The Pennsylvania Insurance Department is dedicated to protecting consumers, licensing insurance professionals and companies, and overseeing the insurance marketplace.
Consumer-Focused Initiatives
The department provides a Consumer Help Center to assist individuals with inquiries and complaints. Consumers can submit questions or file complaints directly through the department’s website. Resources are also available to guide individuals in obtaining health insurance.
Licensing and Regulation
A key function of the department is the licensing of insurance producers and agents. Licensed professionals can print their licenses, and new or renewing agents can apply through the Producer/Agent Licensing Center. The department also manages company licensing and reviews filing and reporting requirements for insurance companies.
Resources for Consumers and Companies
The department offers various programs and services to assist both consumers and insurance companies. Notable among these are:
- Help with Health Plan Denials: Consumers facing denials for treatments, medications, or services can request a review.
- No Surprises Billing: A dedicated team helps resolve unexpected medical bills by reviewing claims.
- Mental Health Parity: Information is available on health insurance coverage for mental health services, autism services, and substance use disorder treatment.
Recent Activities and Contact Information
The department also provides information on recent industry activities and relevant programs, including the Pharmacy Benefit Reform Act, Preliminary Insurance License Eligibility Review, Keystone Smart Launch, and the Innovative Insurance Products Program. The department emphasizes data security and cybersecurity event notifications.
Contact Information
For inquiries, individuals can use the Contact Us Form or call 1-877-881-6388.
Departmental Resources
The department’s structure includes various offices and departments, incorporating the Right-to-Know Law and Special Funds such as:
- MCARE (Medical Care Availability and Reduction of Error Fund)
- WCSF (Workers’ Compensation Security Fund)
- CAT Fund (Catastrophic Loss Benefits Continuation Fund)
- USTIF (Underground Storage Tank Indemnification Fund), which has an independent website for program participants.
Social Media Presence
The Pennsylvania Insurance Department maintains a presence on social media platforms, including Facebook, X (formerly Twitter), and LinkedIn, to provide updates and information.
