HMO Complaint

How To Register A Complaint

As of November 1, 2003 the Oklahoma Insurance Department handles all complaints about possible violations of the HMO Act of 2003. To speed the processing of complaints, the State Health Department encourages any person who wishes to file a complaint or grievance against an HMO to contact the Oklahoma Insurance Department. To access the Insurance Department Request for Assistance Form, click here, or call (405) 521-2991 or 1-800-522-0071. Complaints involving HMO problems can be submitted in writing either by letter or using the on line complaint form available below. All complaints need to include the HMO name, the member's ID number, and a brief description of the problems that you have encountered. Please also include copies of any bills, documents or correspondence that you believe will assist us in reviewing this problem. Your complaint will be reviewed to ensure compliance with HMO laws and rules. Be sure to use dark ink and do not highlight. Otherwise, important data may not be legible. Complaints or grievances filed with the Health Department will be forwarded to the Insurance Department.

The Oklahoma Insurance Department mailing address is:

Oklahoma Insurance Department
Consumer Assistance/Claims Division
2401 NW 23rd Street, Suite 28
PO Box 53408
Oklahoma City, OK 73152-3408

The Health Department mailing address is:

Oklahoma State Department of Health
Protective Health Services
Health Resources Development Service
Managed Care Systems
1000 N. E. 10th Street
Oklahoma City, OK 73117-1299

If you would like to receive a compliant form or speak to someone at the Health Department about your situation, feel free to call us at (405) 271-6868.

As per HCR1081, the Oklahoma State Department of Health (OSDH) is providing two types of HMO Complaint forms in order for you to register complaints with this agency from the Internet. The form directly below is an on line form that is sent by e-mail to the webmaster of the OSDH web site. This version of the form may not provide the confidentiality you require, if so, click here for a plain text version of the form which may be printed out and sent by regular mail. If you have supporting documents such as copies of any bills, documents or correspondence that you believe will assist us in reviewing this problem, please use the text version of this form. The text version of the form provides the mailing address of the OSDH Health Resources Development Service.

Please click here to register complaints with this agency