File A Complaint
If you have questions about insurance or are experiencing a problem with an insurance company, we are here to help.
- Toll-free number: 1-877-310-6560
- Life and Health Consumer Services: 804-371-9691
- Property and Casualty Consumer Services: 804-371-9185
Please do not submit complaints by email.
- What we can do:
- Assist with Virginia issued policies.
- Contact the insurance company or agent for an explanation regarding your concerns.
- Review the company’s response to make sure they followed Virginia insurance laws and your policy provisions.
- Share our findings and review the company’s response.
- Help you understand your options when we don’t have the regulatory authority to resolve the complaint.
- If you have a Lawyer, we can get involved with their written permission
- Locate an insurance policy when you provide the name of the company for a deceased individual.
- What we can’t do:
- Recommend an agent, company, or specific insurance product.
- Review medical records to decide if a claim should be paid or not.
- Act as your lawyer or get involved in a pending lawsuit.
- Determine who was negligent or at fault.
- Decide whose side of the story is true with differing accounts
- Force a company to pay outside the terms of the policy provisions.
- Determine the monetary value of certain claims, like total losses, bodily injuries, and diminished value.
You can obtain assistance with matters that are not subject to Virginia insurance laws by contacting the following state or federal agencies such as:
Use our Insurance Complaint Portal to submit your complaint.
- Set up an account using a valid email address and create a password.
- Submit your complaint, providing as much information as possible. Upload copies of all supporting documentation.
- If you are unable to submit your documentation via the Portal, you may mail or fax it to us.
- An email confirmation with your complaint number will be sent to you after the complaint has been submitted and assigned to an insurance examiner.
- To add additional information, log back into the Portal and add a comment or upload the document. Click the Submit button to save information.
- You will receive an email when there are updates to your complaint. To view these updates:
- Log in to the Portal. Your complaint(s) will be listed by number on the Workspace page.
- In the Action column next to your complaint, select one of the two links—Comments or Documents. You will be taken to a list of all updates- select the one you want to review.
HEALTH CARE PROVIDERS: When using the Portal for submitting complaints subject to Section 38.2-3407.15 or 38.2-237 of the Code of Virginia, please complete the Provider Complaint Form and upload it with all required and supporting documentation. “Insured Information” is not necessary for complaints that involve more than one covered person.
If you are unable to file a complaint on the online portal, please select the applicable form below to submit a complaint by mail or fax (fax cover sheet). Provide as much information as possible, attach copies of all supporting documentation to the completed complaint form, and keep the original documents for your records.
Complaint Forms for Consumers
- Property and Casualty Insurance Complaint Form
- Life and Health Insurance Complaint/Appeal Form
- Formulario de Queja o Recurso de Apelación por Seguro de Vida y Seguro de Salud
- Balance Billing Complaint Form
- Continuing Care Retirement Community (CCRC) or Community-Based Continuing Care (CBCC) Complaint Form
- File a Pharmacy Benefit Management Complaint
Appeal/External Review Forms
Complaint Form for Health Care Providers