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Insurance Fraud Laws in New York

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

Short answer: Committing a fraudulent insurance act (such as a knowingly false claim or application) is insurance fraud in the fifth degree, a class A misdemeanor. N.Y. Penal Law 176.10, 176.15, 176.20, 176.25, 176.30, 176.35

Insurance fraudCommitting a fraudulent insurance act (such as a knowingly false claim or application) is insurance fraud in the fifth degree, a class A misdemeanor. When it is used to take or try to take property, it is graded by value: over $1,000 is fourth degree, a class E felony (up to 4 years); over $3,000 is third degree, a class D felony (up to 7 years); over $50,000 is second degree, a class C felony (up to 15 years); over $1 million is first degree, a class B felony (up to 25 years). Aggravated insurance fraud (a fraudulent insurance act with a prior insurance-fraud conviction within 5 years) is a class D felony.
Fifth degree: https://www.nysenate.gov/legislation/laws/PEN/176.10 ; first degree: https://www.nysenate.gov/legislation/laws/PEN/176.30 ; aggravated: https://www.nysenate.gov/legislation/laws/PEN/176.35 . Maximum prison terms (N.Y. Penal Law 70.00, 70.15): class A-I felony life; class B felony 25 years; class C 15 years; class D 7 years; class E 4 years; class A misdemeanor 364 days; class B misdemeanor 3 months. Felony fines up to $5,000 or double the gain (Penal Law 80.00).

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FAQ

Is insurance fraud a felony in New York?
Committing a fraudulent insurance act (such as a knowingly false claim or application) is insurance fraud in the fifth degree, a class A misdemeanor. When it is used to take or try to take property, it is graded by value: over $1,000 is fourth degree, a class E felony (up to 4 years); over $3,000 is third degree, a class D felony (up to 7 years); over $50,000 is second degree, a class C felony (up to 15 years); over $1 million is first degree, a class B felony (up to 25 years). Aggravated insurance fraud (a fraudulent insurance act with a prior insurance-fraud conviction within 5 years) is a class D felony.
Can I get a court-appointed lawyer for insurance fraud in New York?
New York's rule on court-appointed lawyers: Each county (and New York City) must operate a plan for providing counsel to persons charged with a crime who are financially unable to obtain counsel, through a public defender, a legal aid bureau or society, a bar association assigned-counsel plan or conflict defender, or a combination (County Law § 722). Judges decide eligibility; providers often screen applicants and make recommendations. Under the statewide eligibility standards of the Office of Indigent Legal Services (issued under Executive Law § 832), income at or below 250% of the Federal Poverty Guidelines is one of four presumptions of eligibility, an applicant who is incarcerated, detained or confined to a mental health institution is presumptively eligible, and applicants above the income line are not automatically denied. ILS publishes an Assigned Counsel Eligibility Application Form. N.Y. County Law § 722; Executive Law § 832; ILS Eligibility Standards
What happens after an arrest for insurance fraud in New York?
How release before trial works in New York: The court issues a securing order after making an individualized determination about the risk that the principal will not return to court, and must explain its choice on the record or in writing. The court shall release the principal pending trial on the principal's own recognizance, unless it finds that release will not reasonably assure the principal's return to court; the court must consider the kind and degree of control or restriction necessary to reasonably assure the principal's return to court. Monetary bail or remand is available only for a 'qualifying offense' listed in § 510.10(4) (for example, any crime alleged to have caused the death of another person); for a qualifying offense the court may release on recognizance or non-monetary conditions, fix bail, or (for a felony) commit the principal to the sheriff. When monetary bail is authorized, the court must consider the principal's individual financial circumstances. If the principal is financially unable to obtain counsel, counsel shall be assigned. N.Y. Crim. Proc. Law § 510.10 What happens after an arrest.
Can a conviction for insurance fraud be removed from my record in New York?
Each state sets its own rules for sealing or expunging records. See New York 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.