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

You can contact the New Hampshire Department of Insurance at (800) 852-3416. The Department is open from 9:30 a.m. to 4:30 p.m., Monday through Friday.

What happens after the Department receives my complaint?

Once the Department receives your complaint, a Consumer Service Officer will determine if the Department has the authority to handle your claim. If the Department does have the authority, your complaint will be forwarded to your health insurer for a...

How do I file a complaint?

If you are a New Hampshire resident and you believe that your insurer did something illegal or unethical, you can file a complaint with the Department. Complaint information. Your complaint should include the following information: The name, address, email address, and...

How long will the external review process take?

The external review process should take no longer than 60 days.[10] If you requested an expedited external review, the process should take no longer than 72 hours.[11]

How do I request an external review?

You should submit your request for external review to the New Hampshire Insurance Department (“Department”) within 180 days from when your insurer sent you the most recent decision.[5] Information. You can find a copy of the external review request form here. You...

What if my insurer denies my coverage after an internal appeal?

During an external review, an independent third party reviews your insurer’s decision.[3] Your insurer will no longer have the final say over whether to approve a treatment or pay a claim. Under New Hampshire law, you are entitled to request an...

How long should the internal appeals process take?

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 request an internal appeal?

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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