If you are an Indiana resident and you have completed the internal appeal and external review processes but still lack access to a treatment, you can file a complaint with the Indiana Department of Insurance (“Department”).

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 person;
  • The name and address of insurance company;
  • The state where the insurance plan was purchased;
  • Policy number and claim number;
  • If a group policy, the name and address of the employer; and
  • The details of the complaint.[13]

You must also submit the following supporting documents:[14]

  • A copy of your insurance card;
  • Copies of coverage denials or determination letters 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 practitioner;
  • A copy of your insurance policy; and
  • All responses from your insurer.[15]

The complaint may be submitted online here, faxed to (317) 234-2103, or mailed to the following address:

Indiana Department of Insurance
Consumer Services Division
311 W. Washington Street, Suite 300
Indianapolis, IN 46204-2787[16]