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Insurance Fraud:

Use this form to report suspected fraud. You don't need to complete all the boxes to submit this report. To assist us in reviewing this report, please be sure to include complete information about the person or organization you suspect of committing fraud.
Your Information (Optional)
Your name
Address
City
State
Zip
Home phone
Work phone
E-mail address
Person or Company You Suspect of Fraud
Name
Address
City
State
Zip
Home phone
Work phone
Dates of service(s)
Person This Affected
Name
Plan I.D.#
Address
City
State
Zip
Home phone
Work phone
Report

  

If you don't want to submit this form online, you can also contact us by:

Fax
(916) 350-6930

Mail
CareAmerica Life Insurance Company
Special Investigations
4203 Town Center Blvd
El Dorado Hills, CA 95762

E-mail
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