I.C · The Insurance Marketplace
Pretext interviews
A pretext interview is getting information by pretending: a fake identity, a fake purpose, or refusing to say who you are. It is the insurance version of a con, and California bans it with one narrow exception.
Definition (Ins. Code §791.02): a pretext interview is an interview in which a person, to obtain information about another person, pretends to be someone else, misrepresents the true purpose of the interview, or refuses to identify himself or herself.
The rule (Ins. Code §791.03): pretext interviews are banned, with one exception:
It must be part of investigating a claim where there is a reasonable basis to suspect criminal activity, fraud or material misrepresentation.
Even then, the source may not have a privileged relationship with the person, such as the person's physician or attorney.
Apply it:
Posing as a survey taker to question a suspected claimant's neighbor: allowed.
Posing as a nurse to question the claimant's physician, or as a paralegal to question the claimant's attorney: not allowed, because of the privileged relationship.
Posing as a lender to question a new applicant's employer: not allowed, because underwriting is not a claim investigation.
Remember
· Pretext = false identity, false purpose, or refusing to identify yourself (§791.02).
· Only exception: a claim investigation with a reasonable basis to suspect crime, fraud or material misrepresentation (§791.03).
· Never with a privileged source (physician, attorney); never for underwriting.
CA
California Insurance Exam Prep
Bilingual practice for the California insurance license exams.
California Insurance Exam Prep is an independent study aid published by ORIGINAL HEART INC. It is not affiliated with, endorsed by, or connected to the California Department of Insurance (CDI) or PSI Services. All practice questions are original and written from the public CDI examination objectives and California law. They are not actual exam questions. Using this app does not guarantee that you will pass the licensing exam. Laws and exam content change; always check the current CDI Candidate Information Bulletin.
© 2026 ORIGINAL HEART INC
Exam prep classes
Life and real estate license exam prep with experienced instructors.
Learn more ›