Sample Complaint Letter To State Insurance Commission printable pdf download

Sample Complaint Letter To State Insurance Commission

You can find your State Commissioner Insurance Commission's address by going to

Sample Complaint Letter to State Insurance Commission:

Name of State Insurance Commission

Name of Your Insurance Company

Address of Insurance Company and Telephone Number

Dear Insurance Commissioner:

I have filed the attached insurance claim with _______________(insert name of your

insurance company) on___________(insert date[s]).

My physician has deemed this therapy/procedure/drug/etc. medically necessary for my

medical condition. However, my insurance company has denied me access to the

standard of care. I have had the following specific problems with this insurance

company:

(List all of your problems, such as refusal to cover physician-prescribed therapy, claim

has not been paid or has been denied, etc.)

Please accept this letter as a formal written complaint against_______________(insert

name of your insurance company).

Sincerely,

Your Name

Your Address and telephone Number

CC: Medical Director, _________________(insert name of your insurance company).

CC: Your physician

Property of NORD, Inc.

Sample Complaint Letter To State Insurance Commission