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Consumer Assistance

Requesting Information 

The Division of Insurance answers thousands of questions from consumers every year. If you need information or have any questions about your policy, your rights and protections, or a potential agent or insurer, contact the Colorado Division of Insurance. You can call us at 303-894-7490, email your questions to insurance@dora.state.co.us or fill out the on-line Request Assistance form by clicking on the link below.

The Division of Insurance cannot take a position or assist you in matters over which we do not have legal jurisdiction or authority. This includes problems with companies and services that are governed by federal law such as self-funded employer plans, federal employee benefit plans, Medicare and Medicaid. Also, Colorado laws do not apply to policies written in other states or an employer that is headquartered in another state. To find out if your health insurer is regulated by the Colorado Division of Insurance, check the front of your health insurance card. If the front of your card says “CO-DOI,” then we have jurisdiction and your insurer must follow Colorado laws.

However, if you are not sure about your own situation, please contact us with your questions and we will point you in the right direction. All questions are welcome. We want to help you understand your policy and provide information that will help you be a well informed consumer.

If you work with a licensed producer, commonly known as a broker or agent, that individual also may be able to help. The producer from whom you purchased a policy should be willing to assist on claim and billing issues.

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file a complaint button

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If you wish to file a complaint on an insurance company that you feel has not treated you appropriately, you may do so by clicking on the link below, or, you may send or fax a letter to:

Colorado Division of Insurance at
1560 Broadway, Suite 850
Denver, CO 80202
(fax: 303-894-7455)

If you choose to send or fax a letter please provide the company's name, your policy or ID number and a brief summary of your complaint.

Please be sure to send copies of any letters that are connected with your complaint, that you've sent to, or received from, the company or other parties involved.

If you work with a licensed producer, commonly known as a broker or agent, you may want to alert that individual that you are filing a complaint and the issues addressed in the complaint. Producers also provide customer service after a policy is sold.

File A Complaint or Request Assistance

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  • We will review the information you provide to us. We may suggest actions or procedures you may take that could aid in resolving your insurance problem. We will contact the insurance company and present your complaint, using the information you have submitted, and ask for the company’s side of the issue.
  • We encourage you to continue to protect your interest and pursue other avenues of resolution while the company prepares a response to your complaint. Read your policy to see if there is an appeal process or steps you must follow. If you currently use an insurance producer, commonly known as a broker or agent, contact that individual for assistance. Your producer should be committed to providing ongoing customer service after you purchase a policy. Producers frequently work with insurers on behalf of their clients to resolve claim and billing issues.
  • We will investigate your complaint to determine whether your rights under your insurance contract were violated, or if the insurance company has acted inappropriately. If we find indications of possible wrongdoing, the Division of Insurance will follow up with the insurance company regarding compliance with Colorado insurance laws and regulations.
  • We will make every effort to complete the investigation in a timely manner. Please be aware, it may take up to 90 days to finalize a complaint filed against an insurance company. However, it may take longer if your complaint involves a unique issue or complex problem.
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  • We cannot act as your lawyer, give you legal advice or recommend an attorney.
  • We cannot recommend or rate an insurance company, agent or policy.
  • We cannot identify an insurance company with whom a particular person or entity may have a policy.
  • We cannot resolve disputes of fact between you and the insurance company. For example:
  • We cannot decide the facts surrounding the complaint (that is, which set of facts accurately describe what occurred);
  • We cannot make medical judgments.

The Division of Insurance cannot take a position or assist you in matters over which we do not have legal jurisdiction or authority. This includes problems with companies and services that are governed by federal, not state law, or when your policy was written in another state.

However, if you are not sure who has legal authority in your situation, please present your complaint or questions to us and we will help point you in the right direction.


Additional Resources

Complaint Reports *new* October 1, 2012

When Your Health Insurance Carrier Says No pdf file

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Contact

1560 Broadway, Suite 850, Denver, CO 80202 Email
(303) 894-7490 - Phone (800) 930-3745 - Toll Free (303) 894-7455 - Fax