Combating Fraud in Disability Claims

Fraud in disability claims (WIA/WAO) is combated via UWV and insurers' external fraud information system. Suspect cases, such as undeclared work or false medical certificates, lead to suspension of benefits and recovery. The SUWI Act mandates reporting to the Public Prosecution Service for offences. Insurers use risk models and data analysis for detection. Criminal sanctions include fines up to €82,000 (art. 359 Criminal Code) and imprisonment. The UWV Fraud Signal Register shares information with SVB and Tax Authorities. Victims receive a hearing and appeal via administrative law. The Insurers' Fraud Signalling Code regulates procedures. Prevention: honest work reintegration reporting. CRvB case law emphasises the burden of proof on the insurer. In 2023, UWV stopped 15% more benefits due to fraud. Privacy falls under GDPR with DPIA. Entrepreneurs with Sickness Benefits face higher premiums. Experts advise compliance training. This system protects premium payers against abuse. (197 words)