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Legal Studies

The USA Experience in Countering an Insurance Fraud

Gasanov Amid Kamalovich

post-graduate student of the Department of Criminal Law, Criminal Process and Forensics at RUDN University

119760, Russia, Gorod, g. Moscow, ul. Miklukho-Maklaya, 6, of. 444

Ostroushko Alexander Vladimirovich

PhD in Law

Associate Professor at the Financial University under the Government of the Russian Federation, Department legal regulation of economic activity

109542, Russia, Moskva, g. Moscow, per. 4-I veshnyakovskii, 4, of. 511

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The subject of the study is the regulations of the criminal law of the USA in countering the insurance fraud. A notable feature of the US criminal law is that it consists of the federal legislation and the state legislation, but only 47 states consider an insurance fraud as a crime. The authors have analyzed the dispositions of the criminal law regulations under the study and emphasized the fact that the liability is imposed for the insurance fraud committed by both policyholder and the insurer. The article highlights a certain casuistry of the dispositions peculiar to the US legislation. The authors apply the following methodological methods: a complex of general scientific and special methods of cognition of socio-legal reality. The methodological basis of the research includes the dialectical method with inherent requirements of objectivity, comprehensiveness, historicism, and the specificity of truth. Among the general scientific research methods, the authors apply the methods of analysis, synthesis, comparison, and measurement. The authors apply a rather-legal method as a special scientific method. The authors analyzed the law enforcement practice of the USA in countering the insurance fraud and suggested that special attention should be drawn to the set of its features:there is a detailed description of the features of acts in the criminal law of the USA regarding the insurance fraud; an American lawmaker takes a broad view of an insurance fraud concept and includes the broad list  of acts committed by both policyholder and the insurer; insurance fraud also includes acts of other states and in most cases are liable for exercise of criminal justice; an American lawmaker divides all the acts into crimes and offenses. 

Keywords: improvement, implementation, comparative analysis, law, criminal liability, insurance, fraud, USA, criminal law, felony
This article written in Russian. You can find full text of article in Russian here .

Champlin K. Definition of Insurance Fraud https://legaldictionary.net/insurance-fraud/
Smith G., Button M., Johnston L. Studying Fraud as White Collar Crime. New York, 2011. pp. 39-42.
Bykova N. V. Ponyatie «strakhovogo moshennichestva»: sravnitel'no-pravovoi analiz // Vestnik Rossiiskogo universiteta druzhby narodov. Seriya Yuridicheskie nauki. 2009. № 2. S. 70-76.
The insurence fraud prevention model act // Elektronnyi resurs http://www.wvlegislature.gov/bill_text_html/2003_SESSIONS/RS/bills/hb3119%20eng.htm
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