You can also file a complaint with the Maryland Attorney General’s Office, either at the same time you file a complaint with the Maryland Insurance Administration or in lieu of filing a complaint with the Administration.

Complaint information. You can find a copy of the complaint form here. Your complaint should include the following information:

  • The name, address, email address, telephone number, and date of birth of the patient;
  • The name, address, email address, telephone number, and relationship to patient of the person filing the complaint (“Complainant”);
  • The name of the insured individual, if different than the Complainant;
  • The name of insurance company;
  • The group name or number, membership number, and date appeal was filed with your health insurer;
  • The name, business address, telephone number, and email address of your health care provider;
  • The name, address, telephone number, and email address of any other health care providers involved in your case;
  • Whether the patient has received service or care;
  • A description of the complaint; and
  • What you consider to be a fair resolution of the complaint.[20]

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

  • Signed authorization to release medical information (in the complaint packet);
  • A copy of the confirmation page you received after submitting your complaint online (if you submitted your complaint online);
  • A copy of any bills, records, or correspondence related to your complaint;
  • A copy of any correspondence from the health insurer related to the 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.[21]

How to submit. The complaint may be submitted online here, faxed to (410) 576-6571, or mailed to the following address:

Office of the Attorney General
Consumer Protection Division
Health Education and Advocacy Unit
200 St. Paul Place, 16th Floor
Baltimore, MD 21202[22]