Office of Consumer Assistance. Office of Ombudsman. Group Business. As of 2/17/2011

Transcription

1 AL Consumer Services Division, Alabama Department of Insurance Myra Frick, Division Manager 201 Monroe Street Suite 502 Montgomery, AL Telephone: (334) Fax: (334) Page 1 of 19

2 AK Office of Ombudsman Box Anchorage AK Telephone Numbers: In Anchorage: In Juneau: Elsewhere in Alaska: Out of : (907) Office Locations: Anchorage: 333 W.Fourth Ave., Suite 305 Juneau: Court Plaza Building (Spam Can), 240 Main St., Suite 202 Consumer Services, Alaska Division of Insurance Toll-free telephone (in-state) or (800) INSURAK Anchorage area, please call Juneau Office 9th Floor Office Bldg., 333 Willoughby Avenue PO Box , Juneau, Alaska Telephone: (907) Fax (907) TDD (907) Anchorage Office Robert B. Atwood Building 550 W. 7th Avenue, Suite 1560, Anchorage, Alaska Telephone: (907) Fax (907) TDD (907) Page 2 of 19

3 AZ Arizona Ombudsman-Citizens' Aide 3737 N. 7th Street, Suite 209 Phoenix AZ Telephone: (602) Toll-free telephone: (Arizona outside Phoenix metro area) Fax: (602) Consumer Affairs Division, Arizona Department of Insurance All INS and HMO products 2910 N. 44th Street, Suite 210 (2nd Floor) Phoenix, AZ Web page: Telephone: (602) or toll-free telephone (In Arizona but outside the Phoenix area) (602) (Spanish) (602) (Fax) AR** Consumer Services Division, Arkansas Insurance Department 1200 West Third Street Little Rock, AR Telephone: (501) ; toll-free telephone Fax: (501) Page 3 of 19

4 CA** Consumer Inquiries and Assistance Consumer Communications Bureau 300 South Spring Street, South Tower Los Angeles, CA Toll-free telephone HELP (4357) Out-of- Caller (213) TDD: California Department of Insurance Ombudsman's Office 300 Capitol Mall, Suite 1600 Sacramento, CA Telephone: (916) Fax: (916) California Office of the Patient Advocate Toll-free Telephone TTY th Street, Suite 500 Sacramento, CA Telephone: (916) CO Department of Managed Health Care California Help Center 980 9th Street, Suite 500 Sacramento, CA Consumer Complaints Toll-free Telephone: Consumer Assistance Section, Colorado Division of Insurance 1560 Broadway, Suite 850, Denver, CO Telephone: (303) Fax: (303) Consumer Information Telephone: (303) Toll-free telephone (outside Denver): Page 4 of 19

5 CT** Office of the Healthcare Advocate P.O. Box 1543 Hartford, CT Toll-free telephone: Fax: (860) Consumer Affairs Unit, Connecticut Insurance Department PO Box 816 Hartford, CT Telephone: (860) , Toll-free telephone Fax: (860) DE** Insurance Commissioner's Consumer Services Division 841 Silverlake Blvd Dover, DE Toll-free telephone: ; and DE residents (302) Fax: (302) Page 5 of 19

6 DC** For Medical Necessity cases: District of Columbia Department of Health Care Finance Office of the Health Care Ombudsman And Bill of Rights 825 North Capital Street 6th floor, NE Washington, DC Toll-free telephone: Fax (202) If you are dissatisfied with the resolution reached through the insurer's internal grievance system regarding all other grievances, you may contact the Commissioner at the following: For Non-Medical Necessity cases: District of Columbia Department of Insurance, Securities and Banking Consumer Services Division 810 First Street NE, Suite 701 Washington, DC Telephone: (202) Fax: FL Agency for Health Care Administration Florida Department of Financial Services Consumer Affairs Consumer Affairs 2727 Mahan Drive 200 East Gaines Street Tallahassee, FL Tallahassee, FL Toll-free telephone: Telephone: (850) or toll-free telephone Note: The Agency for Health Care Administration has responsibility for HMO and EPO issues. The Department of Financial Services has responsibility for all other types of insurance. Page 6 of 19

7 GA** Consumer Services Division, Georgia Office of Insurance 2 Martin Luther King, Jr., Drive Ste 716 Atlanta, GA Attention: Consumer Services Division Toll-free telephone: or telephone (local): (404) Offers assistance to Georgia residents with insurance problems or questions by servicing 51 regional locations throughout the state of Georgia. Governor's Office of Consumer Affairs 2 Martin Luther King Jr. Drive, Suite 356 Atlanta, Georgia Telephone: (404) or (toll-free in Georgia, outside of the metro Atlanta calling area) Fax: (404) HI Hawaii Insurance Division Health Insurance Branch 335 Merchant St., Room 213 Honolulu, Hawaii Hawaii Insurance Division Health Insurance Branch P. O. Box 3614 Honolulu, HI Fax: (808) Telephone: (808) Residents on the neighbor islands may call the following numbers followed by or and the # sign: Kauai Maui Hawaii Lanai & Molokai (toll free) ihealth@dcca.hawaii.gov Page 7 of 19

8 ID Consumer Assistance, Idaho Department of Insurance 700 W. Street, 3rd Floor P. O. Box 83720, Boise Idaho Telephone: (208) (Boise and surrounding area) Toll-free telephone (In Only) IL** Illinois Department of Insurance Office of Consumer Health Insurance 320 W. Washington Street Springfield, IL Toll-free telephone: Main (217) Main Fax (217) Consumer Complaints Fax (217) TDD (217) IN IA** Consumer Services Department, Indiana Department of Insurance 311 West Washington Street, Suite 300 Indianapolis, IN Telephone: Toll-free telephone: (in state only): (general questions only) Website: Consumer Advocate Bureau, Iowa Insurance Division Attn: Consumer Advocate 330 Maple Street Des Moines, IA Telephone: (515) Toll-free telephone: (Within Iowa) Fax: Page 8 of 19

9 KS** KY** Consumer Assistance Division, Kansas Insurance Department 420 SW 9th Street Topeka, Kansas Mailing address: P.O. Box 517, Frankfort, KY Telephone: (785) Toll-free telephone: (in Kansas only) TTD: Fax: Website: Consumer Protection, Kentucky Department of Insurance Telephone : Fax : Toll Free (Kentucky only) : (option 1) Consumer Protection LA Office of Consumer Advocacy, Louisiana Department of Insurance Clarissa A. Preston, Deputy Commissioner of Consumer Advocacy Telephone: (225) cpreston@ldi.state.la.us Sharon Arnold, Administrative Assistant of Consumer Advocacy Telephone: (225) sarnold@ldi.state.la.us Fax: (225) consumeradvocacy@ldi.state.la.us Louisiana Department of Insurance 1702 N. Third Street P.O. Box Baton Rouge, LA Page 9 of 19

10 ME** Maine Bureau of Insurance, Consumer Health Care Division 34 House Station Augusta, Maine Toll-free telephone: (In Maine) Telephone: (207) TTY: Fax: (207) MD** Office of the Attorney General Healthcare Advocacy Unit Consumer Protection Division 200 St. Paul Place, 16th Floor Baltimore, MD Telephone: (410) Toll-free telephone: If dissatisfied with appeal decision, they may file complaint with: Maryland Insurance Commissioner Maryland Insurance Administration, Appeals and Grievance Decision Unit 200 St. Paul Place, Suite 2700 Baltimore, MD Telephone: (410) Toll-free telephone: Fax: (410) TTY: (860) Page 10 of 19

11 MA** Commonwealth of Massachusetts Office of Consumer Affairs and Business Regulation Division of Insurance 1000 Washington Street. Suite 810 Boston, MA Telephone: (617) Consumer Hotline: (617) Fax (617) Office of Patient Protection Massachusetts Health and Human Services 99 Chauncy Street Boston, MA Toll-free Telephone: Fax: (617) MI** Michigan OFIR -- Consumer Services Division PO Box Lansing, MI Toll-free telephone: MN Office of the Ombudsman for Managed Health Care Programs (MHCP) PO Box St. Paul, MN Telephone: (651) or toll-free telephone: ; TTY: 711 Note: There are also ombudsman offices for long-term care and mental health and development disabilities. Minnesota Department of Commerce - Market Assurance Division Telephone: (651) (Twin Cities) Toll-free telephone: (Outside Twin Cities Area) Fax: (651) Page 11 of 19

12 MS** MO** Consumer Services Division, Mississippi Insurance Department Andy Case, Director of Consumer Services Mississippi Insurance Department 1001 Woolfolk Office Building 501 N.West St. Jackson, MS Telephone: (601) Toll-free telephone (statewide): (Consumers Only) FAX: Consumer Services: Missouri DIFP Attn: Consumer Affairs P.O. Box 690 Jefferson City, MO Consumer Hotline toll-free telephone: or telephone: (573) Complaint forms may also be faxed to (573) MT** NE NV** Commissioner of Securities and Insurance 840 Helena Avenue Helena, MT or (406) Fax: (406) Consumer Affairs Division, Nebraska Department of Insurance Terminal Building 941 O Street, Suite 400 Telephone: Consumer toll-free Hotline: TDD: Fax: (402) insurance@iid.iowa.gov Consumer Services, Nevada Division of Insurance All INS and HMO products 2501 E. Sahara Ave #302 Las Vegas, NV Telephone: (702) Fax: (702) In Northern Nevada, please call (775) , or cscc@doi.state.nv.us. In Southern Nevada, please call (702) , or cnsmsvlv@doi.state.nv.us. of Nevada toll-free: Page 12 of 19

13 NH** NJ** New Hampshire Insurance Department 21 South Fruit Street, Suite 14 Concord, New Hampshire Telephone: (603) Fax: (603) TTD Access: Relay NH The Office of Insurance Claims Ombudsman New Jersey Department of Banking and Insurance P.O. Box 472 Trenton, NJ Toll-free telephone: , Fax: (609) NM** NY** Public Regulation Commission P.E.R.A. Building 1120 Paseo De Peralta Santa Fe, NM Toll-free telephone: ASK-PRC ( ) Formal Complaint Form: Secure Online Form: New York Department of Health, Office of Managed Care, Bureau of Certification & Surveillance, Empire Plaza, Corning Tower Room 1911, Albany, NY Toll-free telephone: [ New York Insurance Department, Consumer Services Bureau, 25 Beaver Street, New York, NY Toll-free telephone [ Page 13 of 19

14 NC** Consumer Services Division (North Carolina Department of Insurance) (In-state only) or (919) Dobbs Building: 430 N. Salisbury St. Raleigh, NC Managed Care Patient Assistance Program, North Carolina Department of Justice 114 W. Edenton Street Raleigh, North Carolina Telephone: (919) Toll-free telephone: (in North Carolina only) Website: Serves consumers who are members of managed health benefit plans. ND OH** OK** None Ohio Department of Insurance Regulatory Ombudsman 50 W. Town Street, Third Floor - Suite 300 Columbus, Ohio Toll-free telephone: Consumer Assistance, Oklahoma Insurance Department Oklahoma City Location: Five Corporate Plaza 3625 NW 56th, STE 100 Oklahoma City, OK Mailing Address: Oklahoma Insurance Department P.O. Box Oklahoma City, OK Telephone: (405) Toll-free telephone: Fax: (405) Page 14 of 19

15 OR** Consumer Advocate, Oregon Insurance Division Speak to a Consumer Advocate: Telephone: (503) or toll-free telephone: cp.ins@state.or.us Mailing Address: Oregon Insurance Division PO Box Salem, OR Street Address: 350 Winter Street NE Salem, OR PA** Automated Consumer Hotline toll-free telephone: see the Insurance Department website for online services PR** RI** N/A Rhode Island Department of Attorney General Office of Health Care Advocate 150 South Main Street Providence, RI Telephone: (401) Page 15 of 19

16 SC** South Carolina Department of Insurance - Consumer Services Division Mailing Address: Consumer Services Division P.O. Box Columbia, SC Physical Address: Consumer Services Division 1201 Main Street, Suite 1000 Columbia, SC Telephone: (803) Toll-free telephone: (Accessible only in SC) consumers@doi.sc.gov SD TN** None Tennessee Department of Commerce and Insurance Consumer Insurance Services Tennessee Department of Commerce and Insurance Insurance Division 500 James Robertson Parkway Nashville, TN TX Telephone: (615) or toll-free telephone: (inside Tennessee) CIS.Complaints@tn.gov Texas CHAP is now operational and is administered by TDI s Consumer Protection program. It is located at the Texas Department of Insurance, 333 Guadalupe, Austin, Texas. The program s toll-free number is TEX-CHAP ( ). The e- mail address is chap@tdi.state.tx.us. The mailing address is Texas Department of Insurance, Mail Code 111-1A, PO Box , Austin, Texas, Page 16 of 19

17 UT Office of Consumer Health Assistance, Utah Insurance Department 3110 Office Building Salt Lake City, UT Health: , toll free within Utah at , or Life: , toll free within Utah at , or VT** Consumer Services Unit Department of Banking, Insurance, Securities and Health Care Administration 89 Main Street, 3rd Floor Montpelier, VT Toll-free telephone: or (802) , Fax: (802) VI* VA** Office of the Managed Care Ombudsman Bureau of Insurance P.O. Box 1157 Richmond, VA Internet: Toll-free telephone: The Virginia Office of Consumer Affairs ( OCA ) Consumer Protection Hotline Toll Free in VA: Richmond and Outside of VA: Telephone: (804) Page 17 of 19

18 WA** Consumer Assistance Hotline Toll-free telephone: Telephone: (360) Fax number: Mailing Address: P. O. Box Olympia, WA WV** The Office of the Consumer Advocate Division Toll-free telephone: TRY WVIC ( ) ext 3864 TTY Fax: (304) Correspondence: West Virginia Offices of the Insurance Commissioner ATTN: Consumer Advocate Division PO Box Charleston, West Virginia Physical Address: One Players Club Drive, Third Floor Charleston, West Virginia WI** Office of the Commissioner of Insurance 125 South Webster Madison, WI Toll-free telephone (wide): Telephone (Madison): (608) Page 18 of 19

19 WY Consumer Affairs Section (Wyoming Insurance Department) 106 East 6th Avenue Cheyenne, WY Telephone: (307) Toll-free telephone (In-state): FAX: (307) For External Review Medical Necessity Cases: Wyoming Department of Insurance Attn: External Review 106 E. 6th Avenue Cheyenne, WY Telephone: (307) Fax: (307) Page 19 of 19