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State escalation

Washington

Washington State Office of the Insurance Commissioner

Phone
1-800-562-6900
Website
https://www.insurance.wa.gov/
File a consumer complaint
https://www.insurance.wa.gov/file-complaint-or-check-your-complaint-status
WA OIC publishes complaint-rate data per insurer — useful for context if you cite patterns.

When to call the commissioner

  • Insurer ignored your appeal past the legal response window (usually 30 days for post-service, 72 hours for urgent).
  • Insurer denied a benefit explicitly required by state law (mental-health parity, emergency services, formulary exception, etc.).
  • External reviewer overturned the denial but the plan still won’t pay.
  • You suspect the plan is misapplying its own coverage policy or violating ACA prohibitions.

Verified 2026-05-06. If a number or link looks wrong, the official NAIC member directory at naic.org/state-insurance-departments is the canonical source.