Click here to file a complaint online through our website. You can attach documents to your online complaint. The complaint portal is secure. The size limit for documents is 10 MB.
Download Forms to be Completed by Hand
These forms should be as complete and detailed as possible and be accompanied by copies of any relevant documentation of your complaint. They may be mailed or faxed to the address noted on the form accessible below:
Click here to file a complaint online through our website. You can attach documents to your online complaint. The complaint portal is secure. The size limit for documents is 10 MB.
Download Forms to be Completed by Hand
These forms should be as complete and detailed as possible and be accompanied by copies of any relevant documentation of your complaint. They may be mailed or faxed to the addressl noted on the form accessible below:
Click here to file a complaint online through our website. You can attach documents to your online complaint. The complaint portal is secure. The size limit for documents is 10 MB. You can also download a complaint form and medical records release. If you download the form, you can mail it or fax it.
If you have a disability and need to file a complaint by phone, you can call us at 410-468-2244.
You should allow 90 days for a decision on your complaint, but feel free to call us at any time. Most complaints are resolved faster, but some take longer. You should send us all information you want us to know with your complaint. You have the right to appeal denial decisions under Maryland's Appeals and Grievance Law.
Medical necessity denials
Maryland law gives Maryland consumers the right to appeal a decision that denies you coverage for medically necessary treatment. If your doctor has determined that certain medical treatment is needed, but your HMO or health insurer does not agree, this law allows you to appeal. Generally, you must file a grievance with the carrier first before you can file a complaint wit the MIA. In some cases, though, including, for example, when you have a compelling reason, you can file a complaint with the MIA first.
A compelling reason includes showing that the potential delay in receipt of a health care service until after you exhaust the carrier’s internal grievance process and obtain a final decision under the grievance process could result in:
- Loss of life;
- Serious impairment to a bodily function;
- Serious dysfunction of a bodily organ;
- The member remaining seriously mentally ill or using intoxicating substances with symptoms that cause the member to be in danger to self or others; or
- The member continuing to experience severe withdrawal symptoms.
A member is considered to be in danger to self or others if the member is unable to function in activities of daily living or care for self without imminent dangerous consequences.
If care has not been provided and you have a compelling reason to skip the internal grievance process, or it is an emergency case, your complaint will be expedited.
Under the appeals and grievances law, the Maryland Insurance Commissioner has the authority to overturn your health plan's decision if your treatment is determined to be medically necessary. These areas can include: cosmetic, dental, experimental/investigational, medical necessity, pre-authorization, and prescription issues.
Contact Information:
Mail or fax this information to:
Maryland Insurance Administration
Attn: Consumer Complaint Investigation
Life and Health/Appeals and Grievance
200 St. Paul Place, Suite 2700
Baltimore, MD 21202
Telephone: 410-468-2000 or 1-800-492-6116 TTY: 1-800-735-2258
Fax: 410-468-2270 (Appeals and Grievance) or 410-468-2260 (Life and Health)
If you need help filling out these forms or would like to submit them to an agency representative, please visit us at one of our
Consumer Outreach locations.
Click here to file a complaint online through our website. You can attach documents to your online complaint. The complaint portal is secure. The size limit for documents is 10 MB. You can also download a complaint form and medical records release. If you download the form, you can mail it or fax it.
If you have a disability and need to file a complaint by phone, you can call us at 410-468-2244.
You should allow 90 days for a decision on your complaint, but feel free to call us at any time. Most complaints are resolved faster, but some take longer. You should send us all information you want us to know with your complaint.
Contact Information:
Mail or fax this information to:
Maryland Insurance Administration
Attn: Consumer Complaint Investigation
Life and Health/Appeals and Grievance
200 St. Paul Place, Suite 2700
Baltimore, MD 21202
Telephone: 410-468-2000 or 1-800-492-6116 TTY: 1-800-735-2258
Fax: 410-468-2270 (Appeals and Grievance) or 410-468-2260 (Life and Health)
If you need help filling out these forms or would like to submit them to an agency representative, please visit us at one of our
Consumer Outreach locations.
If you have a complaint against an insurance agency or producer (agent) the MIA Enforcement Unit can:
- provide information and investigate a complaint
- work to answer questions or complaints about insurance professionals and assist consumers in resolving these complaints.
Click
HERE for a complaint form.
Click here to file a complaint online through our website. You can attach documents to your online complaint. The complaint portal is secure. The size limit for documents is 10 MB.
If you have multiple complaints about the same carrier, please provide a representative sample of no more than ten claims. Include the date of service, date of submission, how it was submitted (electronic or paper), date of response/remittance advice from the carrier, and a copy of the claim form and member identification card, if available. If additional information was requested by the carrier, include the claim number and the date of re-submission.
You can also download a complaint form and medical records release. If you download the form, you can mail it or fax it.
You should allow 90 days for a decision on your complaint, but feel free to call us at any time. Most complaints are resolved faster, but some take longer. You should send us all information you want us to know with your complaint.
Click here to file a complaint online through our website. You can attach documents to your online complaint. The complaint portal is secure. The size limit for documents is 10 MB.
Download Forms to be Completed by Hand
These forms should be as complete and detailed as possible and be accompanied by copies of any relevant documentation of your complaint. They may be mailed or faxed to the address noted on the form accessible below:
Consumers are encouraged to report insurance fraud activities to the Maryland Insurance Administration's Insurance Fraud Division. You need not give your name. Simply call 1-800-846-4069 or print and submit the attached form by mail or fax. Our fax number is: 410-347-5350. Consumers may also email fraud referrals by sending completed forms to fraud_referrals.mia@maryland.gov.
Please visit the MIA Insurance Fraud Webpage for more information.
Failure to Act in Good Faith
If you believe your property and casualty or disability insurer failed to act in good faith when making a decision about your first party insurance claim, you may file an action under Section 27-1001 of the Insurance Article (property and casualty) and Section 3-1701 of the Courts Article of the Code of Maryland.
Title Insurance
The Maryland Insurance Administration has the authority to regulate the business practices of licensed title insurance producers and title insurance companies. If you have concerns regarding a title insurance claim, you may contact the Maryland Insurance Administration’s Property & Casualty Consumer Complaints Unit at 410-468-2340 or toll free at 1-800-492-6116 and elect option three (3).
Click here to file a title insurer claim complaint online through our website. To file a title insurer producer complaint, please send to enforcement.mia@maryland.gov. You can attach documents to your online complaint. The complaint portal is secure. The size limit for documents is 10 MB.
If you have concerns regarding a licensed title insurance producer, you may contact the Maryland Insurance Administration’s Compliance and Enforcement Unit’s Tip Line at 410-468-2200. To email your title insurance producer complaint, please send to enforcement.mia@maryland.gov
Download Forms to be Completed by Hand
These forms should be as completge and detailed as possible and be accompanied by copies of any relevant documentation of your complaint. They may be mailed or faxed to the agency to the address noted on the form accessible below:
