the court 'shall use an empirically developed risk assessment instrument, if available,' which is not binding (§ 2104(e)(1)); and the court shall release a defendant accused of a bailable crime when release is reasonably likely to assure appearance without substantial risk to community safety (§ 2105(a)). For a listed group of serious offenses (including Title 11 class A felonies, first-degree robbery and burglary, and certain firearm and domestic-violence felonies), there is a presumption of a bond secured by cash only (§ 2107(c)). Effective February 1, 2027, revised sections create 'a presumption in favor of release with nonmonetary conditions,' require the least restrictive conditions and the lowest reasonably necessary bail amount, and allow preventive detention without bail for offenses listed in § 2116(b) on clear and convincing evidence. 11 Del. C. §§ 2102, 2103, 2104, 2105, 2107, 2116 What happens after an arrest.
Can a conviction for insurance fraud be removed from my record in Delaware?
Each state sets its own rules for sealing or expunging records. See Delaware expungement and record sealing rules.

General legal information, not legal advice. Laws change and local rules can differ; check the linked official source or talk to a lawyer about your situation.