If you are a Nevada resident and you think your insurer has done something illegal or unethical, you can file a complaint with the Nevada Division of Insurance (“Division”).

Complaint information. You can find a copy of 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 (“Complainant”);
  • The name of the insured individual, if different than the Complainant;
  • The name of insurance company;
  • Policy number, claim number, date of loss/incident, if applicable;
  • The details of the complaint; and
  • What you consider to be a fair resolution.[13]

Supporting documents. You should submit the following supporting documents with your complaint:

  • 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]

How to submit. The complaint may be submitted online here or mailed to one of the following addresses, whichever is closest to you:

Nevada Division of Insurance
1818 E. College Pkwy. #103
Carson City, NV 89706

— or —

Nevada Division of Insurance
2501 E. Sahara Ave. #302
Las Vegas, NV 89104 [15]