Consumer Complaints If you are an insurance consumer and you are having problems with your insurance company and you have not been able to resolve the issue, you may contact this department for assistance. Please download the following consumer complaint form and mail it to us. Or to file electronically, follow the link to the electronic version of the form for Wyoming consumers. We will look into the situation for you. Forms:
While the authority of the Insurance Department is very broad, it is not limitless. We can enforce only the statutes the legislature passes and regulations allowed by law. We can require insurance companies to abide by the policy provisions, but we cannot dictate what those provisions should be other than those the legislature says must be in the policy. If an insurance company does not violate the Insurance Code and processes your claim according to the policy, the Insurance Department may not be able to take action against that company. Examples of complaints which fall under our authority:
Examples of complaints which do not fall under our authority:
Additionally, we cannot regulate all types of health insurance plans. While we will try to assist you to the best of our ability, it may be necessary to refer your complaint to the U.S. Department of Labor Pension and Welfare Benefit Administration (ERISA)or to the U.S. Office of Personnel Management (FEHBA). If your plan requires an appeal within a specified time limit, you should file the appeal. This complaint does not constitute, and is not a substitute for, an appeal. |
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