When a complaint is received it is logged into the system by a Complaint Coordinator. An investigator and the Director of the Board then review the case to determine how it should proceed. Typically, the complaint is forwarded to the licensee and a request is made of the licensee to respond to the allegations. The licensee’s response is reviewed and sent back to the complainant who has an opportunity to respond to the licensee’s response. All of the documentation is then compiled for the Complaint Committee who can find that there is no probable cause of a legal violation and dismiss the case or find that there is probable cause of a legal violation and either enter a consent order or require a formal hearing. If a formal hearing is requested then the licensee is notified and a hearing is conducted that could result in the licensee being sanctioned or reprimanded by the Board.
This article is intended to be helpful and informative. But even common legal matters can become complex and stressful. A qualified health insurance lawyer can address your particular legal needs, explain the law, and represent you in court. Take the first step now and contact a local health insurance attorney to discuss your specific legal situation.