Completing the Inquiry/Complaint Form

Your completed inquiry/complaint form gives us authorization to review your concern and provides the information necessary to pursue our investigation. Briefly explain your inquiry or complaint by providing written details as to what happened, who was involved, and why you feel the company’s position in the matter is wrong. Tell us what you have done to work with the company (written letters, called the company, whom you spoke with, on what date, etc.). If someone else’s insurance company is involved, provide us with the company’s name, insured’s name, policy number, and claim number. Tell us what you want from the insurance company or the producer involved (payment of a claim, a refund, etc.).

If you need additional space, please attach a separate piece of paper and sign each page. Along with your completed form, provide us copies (never originals) of any correspondence, policies, or material relating to your insurance concern. Once we have received your inquiry/complaint, we will assign a specialist to assist you.

We will request that your producer and/or company explain their position with respect to your concern. Once we receive their response, we will review and determine whether Alaska laws have been complied with and decide whether further action by our office will be required. As soon as the producer or company involved agrees to resolve your concern, we will send you a short verification letter indicating what action will be taken and within what time frame.

If your inquiry or complaint exceeds our regulatory authority, we will let you know. We will also indicate in our written response who may be able to help you. If Alaska law is not violated, we will let you know in writing and explain why. Keep in mind we are restricted from making determinations regarding disputed facts or contested questions of law.