Fill out the Pharmacy Benefit Manager (PBM) complaint form and return it to the Department at doi.insurancecomplaints@nebraska.gov or mail to:
Nebraska Department of Insurance
P.O. Box 95087
Lincoln, NE 68509-5087
- Include all the information requested on the Department of Insurance complaint form. Failure to complete the form may delay the Department’s ability to investigate the claim in a timely manner.
- Provide a clear and concise description of the insurer/PBM's non-compliance
- For Pharmacies: Select all applicable violations from the options listed
- Include records/claims/any other evidence of the PBMs' violations.
Please be advised that any materials, medical records, or documents that you provide at any time in connection with your complaint will be shared with the insurance companies or pharmacy benefit manager against whom your complaint is filed, and their counsel. These documents may also be distributed to other parties engaged in your contested case or other matters pending before the Insurance Commissioner.
