Complaints against an HMO or WCNetwork can be sent to the Texas Department of Insurance. A complaint form is available online, or a complaint can be filed by submitting a letter. If a complaint letter is submitted, please include the contact information of the complainant, the enrollee's or injured employee's name, the enrollee's or injured employee's social security number, the injured employee's date of injury, the carrier's name, and the reason for the complaint. For all complaint submissions, please be sure to include any supporting documentation.
How does an enrollee file a HMO complaint?
For more information, contact: MCQA@tdi.texas.gov
Last updated:
10/18/2023