File a Complaint With the OIC
The Office of the Insurance Commissioner (OIC) oversees Washington state's insurance industry. Their mission is to "protect consumers, the public interest and our state's economy through fair and efficient regulation of the insurance industry." Each year, OIC answers questions and investigates problems from more than 100,000 consumers, recovering millions of dollars annually for consumers with insurance disputes or delays.
When a consumer or their provider files a complaint with OIC about an insurance company, OIC can require it to explain its actions and make sure it followed Washington state laws and the consumer's policy. OIC looks for trends in complaint filing to determine whether broader statutory or regulatory changes are necessary. However, OIC will not know they need to enforce existing law or look for trends unless complaints are filed.
The December edition of WSDA News will feature a guest editorial from Commissioner Mike Kreidler to explain more about the process. In the meantime, if your patients are struggling with insurance-related problems, they can file a complaint with the OIC, or you can file one for them, online at www.insurance.wa.gov/complaints-and-fraud/file-a-complaint.