(1) As used in this section, the term “designated anti-fraud unit” means a distinct unit within the Division of State Group Insurance which is made up of employees whose principal responsibilities are the investigation and disposition of claims and who are also assigned to investigate fraud.
(2) By December 31, 2022, the division:(a)1. Shall establish and maintain a designated anti-fraud unit to investigate and report possible fraudulent insurance acts by insureds, persons making claims for services against the State Employees Health Insurance Trust Fund, or vendors under contract with the division.
2. May contract with other entities to investigate and report possible fraudulent insurance acts by insureds, persons making claims for services against the State Employees Health Insurance Trust Fund, or vendors under contract with the division.
(b) Shall adopt an anti-fraud plan.
(c) Shall designate staff with the primary responsibility of implementing the requirements of this section.
