Do complaints something like insurance companies shift to the Insurance Commiss. within your state, or the state of the co.?
Our health insurance company have been promising to settle up for a costly doctor's visit, but next, instead, they have sent out explanations of non-attendance. I have be on the phone with them repeatedly for the recent past 4 months, and each time the rep say that they certainly should take-home pay it, and that I can count on it being salaried. But then, again, they don't. I own finally decided to bring it to the insurance commissioner. The company's corporate office is contained by PA. Do I complain to the PA Insurance Commissioner, or to the Ins. Commissioner of my state?
Also, should I decide to filch them to small claims court, would I have to budge to PA, or would the court take place within my state?
Thanks for any feedback.
Answers: If the plan is 'self funded' (by the employer) file it within your own state.
If its traditionally funded, file it within the state the policy was written. That may, or may not be within PA.
Call your insurance company & ask if the plan is self funded.
& ask what state's regulatory requirements they comply with.
Why are they denying the service? This could affect who you database to as well. pious luck.
ps. if your insurance is self funded, you'll have better luck complaining to corporate HR.
Go to the Insurance Commissioner's department in your state. Each state license and regulates the companies operating in that state so hold authority over those companies. As far as action against the company I doubt from your statement above "costly doctors visit" if it would fit the criteria that a small claims court have as far as dollar value. You can try it and see otherwise you call for to contact an attorney.