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Filing An Insurance Complaint

How to File A Complaint Against an Insurer or Agent

Division of Insurance Consumer Service Unit

Phone

Open Monday to Friday 8:45 am-5:00 pm

The Details of Filing An Insurance Complaint

What you need for Filing An Insurance Complaint

Consumer Services responds to consumer inquiries and intervenes on behalf of consumers to resolve complaints against insurers, agents, and other licensees. CSU also provides consumers with general insurance information and advises them, when appropriate, of their rights under their insurance policy and the applicable Massachusetts insurance laws.

Consumer Services can only help you obtain rights and benefits that you are entitled to under your insurance contract and the Massachusetts insurance laws. We help consumers determine if we have any jurisdiction, and if not, let them know where help might be found.

Please be aware that complaints filed are not confidential. Consumer Services will send a copy of your complaint and any related materials to any company, agent or licensee involved in this matter. Please do not send any medical records.

Please note: If your complaint involves ongoing litigation, do not complete this form. Consumer Services is not authorized to render legal opinions and does not intervene between attorneys and their clients, nor do we perform work on behalf of attorneys. 

If your complaint involves a workers' compensation claim, please contact the Division of Industrial Accidents.

If your situation involves health insurance, you should be aware that many health plans such as "ERISA" plans and "self-funded" plans are regulated by the federal government. The benefits coordinator at your place of employment can tell you what kind of health plan you are in and direct you to the appropriate source of help. If this is an employer sponsored health plan, the employer must fill out the form on behalf of the group.

How to file Filing An Insurance Complaint

You can download our Complaint Form. Please note, for us to assist you requires your cooperation. 

In order to process your complaint, we need the following information from you:

  • Name of the insurance companies and agents involved
  • Your policy and claim numbers as well as the names and phone numbers of the people you have been dealing with.

Once you have downloaded the form you can:

A. Fill it out (saving it as you go), and email it back (preferred method).  Just attach the form to your email addressed to: CSSComplaints@mass.gov. You can attach any other necessary documents relating to your insurance complaint (ie: bills, explanation of benefits sheets, vehicle appraisals, police reports) to the email also.

OR

B. You can fill out the form, save it, and print it.  You can then mail it to:

Commonwealth of Massachusetts

Division of Insurance

Consumer Services Unit

1000 Washington Street, Suite 810

Boston, MA 02118-6200

OR

C. You can fill out the form, save it, and print it.  You can then fax it to:

(617) 753-6830

 

 

More info for Filing An Insurance Complaint

All complaints and information requests are reviewed upon receipt to ensure that they are within the jurisdiction of the DOI. If jurisdiction is identified, the complainant will receive a written acknowledgement of the complaint or an email or letter indicating that the complaint was incomplete and requesting any required, missing documents. The respondent (the insurance company or agent you filed a complaint about) will receive written notification that a complaint has been filed along with a copy of the complaint and the supporting documentation. The respondent has 30 days to provide a written response to the complaint. The complaint is then assigned to a CSU examiner who will review the details and determine any violations.

Due to the volume of complaints received by CSU, complaints are handled in the order that they are received. If you have already filed a complaint about a particular issue and would like an update on your complaint, please call our Hotline. Please do not file an additional complaint.

 

 

 

Downloads for Filing An Insurance Complaint

Contact for Filing An Insurance Complaint

Address
1000 Washington Street, Suite 810, Boston, MA 02118
Phone

Open Monday to Friday 8:45 am-5:00 pm

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