What is considered insurance fraud?

Prepare for the CII London Market (LM2) – Insurance Principles and Practices Test. Access comprehensive flashcards and multiple-choice questions with detailed explanations. Get exam ready today!

Insurance fraud is defined as attempts to deceive an insurance company to gain an unfair advantage or unwarranted benefits. This often involves intentional misrepresentation, where an individual or organization deliberately submits false information or makes deceptive claims to receive compensation they are not entitled to.

In the context of the other options, accidental reporting errors do not constitute fraud, as they lack the intentional element required for fraudulent activity. Deliberate claims for minor damages may be seen as questionable or inappropriate but do not inherently indicate an attempt to deceive if the claims are honest and justifiable. Similarly, failures to disclose certain risks might lead to issues like non-disclosure or misrepresentation, but they are not categorized as insurance fraud unless they are carried out knowingly to deceive the insurer.

Thus, option B accurately captures the essence of insurance fraud, encapsulating the intent to obtain benefits unlawfully.

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