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Insurance Fraud Laws in Oregon

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

Short answer: Knowingly making a health care claim containing a false statement of material fact, or hiding information to obtain a health care payment the person is not entitled to, is 'making a false claim for health care payment,' a Class C felony (up to 5 years); ORS 165.692, 165.694, 165.990; ORS 161.605

Insurance fraudKnowingly making a health care claim containing a false statement of material fact, or hiding information to obtain a health care payment the person is not entitled to, is 'making a false claim for health care payment,' a Class C felony (up to 5 years); separate false claims may be aggregated (against multiple payors within 30 days, or the same payor within 180 days), and prosecution must begin within five years. The statute does not set grades by amount.
This covers health insurance and other health care payors. No separate general insurance-fraud crime was identified in ORS chapter 165. Class maximums: ORS 161.605 (Class A felony 20 years, Class B 10 years, Class C 5 years), 161.615 (Class A misdemeanor 364 days, Class B 6 months, Class C 30 days), 161.625 and 161.635 (fines): https://www.oregonlegislature.gov/bills_laws/ors/ors161.html

More Oregon criminal law

FAQ

Is insurance fraud a felony in Oregon?
Knowingly making a health care claim containing a false statement of material fact, or hiding information to obtain a health care payment the person is not entitled to, is 'making a false claim for health care payment,' a Class C felony (up to 5 years); separate false claims may be aggregated (against multiple payors within 30 days, or the same payor within 180 days), and prosecution must begin within five years. The statute does not set grades by amount.
Can I get a court-appointed lawyer for insurance fraud in Oregon?
Oregon's rule on court-appointed lawyers: Public defense is administered by the Oregon Public Defense Commission. A person is financially eligible for appointed counsel if the person is financially unable to retain adequate counsel without substantial hardship in providing basic economic necessities to the person or the person's dependents, under standards set by the commission. Eligibility is determined by the court from a detailed financial statement (on a commission-specified form) disclosing assets, liabilities, income and dependents; eligibility verification and screening personnel may assist the courts. If the court finds the person can pay all or part of the costs of the eligibility determination and appointed counsel, it may enter a limited judgment requiring payment of what the person can pay without substantial hardship; failure to pay is not grounds for contempt or for counsel to withdraw. ORS 151.213, 151.485, 151.487, 151.489
How much does a lawyer for insurance fraud cost in Oregon?
Lawyers set their own fees, and Oregon has rules on how they may charge. See hiring a criminal defense lawyer in Oregon for fee rules, how to check a lawyer's license and free help.
What happens after an arrest for insurance fraud in Oregon?
How release before trial works in Oregon: A magistrate makes a release decision at arraignment or other first appearance, giving priority to the primary release criteria and imposing the least onerous condition reasonably likely to ensure the safety of the public and the victim and the person's appearance. Eligible persons are released on personal recognizance unless the release criteria require otherwise; if not, the magistrate considers conditional release, then security release. A requested release hearing must be held within 48 hours of arraignment (and no later than five days unless the defendant consents). For murder, aggravated murder or treason, release is denied when the proof is evident or the presumption strong that the person is guilty. For violent felonies, release is denied if the court finds probable cause and, by clear and convincing evidence, a danger of physical injury or sexual victimization to the victim or public; the defendant may request a hearing at arraignment, held within five days. For security release, the magistrate sets a security amount that will reasonably assure appearance; the defendant may deposit 10 percent of the security amount (at least $25), of which 85 percent is returned at discharge and 15 percent retained as costs, or post property or sureties worth double the security amount. ORS 135.240, 135.245, 135.265 What happens after an arrest.
Can a conviction for insurance fraud be removed from my record in Oregon?
Each state sets its own rules for sealing or expunging records. See Oregon 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.