If you are a Connecticut resident and your insurer denies your coverage after the external review process, you can file a complaint with the Connecticut 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 (e., complainant);
  • The name of the insured individual, if different from the complainant;
  • The names of any other parties involved (for example, the plan administrator);
  • The name of insurance company and the type of insurance;
  • Claim information, including the policy number, certificate number, and claim number, date of denial, and amount in dispute;
  • The reason for and details of the complaint; and
  • What you consider to be a fair resolution.[16]

You can submit the following supporting documentation with your complaint:

  • Medical bills;
  • Contracts; and
  • Correspondence between you and your insurer.[17]

You can submit your complaint online here. If you submit an online complaint, you should scan the supporting documents and attach them to your complaint.[18]Alternatively, you can print a copy of the complaint found here and mail it along with the supporting documents to:

Connecticut Insurance Department
Attn: Consumer Affairs Division
P.O. Box 816
Hartford, CT 06142-0816[19]