BENEFITS FRAUD COULD LEAVE YOU WITH A CRIMINAL RECORD.

The good news? You’re in the right place if you want to learn how to recognize it, refuse it and report it.

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WHAT IS BENEFITS FRAUD?

Health and dental benefits fraud occurs when you intentionally submit false or misleading information to your insurance provider for the purpose of financial gain.

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CONSEQUENCES OF BENEFITS FRAUD

Getting caught committing benefits fraud could have a significant impact on your life. What’s the worst that could happen?

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WHAT CAN YOU DO?

You can help fight benefits fraud by using your benefits appropriately and reporting misuse when you see it.

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Frequently Asked Questions

What is health and dental benefits fraud?
Benefits fraud occurs when you intentionally submit false or misleading information to your insurance provider for the purpose of financial gain.
Who commits health and dental benefits fraud?
Benefits fraud can be committed by health or dental service providers, plan members or both.
What are the consequences of health and dental benefits fraud?
The consequences of benefits fraud can include loss or reduction of your benefits, loss of employment, a criminal record, fines and jail time.
How can you protect yourself from the consequences of health and dental benefits fraud?

Learning how to recognize benefits fraud is the first step toward preventing it. If you suspect your health or dental service provider or coworkers are encouraging you to submit a fraudulent claim, or something just doesn’t feel right, report it to your employer or insurance provider immediately. You can also report benefits fraud anonymously here: report benefits fraud.

about the fraud = fraud program

The Fraud = Fraud Program was created to educate Canadians about health and dental benefits fraud and its real consequences. It is sponsored by the Canadian Life and Health Insurance Association with the support of its member companies.

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