DEPARTMENT OF INSURANCE

There are different types of complaints that are accepted by the Department of Insurance. The Division of Consumer Protection investigates these complaints:

PLEASE NOTE: DUE TO PRIVACY AND HIPAA CONCERNS, COMPLAINTS CONTAINING MORE THAN ONE INDIVIDUAL INSURED PERSON WILL BE SUBJECT TO IMMEDIATE CLOSURE.

Consumer Complaint: (for private health insurance, life, auto, home, general liability)

A consumer complaint is filed by a consumer, or their representative, who is having difficulty settling a situation with an insurance company, agent, or adjuster.

For Printable Consumer Complaint Form Instructions, click here

For Spanish Version of Printable Consumer Complaint Form, click here

For Spanish Version of Printable Complaint Form Instructions, click here

Pharmacy Complaint:

A Pharmacy Complaint is filed by a Pharmacy Representative (Pharmacist, Third Party) or an Insured who wish to file a complaint against a Health Insurance Company or a Pharmacy Benefit Manager.

Provider Complaint:

A provider Complaint is filed by a medical provider against a health insurance company.