Get Illinois Department Of Insurance 2020

Filing a complaint with the Illinois Department of Insurance can be a crucial step in addressing your concerns regarding insurance providers. This guide will walk you through the process of completing the Consumer Complaint Form online, ensuring that you understand each section and can effectively communicate your issues.

Follow the steps to complete your Consumer Complaint Form

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering your name as the insured or complainant. Ensure you provide the individual’s correct title (such as Mr., Ms., Dr., etc.) and the date of completing the form.
3. Fill in your complete address, including city, state, and zip code. Make sure to provide accurate contact information, including your phone number(s) and email address.
4. Identify and specify the name of the insurance company or agency against which you are filing the complaint. If the policyholder's name differs from yours, provide that as well.
5. Complete the address details for the insurance company/agency and provide the policy number associated with your complaint.
6. Indicate whether this complaint has been filed before. If yes, be sure to include the previous complaint number and the state where the policy was issued.
7. Document the date of loss and the claim number related to your issue.
8. If the form is being filled out by an individual other than the insured or complainant, provide their details and relationship to the person named above.
9. If your complaint involves a cancellation or non-renewal of your policy for reasons other than non-payment, provide the original effective date of the policy and the date coverage will terminate.
10. Specify whether the policy in question is new or a renewal and indicate the type of coverage (e.g., auto, home, etc.).
11. If you are requesting a hearing regarding the cancellation or non-renewal, mark yes or no. Remember to attach any relevant documentation from your insurance company.
12. Authorize the Department of Insurance to investigate your complaint by signing in the designated area and dating the signature.
13. In the designated space, clearly describe your complaint. Attach copies of any supporting documents needed to substantiate your complaint. If extra space is necessary, utilize the back of the form.
14. Finally, review your completed form for accuracy before submitting it. You may then save changes, download, print, or share the form as needed.

Complete your Consumer Complaint Form online today to ensure your grievances are addressed.