Dealing with Complaints Regarding Washington Health Insurance

Filing a complaint with the Office of the Insurance Commissioner

If you're unable to resolve a dispute with your company or agent and still believe you have a valid case, contact the Insurance Consumer Hotline at 1-800-562-6900. We investigate consumer complaints at no cost. To speed processing of your inquiry or complaint:

Call the Insurance Consumer Hotline first to talk to a health insurance expert about your problem. You also can ask us to mail you a complaint form or you can access the form online at www.insurance.wa.gov.

Use the form to briefly state your case, but provide complete information. Be sure to include:

• Name of your insurance company
• Policy number
• Name of the agent or adjuster
• Name of your employer, if the plan is offered through your employer

Also, make sure you sign the medical release on the back of the form.

Include photocopies of any documentation that supports your case. (Do not send original documents.)

Provide the details of your dispute, including who you talked to and what they told you.

We will investigate your complaint and inform you of what happens. If the company has made a mistake, we will work on your behalf to correct the situation.