Please be advised, the Wilmington Office of the Delaware Department of Insurance has moved to a new location effective June 30th, 2023. The new address for the Wilmington office is: 503 Carr Road, Suite 303, Wilmington, Delaware 19809. (All payments should be mailed to 1351 West North Street, Suite 101, Dover, Delaware 19904.)
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If complaints to the Insurance Commissioner’s Office about an auto, homeowner or health insurance policy do not provide a suitable solution to your issue, you may take part in a formal process called “arbitration”. In arbitration, you file a formal complaint against a company, somewhat like a lawsuit, but instead of a judge and jury, the case is decided by independent experts. For cases involving home or auto insurance, the matter is decided by a three-person panel made up of an attorney and two insurance adjusters who have no interest or stake in the case. For health insurance, it is a single expert.
Arbitration is available only after several attempts to resolve the matter informally have failed and will require a $50 filing fee for home and auto cases or a $75 filing fee for health insurance matters. Arbitration is not available to contest health insurance policy denials based on medical necessity.
Attorneys wishing to be considered as arbitration panel members may submit a resume to the Department of Insurance. Please direct your communication by email to: DOI-Legal@delaware.gov.
Health Insurance Arbitration:
Arbitration of Health Insurance Disputes Between Individuals and Carriers (Regulation 1315):
Provider Health Care Reimbursement Arbitration (Regulation 1313):
Disputes Between Carriers and Non-Network Providers of Emergency Care (Regulation 1316):
SB 227/Reg 1319 Arbitration Program (Primary Care and Chronic Care Management Services):