How to File a Complaint
Complaints about insurance providers, including agents and companies, can be submitted through the Online Complaint form provided by NAIC. Please submit only once per complaint online and reference your tracking number on any future correspondence to our e-mail address: [email protected]
You may also file a complaint by printing a complaint form below and submitting via e-mail to: [email protected] or mail or fax to: (501) 371-2749. You may contact us to request a form by calling (800) 852-5494 or (501) 371-2640 or mail your request to:
Arkansas Insurance Department
Consumer Services Division
1 Commerce Way, Suite 102
Little Rock, AR 72202-2087
Complaint Forms
Select and print the appropriate complaint form below and fax to us at (501) 371-2749, or mail your complaint to us at the address listed above.
Consumer Complaint Form – English | Spanish
Health Care Provider Complaint Form
Required Information for Complaints
Regardless of how you file a complaint, the following information must be included with your complaint.
- Name, address, and telephone number of person filing the complaint
- Name of the insurance company
- Name of person insured
- Policy number and Claim number (if applicable)
- Agent or Adjuster’s name (if applicable)
- Date of occurrence
- A brief description of why the complaint is being filed
By completing this Complaint Form and sending it to the Arkansas Department of Insurance, you attest that the information provided to the Department of Insurance is accurate to the best of my knowledge and ability, and that you understand that the facts relating to this complaint will become a matter of public record, pursuant to Arkansas Law.