California covered complaint form 2025

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In California, health insurance is regulated by the California Department of Insurance (CDI). Our mission is to protect consumers, foster a vibrant and stable insurance marketplace, and enforce laws related to health insurance and the health insurance code fairly and impartially.
You have the right to appeal a denial, and, under certain circumstances, you may file a lawsuit directly against your insurance provider or Covered California for compensation.
DMHC Help Center: (888) 466-2219. The California Department of Insurance (CDI) is a consumer-protection agency that regulates insurance companies, agents and brokers.
Central Complaint Unit Toll-Free: 1-800-633-2322. Phone: (916) 263-2382. Fax: (916) 263-2435. Email: Contact Us.
Ensuring a fair insurance market Consumers who feel they have been treated unfairly by an insurance company, agent or any licensee, are urged to contact the Departments toll-free Consumer Hotline at (800) 927-4357 or visit our web site: insurance.ca.gov.

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Currently, the Department of Managed Health Care (DMHC) and the California Department of Insurance (CDI) regulate Covered California health plans.
By Jan. 31 of each year, Covered California sends the federal IRS form 1095-A Health Insurance Marketplace statement to members. This form is used to: Provide information for your federal taxes. Calculate the amount of Premium Tax Credit you received, any credit you may be due after filing, or the tax amount you owe.
You may access our electronic Provider Complaint Center by visting our website at .insurance.ca.gov and selecting file a Complaint. You can then register to the electronic portal or access our printable complaint forms. If you have any questions, please call our Consumer Hotline toll free number 1-800-927-4357.

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