If you are a Louisiana resident and your insurer denies your coverage after the external review process, you can file a complaint with the Department.

Complaint information. Your complaint should include the following information:

  • The name, address, and telephone number of the person filing the complaint (“Complainant”);
  • The name of the insured individual, if different than the Complainant;
  • The name and address of insurance company;
  • The name of the employer, if it’s a group policy;
  • The policy number, group number, claim number, and date of loss or date of claim;
  • The reason for your complaint and a description of the problem; and
  • What you consider to be a fair resolution.

Supporting documents. You should also submit the following documents as supporting information:

  • A copy of your insurance card;
  • Copies of coverage denials or adverse benefit determinations from your insurer;
  • Copies of any correspondence between you and the insurance company;
  • 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.[19]

How to submit. The complaint may be submitted online here or mailed to the following address:

Louisiana Department of Insurance
P.O. Box 94214
Baton Rouge, LA 70804-9214[20]