File a complaint about insurance agent or broker misconduct

The Office of the Insurance Commissioner (OIC) investigates insurance-code violations by agents or brokers, including:

  • Unlicensed sales
  • Deceptive practices
  • Policy misrepresentations
  • Misconduct

When appropriate we take action, such as imposing fines and suspending or revoking a license. We have no authority to order reimbursement payments, except under very limited circumstances.

Note: If you want to file a complaint against an insurance company, don’t use the form below. Instead, get information about filing a complaint against an insurance company.

 

* Indicates required field

Step 1. Your contact information
* Name
(First and last name)
* Address
* City
* State  * ZIP
* Email
(A copy of this complaint will be sent to this email address.)
* Home phone
(xxx-xxx-xxxx)
Work
(xxx-xxx-xxxx)
Cell
(xxx-xxx-xxxx)

Step 2. Insured contact information (if different than above)
Name
(First and last name)
Address
City
State    ZIP
Email
Home phone
(xxx-xxx-xxxx)
Work
(xxx-xxx-xxxx)
Cell
(xxx-xxx-xxxx)

Step 3. Insurance information
* Insurance company
(Exact and full name of any insurance company involved.)
Policy number

Step 4. Insurance agent or broker information
* Insurance agent or broker’s name
(First and last name of agent or broker Involved.)
Company name
Address
City
State  ZIP
Phone
(xxx-xxx-xxxx)

Step 5. What is the problem you want investigated?

* Give a brief explanation of the problem.

If you send supporting documents via fax or the U.S. Postal Service, please indicate at the top of the first document that you filed a request online. Do not send original documents – send copies of your originals.


Email documents to: investigationrequest@oic.wa.gov. If you don't want to use this online form, you can print the form (PDF, 77KB) and mail or fax it using the information below:

P.O. Box 40255
Olympia, WA 98504-0256
Fax 360-586-0152

Step 6. Declaration

By entering my name and today’s date, I declare the information contained in this form is true, accurate, and current.

* Name
(First and last name)
 * Date
(mm/dd/yyyy)

Step 7. How did you hear about us?

Please tell us how you heard about this office and the services we provide.

Relative/friend
Insurance agent or broker
Media/publication
Internet
Other

 

Updated 03/21/2013

See also

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