Consumer Assistance

If you did not reside in Nebraska when you purchased the policy, please contact the state in which you resided at time of purchase. View a map of Insurance Departments.

 

You may file your complaint electronically or by mail. If you do not wish to print a complaint form using the Adobe Acrobat Reader or you do not wish to submit your complaint electronically, you may contact the Department at 877-564-7323 and a complaint form will be sent to you. Please read our Filing An Insurance Complaint brochure for information about the complaint process.

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Print and Mail

 

Consumer Affairs Division Complaint Questionnaire
Use this form if you have a general complaint regarding an insurance company, agent, or the handling of your claim.

Division De Asuntos Del Consumidor Cuestionario De Quejas

Pre-Need Complaint Questionnaire
Use this form if your complaint concerns the handling of a pre-need trust. A pre-need trust is the purchasing of burial or funeral merchandise (casket, vault, monument, etc.) or services prior to the time of death.

Suspected Fraudulent Claim Report
Use this form if you suspect insurance fraud. Examples of insurance fraud include

  1. creating a fraudulent claim

  2. overstating the amount of loss

  3. misrepresenting facts to receive payment

  4. representing facts to obtain a policy or lower premiums, or

  5. pocketing premiums, issuing bogus policies, or making false entries by an agent or insurer

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File Electronically

 

Consumer Affairs Division Complaint Questionnaire
Use this form if you have a general complaint regarding an insurance company, agent, or the handling of your claim.

Division De Asuntos Del Consumidor Cuestionario De Quejas

Pre-Need Complaint Questionnaire
Use this form if your complaint concerns the handling of a pre-need trust. A pre-need trust is the purchasing of burial or funeral merchandise (casket, vault, monument, etc.) or services prior to the time of death.

Prompt Pay Problem Report Form for Health Care Professionals
Nebraska health care providers may use this form to report insurer delays in payment of health claims submitted after January 1, 2006. Reports involving multiple claims submitted to a single insurer may be attached as a supplement and filed in paper format, but must include the plan type, the patient's name, the insured's or policyholder's name, the policy number, the claim number, the date of submission of the claim and a description of the problem for each individual claim. The Department of Insurance will not initiate an investigation based on the report form, but will record the information for monitoring purposes.