If an insurer reasonably believes that a fraudulent act has been committed in connection with a workers' compensation claim, within how many days must the authorities be notified?

• A. 60 days
• B. 10 days
• C. 30 days
• D. 90 days

Answer: (A)

When an insurer reasonably believes that fraud has been committed in connection with a workers’ compensation claim, there is a statutory deadline to report it. The requirement is to notify the appropriate authorities within 60 days of that belief or of discovering the facts. This timing helps ensure a prompt investigation, preserves available evidence, and supports recovering any improper payments, while balancing the practical need to gather sufficient information before reporting.

Shorter windows (for example, 10 or 30 days) can be too tight to collect the necessary facts, and a much longer window (like 90 days) could delay enforcement and deter fraudulent activity. The 60-day limit is the standard period established to strike that balance.