If you are a South Dakota resident and your claim is denied after the external review process, you can file a complaint with the Division.

Complaint information. 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;
• The name of the insurance company;
• The type of insurance, policy number, and claim number; and
• A description of the complaint.

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

• A copy of your insurance card;
• Copies of determination letters from your insurer;
• Copies of any determinations made by internal and external reviewers;
• Any materials submitted with prior grievances and complaints;
• Supporting documentation from your doctor;
• A copy of your insurance policy; and
• All responses from your insurer.^[15]

How to submit. The complaint may be submitted online here, faxed to (605) 773-5369, or mailed to the following address:

South Dakota Division of Insurance
124 S. Euclid Avenue, 2^nd Floor
Pierre, SD 57501^[16]