Who should I call if I have any questions about filing a complaint?

You can contact the Alaska Division of Insurance, Consumer Services section at (800) 467-8785 (calling from within the state) or (907) 269-7900 (calling from outside the state). The Division is open from 8:00 a.m. to 5:00 p.m. Monday through Friday.

What happens after the Division receives my complaint?

Within two weeks of filing your complaint, the Division should send you a letter with a file number and the name of the specialist assigned to investigate your complaint. The specialist will then contact your health insurer and attempt to...

How do I file a complaint?

If your insurer denies your coverage after the external review process, you can file a complaint with the Alaska Division of Insurance (“Division”). Your complaint should include the following information: The name, age, address, email address, and telephone number of...

How long will the external review process take?

The external appeal agency should respond to you within 21 business days.[12] If you request an expedited external review, then the agency should respond to your request within 72 hours after your request is received.[13]

How do I request an external review?

If your insurer still denies you coverage after you requested an internal appeal or if your situation is urgent, you can request an external review of the insurer’s decision.[5] During an external review, an independent third party reviews your insurer’s decision.[6]...

What if I can’t wait for an internal appeal because my situation is urgent?

The internal appeals process should take a maximum of 30 days if you have not yet received the requested service or treatment and a maximum of 60 days if you have received the service or treatment but are waiting for...

How do I appeal the decision?

If your insurer denies your claim, you have the right to an internal appeal.[1] This means you can ask your insurer to conduct a full and fair review of its decision. To appeal the denial, you should do the following: Review...

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