If you are an Iowa resident, you can file a complaint with the Iowa Division of Insurance (“Division”). You can obtain the complaint form here. Your complaint should include the following information:
- The name, address, email address, and telephone number of the person filing the complaint (“applicant”);
- The name of the insured individual, if different than the applicant;
- The name of insurance company;
- Policy number, claim number, and date of loss or service;
- The details of the complaint; and
- What you consider to be a fair resolution.
You should submit the following supporting documents along with the complaint form:
- A copy of your insurance card;
- Copies of coverage denials or adverse benefit determinations from your insurer;
- Copies of any determinations made by internal and external reviewers;
- Any materials submitted with prior appeals and complaints;
- Supporting documentation from your health care provider;
- A copy of your insurance policy; and
- All responses from your insurer.[14]
The complaint may be submitted online here, faxed to (515) 281-3059, or mailed to the following address:
Iowa Insurance Division
Market Regulation Bureau
601 Locust Street, 4th Floor
Des Moines, IA 50309-3738[15]