File a complaint (Self Insured Health Plans)

Need Assistance filing a Complaint with a Self-Insured Health Insurance Plan?

Smart NC can assist you with filing a complaint with your insurance company if you are covered under the North Carolina State Health Plan for Teachers and State Employees or any other self-insured company. A self-insurance company is typically a large business that pays an insurance company to administer health benefits for its employees but the company funds its own insurance program.

Contact the Health Insurance Smart NC Program at 855-408-1212 toll-free, if you have any questions. There is no cost to consumers for Smart NC services. 

File Online Complaint Form

File a Print and Mail Complaint Form

https://www.ncdoi.gov/consumers/health-insurance/health-claim-denied/file-complaint-self-insured-health-plans