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The red flags rule in banking: a program, not a checklist

The red flags rule in banking requires every bank to run a written identity theft prevention program that detects, prevents and mitigates identity theft when accounts are opened and while they exist. It is judged by whether the program works, not by which flags it lists, and at most banks the people who make it work are the new account fraud team, which is where Botminds' New Account Fraud Detection sits.

Updated · 12 min read

The red flags rule in banking is the federal Identity Theft Red Flags Rule as it applies to banks: each bank that offers or maintains covered accounts, which includes every consumer checking and savings account, must "develop and implement a written Identity Theft Prevention Program" designed to detect, prevent and mitigate identity theft "in connection with the opening of a covered account or any existing covered account" (12 CFR 41.90(d)(1)). The program must identify the red flags relevant to the bank, detect them, respond to them and be kept up to date, and the board or a committee of it must approve it. It is a program rule rather than a checklist: the agencies judge whether it works. The daily work of detecting and responding to red flags on new accounts is what Botminds' New Account Fraud Detection is built for.

The red flags rule in banking, element by element, and the daily work behind each

What the rule requiresWhere it is writtenWhat it means on a new account fraud desk
Identify relevant red flags12 CFR 41.90(d)(2)(i)Choose the signs that matter for your channels: partner apps, branches, online opening
Detect them41.90(d)(2)(ii)Watch opening files and the account’s first weeks for those signs, every day
Respond appropriately41.90(d)(2)(iii)Restrict, close, contact the customer or decide no response is warranted, with a reason
Update periodically41.90(d)(2)(iv)Change the flags and settings when fraud, channels or partners change
Board approval of the initial program41.90(e)(1)A document the board or a committee approved, and material changes after
Senior oversight41.90(e)(2)A named owner who receives the fraud team’s reports
Training as necessary41.90(e)(3)Staff who open, service or review accounts know the flags and the responses
Oversee service providers41.90(e)(4)Partners and vendors who open or service accounts are held to the program
Rule text from 12 CFR 41.90 (OCC); the Federal Reserve, FDIC and NCUA rules are the same in substance. Third column is our reading.

What is the red flags rule in banking?

It is a regulation issued under the Fair Credit Reporting Act, as amended by the FACT Act of 2003, which told the federal banking agencies, the NCUA, the FTC, the CFTC and the SEC to jointly "establish and maintain guidelines for use by each financial institution and each creditor regarding identity theft" and to require "reasonable policies and procedures for implementing the guidelines" (15 U.S.C. 1681m(e)). The agencies issued it together in November 2007, with interagency guidelines and a supplement of example red flags.

A red flag, in the rule's own words, is "a pattern, practice, or specific activity that indicates the possible existence of identity theft". Identity theft is defined broadly. The agencies' 2009 FAQs explain that "the creation of a fictitious identity using any single piece of information belonging to a real person, such as check forgery or the use of a stolen credit card, falls within the definition" (Frequently Asked Questions: Identity Theft Red Flags and Address Discrepancies, 2009). That sentence is the reason a synthetic identity that borrows one real person's Social Security number is inside the rule, not beside it; Synthetic Identity Fraud Detection covers that work in lending.

The same 2007 package contains two smaller rules banks also follow: an address discrepancy rule for users of consumer reports, and a card issuer rule that stops a bank from issuing an additional or replacement debit or credit card soon after a change of address until it has assessed the change, for "at least the first 30 days" after the notice (12 CFR 41.91(c)).

Which accounts does it cover? Every checking account, and possibly more

A covered account has two parts. The first is automatic: an account "primarily for personal, family, or household purposes, that involves or is designed to permit multiple payments or transactions, such as a credit card account, mortgage loan, automobile loan, margin account, cell phone account, utility account, checking account, or savings account". The second is a judgment: "Any other account" with "a reasonably foreseeable risk to customers or to the safety and soundness" of the bank from identity theft (12 CFR 41.90(b)(3)). Business accounts fall under the second. The FAQs warn that "the accounts of small businesses or sole proprietorships may be particularly vulnerable to identity theft".

The periodic risk assessment that decides which other accounts are covered

  1. The methods the bank provides to open its accounts

    Branch, online, mobile, and every fintech partner’s app. A new channel is a new answer.

  2. The methods it provides to access them

    Online banking, mobile, call centre, debit cards, P2P. Each is a route for a thief.

  3. Its previous experiences with identity theft

    The accounts actually closed or restricted for identity theft, by product and channel.

The three factors are the rule’s own, 12 CFR 41.90(c)(1)–(3): each bank “must periodically determine whether it offers or maintains covered accounts”. The notes are ours.

For a new account fraud team the practical answer is simple: every consumer deposit account is covered from the moment it opens, and the risk assessment should be redone whenever the bank adds an opening channel. A sponsor bank that signs a new fintech partner has changed the ways it lets customers open accounts, one of the risk factors the guidelines tell it to weigh.

The four elements, read as a fraud team's daily work

Read quickly, the four elements look like a policy outline. Read as work, they describe a desk. Identifying flags is choosing what to look at; detecting them is looking, every day; responding is deciding, account by account; updating is learning from what was decided. The guidelines' section on detection makes the split between new and existing accounts explicit: for opening, "Obtaining identifying information about, and verifying the identity of, a person opening a covered account"; for existing accounts, "Authenticating customers, monitoring transactions, and verifying the validity of change of address requests" (Appendix J to 12 CFR part 41, section III).

The space between those two sentences is where new account fraud lives. An account opened yesterday is an existing account today, and the stolen-identity, mule and bust-out accounts that pass the opening check show themselves in the "monitoring transactions" half, usually within weeks. That is why the team that watches new accounts, not the team that writes the policy, does most of the program's detecting and responding.

"Just getting something down on paper won't reduce the risk of identity theft."

FTC, Fighting Identity Theft with the Red Flags Rule: A How-To Guide for Business

What are the identity theft red flag categories?

Five, set out in the interagency guidelines: "Alerts, notifications, or other warnings received from consumer reporting agencies or service providers, such as fraud detection services"; "The presentation of suspicious documents"; "The presentation of suspicious personal identifying information, such as a suspicious address change"; "The unusual use of, or other suspicious activity related to, a covered account"; and "Notice from customers, victims of identity theft, law enforcement authorities, or other persons" (Appendix J, section II(c)). Supplement A gives 26 numbered examples across them.

The examples are optional. The FAQs say a bank "may" consider them, that it "may find that none or only some of these examples are relevant to its business", and that compliance "will be determined based on the overall effectiveness of its Program", not on which examples it adopted. The categories are a map, and the fourth, unusual use of the account, is the one a deposit fraud team spends its days in. Which examples matter in which week of an account's life is set out on its own page.

A red flags checklist and a red flags program, side by side

A checklistA program
Red flags

A checklist: Copies all 26 examples into a policy.

A program: Chooses the ones that fit the bank’s channels, adds its own from its fraud cases.

Detection

A checklist: Says only that staff should be alert.

A program: Names who looks at what, when, with which data, and keeps the evidence.

Response

A checklist: Lists possible responses.

A program: Ties each flag or combination to a response, with reason codes and a second person.

Updates

A checklist: Re-approved each year unchanged.

A program: Changed when fraud cases, channels or partners change, and the change is recorded.

Evidence

A checklist: The policy document.

A program: Decisions, reasons and outcomes that show the program worked.

Our comparison. The agencies’ 2009 FAQs: compliance is judged on “the overall effectiveness of its Program”.

Does the red flags rule require automated detection?

No. The FAQs answer it directly: "The final Red Flags Rules do not require the use of any specific technology, systems, processes, or methodology." Banks "may use automated solutions if they effectively detect red flags", and the agencies add a caution: an automated system "may have to be supplemented by other policies and procedures that do not rely upon automation", for example where "the detection of fraudulent or altered identifying documentation may require the manual review of those documents by employees".

That caution is the design brief for any automated new account fraud tool. In the solution, agents read the opening file, the account's events and its links, and propose a response with reasons; a fraud analyst decides and a second person checks every restriction. The rule asks for appropriate responses; it does not ask the bank to hand the response to a machine, and a bank that did would struggle to show it was appropriate.

Results for the fraud committee: the kind of report a program owner reads

Results screen for the fraud committee, October to date: 298 new accounts reached review and 64 were restricted or closed, most of them mule pass-throughs and bust-outs; $412,600 in deposits held before release, estimated; 41 of 41 partner notices on time; median day 17 at restriction. Bars show the shapes behind the restrictions and restrictions per 1,000 openings by partner and for branches.
New Account Fraud Detection on the fictional sample bank. The held amount is the agents’ estimate on sample data.

Does the red flags rule require training?

Yes, but only as needed. The rule requires a bank to "Train staff, as necessary, to effectively implement the Program" (12 CFR 41.90(e)(3)), and sets no frequency. The FTC's guide puts it plainly: "The Rule requires that you train relevant staff only as “necessary.”" (FTC). The test an examiner will apply is practical: can the people who open accounts, answer the phone and review new accounts recognise the bank's chosen flags and say what the response is? Annual training is common practice, not a rule requirement, and training that predates a new partner channel is unlikely to be enough.

Where the red flags rule meets the anti-money-laundering rules

The two sets of rules overlap on every new account, and a program should say where. The customer identification program, under the Bank Secrecy Act, governs how identity is collected and verified at opening; the Red Flags guidelines point to it as the opening-day detection step. The customer due diligence rule then requires "Understanding the nature and purpose of customer relationships for the purpose of developing a customer risk profile" (31 CFR 1020.210(a)(2)(v)(A)), which is exactly the stated occupation, expected activity and purpose a new account fraud team later compares the account against. And the guidelines name suspicious activity reporting among the "Other Applicable Legal Requirements" a program should keep in view.

The overlap is useful, not duplicative, as long as the two teams share evidence and keep their decisions separate. The fraud team decides whether to restrict or close an account under the program; the BSA team decides whether a report is due, on its own clock, and nobody outside it may learn the answer. In the solution that division is built in: the action agent proposes the fraud response, the referral agent builds a packet for a queue only the BSA team can open, and the customer and partner notices are checked so that nothing in them reveals a referral.

Who enforces the red flags rule for banks?

The bank's own federal regulator. The FCRA assigns enforcement for banks to "section 8 of the Federal Deposit Insurance Act (12 U.S.C. 1818), by the appropriate Federal banking agency" and for federal credit unions to the NCUA (15 U.S.C. 1681s(b)). Each agency has its own copy of the rule.

Where each institution finds its red flags rule

InstitutionRuleEnforced by
National banks and federal savings associations12 CFR 41.90 and Appendix J to part 41OCC
State member banks12 CFR part 222Federal Reserve
State non-member banks12 CFR parts 334 and 364FDIC
Federal credit unions12 CFR part 717NCUA
Non-bank creditors and other financial institutions under FTC jurisdiction16 CFR 681.1 and Appendix A to part 681FTC
Rule citations as listed in the agencies’ 2009 FAQs and the current eCFR. The CFPB has no rule-writing authority for section 1681m(e).

What happens to a bank without a working program?

The consequence is supervisory before it is financial. Because banks are examined against the rule, a missing or paper-only program becomes an examination finding, and repeated or serious failures can lead to the enforcement tools section 8 gives the agencies for any violation of law, including cease-and-desist orders and civil money penalties. The rule's own record keeping makes the point: the FAQs note the rules have no specific retention period but that banks "must be able to demonstrate that they have complied". A bank that cannot show its program detected and responded to red flags cannot demonstrate it complied.

The more expensive consequence is the fraud itself. A program that exists on paper does not stop a ring of new accounts from cashing out a check book; how a bust-out uses the first weeks of an account shows the cost. Writing the program document is the subject of the identity theft prevention program template; an auto lender's version of the program shows how the same rule reads for indirect lending. To see the detection and response work on your own accounts, start from New Account Fraud Detection.

The record an examiner asks for: who decided what, when, why and on which evidence

Audit screen for the internal auditor, read only: every action by people and agents with who, what, when, why and which evidence, immutable and kept five years. Entries include the notice agent drafting three partner notices and five customer hold notices with one sentence removed by the tipping-off check, the fraud operations lead approving the ring restriction, the analyst submitting it with reason codes R-03, R-07 and R-05, the link agent linking five accounts, the onboarding re-read agent and behavior agent reads, and a restricted entry visible to the BSA team only. Right: export a pack for FDIC examiners, state examiners, internal audit, the BSA officer or partner oversight; an FDIC pack for October 1 to 22 collected 412 entries and 63 sources, masked SSN and date of birth and sealed each file with SHA-256.
New Account Fraud Detection on the fictional sample bank. Entries about a BSA referral show only as restricted to anyone outside the BSA team.

Questions people ask

Is the red flags rule the same as the customer identification program?

No. The customer identification program rule, under the Bank Secrecy Act, sets how a bank collects and verifies identity at account opening. The Red Flags Rule covers identity theft at opening and throughout the account's life, and the guidelines suggest using the CIP procedures as the opening-day detection step.

Does the red flags rule apply to business accounts?

Only if the bank's risk assessment finds a reasonably foreseeable risk of identity theft for them. Business accounts are not automatically covered, but the agencies' FAQs single out small businesses and sole proprietorships as particularly vulnerable.

How often must the identity theft program be updated?

The rule says "periodically", without a fixed interval. The guidelines expect staff to report to the board, a committee or a designated senior manager "at least annually" on compliance, and that report is where most banks review and update the program.

Does the red flags rule require a separate fraud system?

No. The guidelines allow a bank to incorporate "its existing policies, procedures, and other arrangements" that already control identity theft risk, and the FAQs say the rules require no specific technology. What matters is that the program, however built, detects and responds.

Does the rule cover first-party fraud?

Not directly. The rule is about identity theft, fraud using another person's identifying information. A real customer who opens an account in their own name and busts it out is committing fraud the bank should catch, but under its fraud and anti-money-laundering programs rather than the Red Flags Rule.

New Account Fraud Detection.
See it on your own files.

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