What legal authorities may consider outright insurance fraud, far too many Americans consider simply being clever with their insurance claims to save a bit of money. A new survey from ValuePenguin reveals that a surprising number of Americans try to walk that tightrope, knowingly or unknowingly, exposing themselves to potentially disastrous legal consequences.
Savvy claim filing, or insurance fraud?
Insurance experts at ValuePenguin surveyed 1,950 U.S. consumers to gauge their behavior around insurance claims. The survey reveals a surprising number of Americans engage in outright fraud or borderline illegal behavior.
The top-line finding is that 15% of home insurance policyholders and 9% of car insurance policyholders openly admit to committing insurance fraud. Below that headline, though, lurks additional danger for a larger group of insurance customers.
From just $107.88 $24.99 for Kiplinger Personal Finance
Become a smarter, better informed investor. Subscribe from just $107.88 $24.99, plus get up to 4 Special Issues
Sign up for Kiplinger’s Free Newsletters
Profit and prosper with the best of expert advice on investing, taxes, retirement, personal finance and more - straight to your e-mail.
Profit and prosper with the best of expert advice - straight to your e-mail.
Much larger percentages — 33% of home insurance and 35% of auto insurance policyholders — admit to submitting claims for preexisting damage, which is itself a form of fraud. Meanwhile, 30% of home insurance and 21% of auto insurance customers reported misleading their insurers to save money.
This suggests that up to 18% of home insurance and 26% of auto insurance customers have committed fraud without admitting or knowing the distinction, on top of the original group that candidly admit fraud outright.
A troubling generational gap
In terms of demographics, ValuePenguin found that younger Americans are more likely to mislead insurers. A whopping 39% of millennial auto policyholders admitted relying on deceptive tactics to save on insurance premiums, as compared to a smaller 16% of Gen Xers and a minuscule 3% of baby boomers.
Millennials also lead the field in fudging on their home insurance to save money. 53% of millennial home policyholders report lying or simply omitting key information when dealing with their insurers, as compared to just 23% of Gen X and 3% of baby boomers.
ValuePenguin also found that no matter the intent, younger Americans are least aware of the real consequences.
15% of Americans think insurance fraud isn't a crime, with the highest percentage among Gen Z at 26%, compared to just 6% of baby boomers at the low end. Additionally, 19% of all Americans believe insurance fraud won't affect them, with Gen Z tilting the scales at 25%.
ValuePenguin insurance expert Divya Sangameshwar says, "Insurance fraud leads to higher costs for insurers, which they pass on to consumers in the form of higher premiums. It can also lead to a scenario where insurers may decide to stop underwriting policies altogether in an area where they feel there’s a high incidence of fraud, leading to less competition and higher rates for consumers."
Stiff penalties for fraud
Insurance fraud can carry legal and financial fallout contingent upon conditions like the severity and location of your offense.
"Insurance fraud is a form of stealing, and it’s illegal in every state," according to Sangameshwar. "Whether you do it knowingly or unknowingly, you’ll face consequences that can range from higher premiums to denied claims to canceled policies to difficulty obtaining another policy in the future to potential criminal charges depending on the scope of your fraud."
She splits offenses into two categories: hard and soft fraud.
Hard fraud involves someone destroying a car, house or other property to try to collect on their insurance policy. This serious fraud involves large sums of money and usually results in felony charges, large fines and potentially jail time.
Soft fraud occurs when a person lies on an insurance application or embellishes a damage claim. According to ValuePenguin, this can be more difficult to catch and prove since it’s often an honest mistake or simply taking advantage of an insurer's lack of oversight. Punishment for soft fraud can include misdemeanor charges followed by restitution, community service or probation.
For one state example, the Michigan Department of Insurance and Financial Services considers homeowners insurance fraud in Michigan an automatic felony. Policyholders found guilty can be hit with up to four years in jail, up to $50,000 in fines plus court costs and legal fees, all on top of a permanent felony record.
"Insurance fraud is a form of stealing, and it’s illegal in every state...Whether you do it knowingly or unknowingly, you’ll face consequences that can range from higher premiums...to potential criminal charges, depending on the scope of your fraud."
Insurance expert Divya Sangameshwar
How to avoid committing fraud
Progressive Insurance offers multiple tips for avoiding the legal thicket of insurance fraud.
The company recommends being completely honest and transparent as your guiding principle when applying for auto insurance or filing a claim. Policyholders should report events just as they happened, include your proper registration address, and past driving offenses.
For homeowners insurance, Progressive similarly recommends honesty as the best policy. First time home policy applicants should truthfully answer all the questions covering topics like the home's location, its condition, and any past insurance claims. When filing a claim, contact the agent quickly to report damages or theft. Use any insurance payout for any repairs claimed as necessary, so insurers don't get suspicious if you file a claim in the future related to the same issue.
Progressive also advises policyholders to watch out for homeowners insurance scams. Unscrupulous contractors may offer to cover your deductible, give you a supposed discount, and then bill your insurance for more than you actually owe them. This can get you into hot water by extension, despite no wish on your part to defraud the insurance company.
Related Content
-
December Fed Meeting: Live Updates and CommentaryThe December Fed meeting is one of the last key economic events of 2025, with Wall Street closely watching what Chair Powell & Co. will do about interest rates.
-
This Is Why Investors Shouldn't Romanticize BitcoinInvestors should treat bitcoin as the high-risk asset it is. A look at the data indicates a small portfolio allocation for most investors would be the safest.
-
I'm a Federal Benefits Pro: I Answer These 2 Questions a LotMany federal employees ask about rolling a TSP into an IRA and parsing options for survivor benefits, both especially critical topics.
-
Your End of Year Insurance Coverage Review ChecklistStop paying for insurance you don't need and close coverage gaps you didn't know about with this year-end insurance review.
-
Snowbirds: Avoid These 3 Sneaky Insurance IssuesBefore snowbirds depart for their winter retreat, they should check their insurance coverage for surprises that might arise, or else be on the hook for repairs.
-
10 Things You Should Know About Buying a Car Today, Even if You've Bought BeforeIf buying a car is on your to-do list, and it's been a while since you went shopping for a new one, this guide will help avoid any nasty shocks in the showroom.
-
Loyalty Doesn’t Pay: Why Your Car Insurance Keeps Going UpYou’ve been a good customer, now your premium is creeping up. Here’s why loyalty might be costing you on car insurance.
-
Protect Your Family From Costly Festive Fails With These Holiday TipsHaving people over this holiday season? Before opening the door to guests, here are some perils to prepare for in advance.
-
When an Extended Car Warranty is Worth It — and When it's NotGot the "we're trying to reach you about your car's extended warranty" call? Here's what you need to know before buying.
-
Does My Car Insurance Cover Rental Cars?Is it safe to decline the extra coverage car rental companies offer you when booking? Here's what you need to know.
-
I Need to Cut $1,000 From My Monthly Budget, and I've Already Given Up Starbucks and Dining Out. What Else Can I Do?Here are some creative ways to save up to $1,000 a month, even if you feel like you've already made all of the obvious cuts.
