Orange County NC Website
FRAUD WARNING NOTICES: (Please review notice that applies in your state) <br /> For applicants in Arkansas and Louisiana: <br /> Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false <br /> information in an application for insurance,is guilty of a crime and may be subject to fines and confinement in prison. <br /> For applicants in Colorado: <br /> It is unlawful to knowingly provide false, incomplete or misleading facts or information to an insurance company for the <br /> purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment,fines,denial of insurance, <br /> and civil damages. Any insurance company or agent of an insurance company who knowingly provides false,incomplete,or <br /> misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the <br /> policyholder or claimant with regard to a settlement or award payable from insurance proceeds, shall be reported to the <br /> Colorado division of insurance within the Department of Regulatory Agencies. <br /> For applicants in District of Columbia: <br /> WARNING: It is a crime to provide false or misleading information to an insurer for purpose of defrauding the insurer or <br /> any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false <br /> information materially related to a claim was provided by the application. <br /> For applicants in Florida: <br /> Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an <br /> application containingany false,incomplete,or misleading information is guilty of a felony of the third degree. <br /> For applicants in Kentucky,New Mexico,Ohio,and Pennsylvania: <br /> Any person who knowingly and with intent to defraud any insurance company or other person files an application for <br /> insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, <br /> information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such <br /> person to criminal and civil penalties. <br /> For applicants in Maine,Tennessee and Virginia: <br /> It is a crime to knowingly provide false,incomplete, or misleading information to an insurance company for the purpose of <br /> defrauding the company.Penalties may include imprisonment,fines,or a denial of insurance benefits. <br /> For applicants in New Jersey: <br /> Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal <br /> and civil penalties. <br /> For applicants in all other states: <br /> If is a crime to knowingly provided false,incomplete,or misleading information to an insurance company for the purpose of <br /> defrauding the company.Penalties may include imprisonment,fines,or a denial of insurance benefits. <br /> UHIAPP(12/01) <br />