Property loss forms, vehicle appraisals, police reports.A copy of your insurance policy or certificate of coverage.Records explaining how claim payments were calculated.Letters, e-mail and other communications, such as notices from the insurance company, explanations of benefits and appeal decisions, between you and the insurance company or agent concerning your complaint.Send supporting documentation:Įxamples of documentation that may be relevant to your complaint include: Once completed, send the form to the Bureau's mailing address:Īugusta, ME 04333 2. Health, Life, Annuity, Long Term Care, Disability, Medicare Supplement (PDF) ( Printable).If additional space is needed, please use a separate sheet of paper. Select the form that pertains to the type of coverage your complaint concerns. Mailing Option: If you do not wish to submit the complaint form online, you may use the appropriate printable form below. Property & Casualty Electronic Form (Online Form).Health, Life, Annuity, Long Term Care, Disability, Medicare Supplement Electronic Form (Online Form).The signed complaint form authorizes the Bureau to investigate your complaint.Įlectronic Option*: You can file the complaint form electronically using one of the two forms below. What do you want the company or agent to do?.Have you tried to resolve this problem? If so, please provide us with details of your efforts.Tell us what happened, who was involved, and why you think the company or agent is wrong.Please read What the Maine Bureau of Insurance Can and Cannot Assist You With Instructions for Filing a Complaint 1. Health Insurance for Individuals and Families.
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