Missouri Department of Insurance: Over $24 Million Returned To Missouri Insurance Consumers In 2022

In one notable resolution for 2022, a Missouri consumer filed a complaint regarding a denial of their emergency room claims at an out-of-network hospital. After the division corresponded with the company, it paid the emergency room claims – resulting in a recovery total of more than $115,000.

In 2022, the Insurance Market Regulation Division recovered over $10.3 million in restitution for more than 28,000 insurance consumers. Consumers benefit from restitution by receiving refunds from insurance companies for premium overcharges and by receiving payment from insurance companies for claims that were either improperly denied or underpaid.

The Insurance Market Regulation Division focuses on identifying and resolving systemic issues that impact Missouri insurance consumers. In some instances, market regulation actions originate from consumer complaints filed with the Insurance Consumer Affairs Division. In other instances, the issues are identified through a review of insurance company filings and monitoring insurance company activities in the insurance marketplace.

A comprehensive list of enforcement and market regulation actions is available on DCI’s website (https://us.hidester.com/proxy.php?u=eJwBSQC2%2F3M6NjU6IprsYffx6F5cw55TmyWTDAsoKvIFukndcvt1y7NsTrQUVmjddX41kXq1TtOoN7NTNvXm%2Bew2VPdts4uVcxPu4OBJIjsmZyUp&b=7). Consumers with complaints or questions about their insurance company or producer (agent) can call DCI’s Insurance Consumer Hotline at 800-726-7390, or visit insurance.mo.gov/consumers.

DCI is charged with protecting Missouri consumers through oversight of the insurance industry, banks, credit unions, utilities and various professional licensees operating in the state. For more information about the department, please visit our website at dci.mo.gov.

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Original text here: https://insurance.mo.gov/news/newsitem/uuid/ac6d57a5-c33d-4d70-a2e1-dad19b8e2bbe

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