| | | investigate and examine possible violations of law and to | | take appropriate action against wrongdoers. |
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| | | 8.__Viatical or life settlement antifraud initiatives. In | | accordance with this subsection, a settlement provider licensee | | must have in place antifraud initiatives reasonably calculated to | | detect, prosecute and prevent fraudulent viatical or life | | settlement acts. |
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| | | A.__At the discretion of the superintendent, the | | superintendent may order, or a licensee may request and the | | superintendent may grant, such modifications of the required | | initiatives under paragraph B as necessary to ensure an | | effective antifraud program. The modifications may be more | | or less restrictive than the required initiatives as long as | | the modifications may reasonably be expected to accomplish | | the purpose of this subsection. |
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| | | B.__Antifraud initiatives must include: |
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| | | (1)__Fraud investigators, who may be employees of a | | settlement provider or independent contractors; and |
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| | | (2)__An antifraud plan, which must be submitted to the | | superintendent. The antifraud plan must include, but is | | not limited to: |
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| | | (a) A description of the procedures for detecting | | and investigating possible fraudulent viatical or | | life settlement acts and procedures for resolving | | material inconsistencies between medical records | | and insurance applications; |
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| | | (b) A description of the procedures for reporting | | possible fraudulent viatical or life settlement | | acts to the superintendent; |
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| | | (c) A description of the plan for antifraud | | education and training of underwriters and other | | personnel; and |
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| | | (d) A description or chart outlining the | | organizational arrangement of the antifraud | | personnel who are responsible for the | | investigation and reporting of possible fraudulent | | viatical or life settlement acts and investigating | | unresolved material inconsistencies between | | medical records and insurance applications. |
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