If you have a problem with claim handling issues, OIC can require the company to explain its actions and make sure it followed Washington state laws and your policy. Learn more about the complaint process.

We are currently experiencing a backlog in complaint cases. We plan on reviewing your case within 45 business days of submitting your complaint. This may take longer depending on circumstances. Thank you for your patience.
If you have a problem with your insurance company's conduct, OIC can require it to explain its actions and make sure it followed Washington state laws and your policy. Learn more about the complaint process.

We are currently experiencing a backlog in complaint cases. We plan on reviewing your case within 45 business days of submitting your complaint. This may take longer depending on circumstances. Thank you for your patience.
If your complaint meets the requirements for surprise or balance billing, OIC can request the provider or facility explain its actions and ask them to correct the bill. Please include your Explanation of Benefits and a copy of your medical bill.
The Office of Insurance Commissioner (OIC) investigates insurance-code violations by agents or agencies, including:
  • Agent misrepresentations regarding the sale of insurance policies
  • Agents mishandling of premium payments
  • Fraudulent, deceptive, or coercive sales practices by agents or agencies
  • Unlicensed persons or entities selling insurance
If you are a pharmacy or consumer and have a problem with a pharmacy benefit manager, the Office of Insurance Commissioner (OIC) investigates violations by pharmacy benefit managers, including violations of:
Use this form to report fraud that was committed against an insurance company.



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