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Utah Insurance Department COMPANY NAME: _________________________________________ INSTRUCTIONS: This
checklist is to be completed and attached to the cover of your Antifraud Plan.
Carefully review the provisions in your Antifraud Plan and compare them with
each required provision listed. If the provision complies, initial each line to verify
compliance. _____ 1. Description of the procedures for detecting and
investigating possible violations of Section 31A-36-113. _____ 2. Description of the procedures for resolving
material inconsistencies between medical records and applications for insurance. _____ 3. Description of the procedures for reporting
possible violations to the commissioner. _____ 4. Description of the plan for educating and training
underwriters and other personnel against fraud. _____ 5. Description or chart of the organizational
arrangement of the personnel responsible for detecting and investigating
possible violations of Section 31A-36-113 and for resolving material
inconsistencies between medical records and applications for insurance. I certify that I have reviewed the Utah Viatical
Settlements Act and to the best of my knowledge, the attached Antifraud Plan is
complete and accurate. _____________________________ ____________________
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