Social security fraud: Val-de-Marne records €14.7 million loss in 2025

Health insurance fraud has surged by more than a third in the Île-de-France department, with forged sickness certificates as the principal source of misappropriation.

Social security fraud: Val-de-Marne records €14.7 million loss in 2025

Social security fraud: Val-de-Marne records €14.7 million loss in 2025

The Primary Health Insurance Fund (CPAM) of Val-de-Marne revealed in early June that the amount of fraud had reached €14.7 million over the year 2025. This figure represents a 36 per cent increase compared to the €10.8 million recorded in 2024.

False work-stoppage certificates constitute the most commonly used channel by fraudsters: they generate alone more than 60 per cent of the total loss. Beyond these simulations, misappropriations targeting insured persons amount to more than €1.8 million, affecting notably the complementary solidarity health coverage, annuities and daily allowances.

The CPAM teams nevertheless managed to block €5.3 million in fraud attempts, of which approximately 25 per cent before any payment. This effectiveness rests on the strengthening of early detection tools and on close collaboration with State services, the courts and the police.

In terms of contentious audits, 495 files were pursued out of 679 actions taken, nearly double the previous year (272 in 2024). Among the 234 confirmed cases, many concerned applications for complementary solidarity health coverage or daily allowances; the perpetrators received financial sanctions.

Source: Journal Spécial des Sociétés

Source: Google News FR — Crime (fr)

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