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News Release

Release Date: 10/31/2018
Staff Reference: Wendy Hope

(Toronto, October 31, 2018) -- The life and health insurance industry has stepped up its efforts in the fight against fraud by launching the Fraud=Fraud campaign to raise the level of consumer education and awareness around health and dental benefits fraud. Its goals are to help Canadians to recognize fraud, understand how to avoid becoming involved in fraudulent activities, and increase awareness that fraud is a crime and, therefore, has real consequences.

“Benefits fraud is far more widespread than it should be, in part because many people don’t understand that it is an actual crime,” notes President and CEO of the Canadian Life and Health Insurance Association (CLHIA) Stephen Frank. “Most people think that, if you are caught, you would just repay the money. In fact, you could not only lose your benefits, but also your job and, in some cases, end up with a criminal record and even go to jail.”

Benefits fraud occurs when an individual intentionally submits false or misleading information about the health or dental benefits they received under their employer’s benefit plan. According to a March 2018 survey conducted by Environics Research for the CLHIA, 75 per cent of Canadians incorrectly believe that the only punishment for benefits fraud is having to pay higher premiums, or be forced to reimburse claim payments.

Although there have been some cases where individuals did not understand that they were engaging in fraud, the industry is increasingly seeing evidence of organized crime or unscrupulous service providers getting involved and reassuring their victims that what they are doing is normal or that they are entitled to the money. “We are seeing more of these schemes which are resulting in companies having to lay off large numbers of staff, and that can have a huge negative impact. That is why we believe a campaign like this is timely and necessary,” adds Mr. Frank.

About the CLHIA
The CLHIA is a voluntary association whose member companies account for 99 per cent of Canada’s life and health insurance business. The industry provides a wide range of financial security products such as life insurance, annuities (including RRSPs, RRIFs and pensions) and supplementary health insurance to more than 29 million Canadians. It also holds over $860 billion in assets in Canada and employs more than 155,000 Canadians.

For more information:
Wendy Hope, Vice President, External Relations
(613) 691-6001/