Complaints, Grievances & Appeals

You have the right to file a suggestion, complaint or grievance about Aetna, your plan, or a health care service, provider or professional.

Use the Appeal, Formal Complaint or Suggestion Form to send your comments to Aetna.

Get help from your state

Your state insurance office can help you if you don’t agree with a decision made by your health plan or if you decide to appeal a decision.

  • Choose the state you live in if your medical plan is self-funded.
  • Choose the contract state if your medical plan is insured.

If you are not sure, ask your employer or call the toll-free number on the back of your medical plan ID card to find out which type of plan you have.

Get help from the federal government

The Health Care Reform law includes rules about appeals. Many plans have to follow these rules. If your plan is covered by the law*, you can contact the Employee Benefits Security Administration for help at 1-866-444-EBSA (3272).

Get help from the federal government

The Health Care Reform law includes rules about appeals. Many plans have to follow these rules. If your plan is covered by the law*, you can contact the Employee Benefits Security Administration for help at 1-866-444-EBSA (3272).

Living outside the United States?

You may have a medical plan that covers you or your family while you’re living outside the United States. If it's subject to the U.S. health care reform law, choose the state where the plan sponsor has its main place of business. Call the toll-free number on the back of your medical plan ID card if you're not sure.

Alabama

Alabama Department of Insurance
(334) 241-4141
http://www.aldoi.gov/

American Samoa

Office of The Governor
011- (684) 633-4116

Arizona

Arizona Department of Insurance
(602)364-2499 or 1-800-325-2548 (in Arizona but outside Phoenix)
http://www.id.state.az.us/

Arkansas
For Insured Plans Only

Arkansas Insurance Department
1-800-852-5494 or (501) 371-2640
http://insurance.arkansas.gov/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Arkansas Insurance Department, Consumer Services Division
1200 West Third St.
Little Rock, AR 72201
(855) 332-2227
Insurance.consumers@arkansas.gov

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010.

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
California (Traditional Plans)

For Insured Plans Only

California Department of Insurance
Consumer Hotline at 1-800-927-HELP
http://www.insurance.ca.gov/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

California Department of Managed Health Care and Department of Insurance
California Help Center
980 9th Street, Suite #500
Sacramento, CA 95814
(888) 466-2219
http://www.HealthHelp.ca.gov
helpline@dmhc.ca.gov

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

Dental-only plans
Vision-only plans
Retiree-only plans
Medicare Advantage plans
Medicare Part D plans
Medicare Supplement plans

California (HMO/DMO Plans)

For Insured Plans Only

California Department of Managed Health Care
980 9th Street, Suite 500
Sacramento, CA 95814
(888) 466-2219
http://www.healthhelp.ca.gov helpline@dmhc.ca.gov

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

California Department of Managed Health Care and Department of Insurance
California Help Center
980 9th Street, Suite #500
Sacramento, CA 95814
(888) 466-2219
http://www.HealthHelp.ca.gov
helpline@dmhc.ca.gov

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

 

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans

California Processes

Colorado

Colorado Division of Insurance
1-800- 930-3745 - Toll Free
http://www.dora.state.co.us/insurance/

Connecticut

For Insured Plans Only

Connecticut Department of Insurance
1-800-203-3447 or (860) 297-3900 
http://www.ct.gov/cid/site/default.asp?ctportalPNavCtr=|27192|#45066

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Connecticut Office of the Healthcare Advocate
153 Market St., 6th Floor
Hartford, CT 06103
(866) 466-4446
www.ct.gov/oha
healthcare.advocate@ct.gov 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
 

Connecticut Processes

  • Connecticut External Appeal Consumer Guide  (PDF, 113 KB)
  • Right to Appeal: For your information, you have the right to appeal to the Connecticut Insurance Commissioner after you have exhausted all appeals provided by Aetna. Your appeal to the Insurance Commissioner would have to be filed within 120 days of your having received notice of a final determination from Aetna. The Insurance Commissioner's address is P.O. Box 816, Hartford, CT 06142, and the telephone number is (860) 297-3910.
Delaware

For Insured Plans Only

Delaware Insurance Department
Call 1-800-282-8611 in Delaware or (302) 674-7310
http://delawareinsurance.gov/

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
District of Columbia (DC)

For Insured Plans Only

District of Columbia Department of Insurance, Securities and Banking
(202) 727-8000
http://disb.dc.gov

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

District of Columbia Healthcare Finance Office of the ombudsman
899 North Capitol Street, NE
Room 6037
Washington, DC 20002
(877) 685-6391
healthcareombudsman@dc.gov
http://ombudsman.dc.gov

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Florida

Florida Office of Insurance Regulation
1-877-693-5236 or (850) 413-3140
http://www.floir.com/

Georgia

For Insured Plans Only

Georgia Office of Insurance and Safety Fire Commissioner
(404) 656-2070 or (800) 656-2298
http://www.gainsurance.org/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Georgia Office of Insurance and Safety Fire Commissioner
Consumer Services Division
2 Martin Luther King, Jr. Drive
West Tower, Suite 716
Atlanta, Georgia 30334
(800) 656-2298
http://www.oci.ga.gov/consumerservice/home.aspx 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Guam

For Insured Plans Only

Guam Department of Revenue and Taxation
(671) 635-1817
https://www.guamtax.com/

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Hawaii

Hawaii Department of Commerce & Consumer Affairs
Toll free numbers:
Kauai 274-3141, extension 73222;
Maui 984-2400;
Big Island 974-4000;
Molokai and Lanai 1-800-468-4644
http://hawaii.gov/dcca/ins/

Idaho

Idaho Department of Insurance
In Boise and the surrounding area phone: (208) 334-4250 or
Toll Free (in-state only) : 1-800-721-3272
http://www.doi.idaho.gov/

Illinois

For Insured Plans Only

Illinois Department of Insurance
Consumer Assistance Hotline toll-free number 866-445-5364
http://www.insurance.illinois.gov/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Illinois Department of Insurance
100 Randolph St., 9th Floor
Chicago, IL 60601
(877) 527-9431
http://www.insurance.illinois.gov

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Indiana

Indiana Department of Insurance
consumer hotline at 1-800-622-4461 
http://www.in.gov/idoi/

Iowa

For Insured Plans Only

Iowa Insurance Division
(515) 281-5705 or Toll Free: 877-955-1212
http://www.iid.state.ia.us/

Kansas

For Insured Plans Only

Kansas Insurance Department
(785) 296-3071, Toll-free: 1-800-432-2484 (in Kansas only)
http://www.ksinsurance.org/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Kansas Insurance Department
Consumer Assistance Division
420 SW 9th Street
Topeka, KS 66612
(800) 432-2484 (in state)
785-296-7829 (all others)
http://www.ksinsurance.org
CAP@ksinsurance.org 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Kentucky

For Insured Plans Only

Kentucky Department of Insurance
1-800-595-6053 (option 1) or (502) 564-6034
http://insurance.ky.gov/

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Louisiana

Louisiana Department of Insurance
1-800- 259-5300 -or- (225) 342-5900
http://www.ldi.la.gov/

Maine

For Insured Plans Only

Maine Bureau of Insurance
toll-free in Maine at 1-800-300-5000 or (207) 624-8475
http://www.maine.gov/pfr/insurance/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Maine Consumer Assistance Program
Consumer for Affordable Healthcare
12 Church Street
Augusta, ME 04338
(800) 965-7476
www.mainecahc.org
consumerhealth@mainecahc.org 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Maryland

For Insured Plans Only

Maryland Insurance Administration
(410) 468-2244 or 1-800-492-6116
http://www.mdinsurance.state.md.us/sa/jsp/Mia.jsp

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Maryland Office of the Attorney General
Health Education and Advocacy Unit
200 St. Paul Place, 16th Floor
Baltimore, MD 21202
(877) 261-8807
http://www.oag.state.md.us/Consumer/HEAU.htm
heau@oag.state.md.us 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Massachusetts

For Insured Plans Only

Massachusetts Consumer Affairs & Business Regulation
(617) 521-7794 or (877) 563-4467 (Toll Free)
http://www.mass.gov/doi

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Massachusetts Consumer Assistance Program
30 Winter Street, 10th Floor
Boston, MA 02108
(888) 272-4232
www.massconsumerassistance.org 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Michigan

For Insured Plans Only

Michigan Department of Licensing and Regulatory Affairs
1-877-999-6442
http://www.michigan.gov/dleg/0,1607,7-154-10555---,00.html

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Michigan Department of Insurance and Financial Services (HICAP)
Michigan Office of Financial and Insurance Regulation
611 W. Ottawa Street
Lansing, MI 48933
(877) 999-6442
http://www.michigan.gov/HICAP

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Minnesota

Minnesota Department of Commerce Insurance Gateway
(651) 296-2488 or statewide toll free at 1-800-657-3602
http://www.state.mn.us/portal/mn/jsp/home.do?agency=Insurance

Mississippi

For Insured Plans Only

Mississippi Department of Insurance
1-800-562-2957 or (601) 359-3569
http://www.mid.state.ms.us/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Health Help Mississippi
800 North President St
Jackson, MS 39202
1-877-314-3843
http://www.healthhelpms.org
healthhelpms@mhap.org 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Missouri

For Insured Plans Only

Missouri Department of Insurance, Financial Institutions & Professional Registration
1-800-726-7390 
http://insurance.mo.gov/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Missouri Department of Insurance
301 W. High Street, Room 830
Jefferson City, MO 65101
(800) 726-7390
www.insurance.mo.gov/
consumeraffairs@insurance.mo.gov 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Montana

For Insured Plans Only

Missouri Department of Insurance, Financial Institutions & Professional Registration
1-800-726-7390 
http://insurance.mo.gov/

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Nebraska

Nebraska Department of Insurance
(402) 471-2201 
http://www.doi.ne.gov/

Nevada

For Insured Plans Only

Nevada Division of Insurance
Carson City - (775) 687-0700 or Las Vegas - (702) 486-4009
http://www.doi.nv.gov/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Nevada Governor’s Office for Consumer Health Assistance
555 East Washington Ave #4800
Las Vegas, NV 89101
(702) 486-3587 or (888) 333-1597
http://www.govcha.state.nv.us
cha@govcha.state.nv.us

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
New Hampshire

For Insured Plans Only

New Hampshire Department of Insurance
(603) 271-2261 Consumer Hotline 1-800-852-3416
http://www.nh.gov/insurance/

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
New Jersey

For Insured Plans Only

State of New Jersey Department of Banking & Insurance
(609) 292-7272 or our Consumer Hotline 1-800-446-7467
http://www.state.nj.us/dobi/index.html

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
New Mexico

For Insured Plans Only

New Mexico Public Regulation Commission
(505) 827-4548 or Toll Free 1-888-427-5772
http://nmprc.state.nm.us/id.htm

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

New Mexico Consumer Assistance Program
1120 Paseo De Peralta
Santa Fe, NM 87504
(888) 427-5772
http://nmprc.state.nm.us/id.htm (website)
mchb.grievance@state.nm.us (email) 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
New York

For Insured Plans Only

New York State Department of Financial Services
1-800-342-3736, 212-480-6400, or (518) 474-6600
http://www.dfs.ny.gov/insurance/dfs_insurance.htm

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Community Service Society
Community Health Advocates
105 East 22nd Street
New York, NY 10010
(888) 614-5400
http://www.communityhealthadvocates.org/
cha@cssny.org
Language line is available for non-English speakers

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
North Carolina

For Insured Plans Only

North Carolina Department of Insurance
1-800-546-5664 (In-state only) or (919) 807-6750
http://www.ncdoi.com/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Health Insurance Smart NC
North Carolina Department of Insurance
430 N. Salisbury Street
Suite 1018
Raleigh, NC 27603
Toll free (877) 885-0231
http://ncdoi.com/Smart/

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 


This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
North Dakota

North Dakota Insurance Department
1-800.247.0560
http://www.nd.gov/ndins/

Ohio

Ohio Department of Insurance
consumer hotline at 1-800-686-1526
http://www.insurance.ohio.gov/Pages/default.aspx

Oklahoma

For Insured Plans Only

Oklahoma Insurance Department
1-800-522-0071 (in-state only) or (405) 521-2828
http://www.ok.gov/oid/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Oklahoma Insurance Department
Five Corporate Plaza
3625 NW  56th Street, Suite 100
Oklahoma City, OK 73112
Toll-Free (800) 522-0071 (in-state only)
Phone: (405) 521-2991

http://www.ok.gov/oid/Consumers/Consumer_Assistance/index.html 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Oregon

For Insured Plans Only

Oregon Insurance Division
(503) 947-7984 or toll-free 1-888-877-4894
http://www.cbs.state.or.us/external/ins/index.html

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Oregon Insurance Division
Oregon Health Connect
1435 NE 81st Ave. Suite 500
Portland, OR 97213-6759
(855) 999-3210
http://211info.org/HealthConnect
healthconnect@211info.org 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

 

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Pennsylvania

For Insured Plans Only

Pennsylvania Insurance Department
Consumer Hotline: 1-877-881-6388
http://www.insurance.pa.gov/portal/server.pt/community/insurance_department/4679

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Pennsylvania Consumer Assistance Program
Pennsylvania Department of Insurance
Bureau of Consumer Services
1209 Strawberry Square
Harrisburg, PA 17111
(877) 881-6388
http://www.pahealthoptions.com 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Puerto Rico

For Insured Plans Only

Puerto Rico Office of the Commissioner of Insurance
(787) 304-8686
http://www.ocs.gobierno.pr/ocspr/

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Rhode Island

For Insured Plans Only

Rhode Island Department of Business Regulation
(401) 462-9500
http://www.dbr.state.ri.us/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Rhode Island Consumer Assistance Program
Rhode Island Parent Information Network, Inc.
1210 Pontiac Avenue
Cranston, RI 02920
(855) 747-3224
http://www.RIREACH.org 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
South Carolina

For Insured Plans Only

South Carolina Department of Insurance
(803) 737-6160 or 1-800-768-3467
http://doi.sc.gov

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
South Dakota

South Dakota Division of Insurance
(605) 773-3563
http://dlr.sd.gov/insurance/default.aspx

Tennessee

For Insured Plans Only

Tennessee Department of Commerce and Insurance
(615) 741-2241
http://www.state.tn.us/commerce/insurance/

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 


This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Texas

For Insured Plans Only

Texas Department of Insurance
1-800-578-4677 or (512) 463-6169 in Austin
http://www.tdi.state.tx.us/

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Utah

Utah Insurance Department
Salt Lake City area: (801) 538-3800 or In-state toll-free: 1-800-439-3805
http://www.insurance.utah.gov/

U.S. Virgin Islands

For Insured Plans Only

Virgin Island Office of the Lieutenant Governor
St. Thomas Complaints: (340) 774-7166
St. Croix Complaints: (340) 773-6459
http://ltg.gov.vi/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

U.S. Virgin Islands Division of Banking and Insurance
1131 King Street
Suite 101
Christiansted
St. Croix, VI 00820
(340) 773-6459
http://ltg.gov.vi/


Other Walk-in Location:
U.S. Virgin Islands Division of Banking and Insurance
Nisky Center, Suite 200
St. Thomas, VI 00820
(340) 774-7166


* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Vermont

For Insured Plans Only

Vermont Department of Financial Regulation
at 1-800-631-7788 or (802) 828-3301
http://www.bishca.state.vt.us/

Additional Consumer Assistance for Plans Subject to Health Care Reform Law*

Vermont Consumer Assistance Program
Vermont Legal Aid
264 North Winooski Ave.
Burlington, VT 05402
(800) 917-7787
www.vtlegalaid.org 

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Virginia

For Insured Plans Only

Virginia State Corporation Commission
1-877-310-6560 or (804) 371-9691
http://www.scc.virginia.gov

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Washington

For Insured Plans Only

Washington State Office of the Insurance Commissioner
1-800-562-6900 or (360) 725-7080
http://www.insurance.wa.gov/

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
West Virginia

For Insured Plans Only

West Virginia Office of the Insurance Commissioner
1-888-TRY WVIC (888-879-9842)
http://www.wvinsurance.gov/

* This generally applies to most insured and self-funded Medical plans effective or renewed on or after September 23, 2010. 

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
Wisconsin

Wisconsin Office of the Commissioner of Insurance
toll-free number at 1-800-236-8517 (within Wisconsin) or (608) 266-3585 (outside of Wisconsin)
http://oci.wi.gov/

Wyoming

Wyoming Insurance Department
(307) 777-7401 or In-state toll free: 1-800-438-5768
http://insurance.state.wy.us/

* This generally applies to most Medical plans effective or renewed on or after September 23,   2010.

This generally does not apply to:

  • Dental-only plans
  • Vision-only plans
  • Retiree-only plans
  • Medicare Advantage plans
  • Medicare Part D plans
  • Medicare Supplement plans
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