We apologize you are not satisfied with our current coverage determination. Our Claims Management Team will be happy to review and reconsider your claim and coverage determination. In order for our Claims Management Team to properly review your claim, please complete the form below and include as much detail as possible. The process may include additional communication with the service provider or technician, as well as a thorough review of all of the documentation in our records. As a result of this extensive review process, you can expect a response from the Claims Management Team with their final determination within 3 business days. If you would like to review the full warranty Terms & Conditions, click HERE. Additionally, and in accordance with the Terms & Conditions, you can also contact the OFFICE OF THE COMMISSIONER OF INSURANCE, a state agency which enforces Wisconsin’s insurance laws, and file a complaint. You can contact the Office of the Commissioner of Insurance by writing to: OCI – Complaints Department P.O. Box 7873 Madison, WI 53707-7873, or you can call 1-800-236-8517 to request a complaint form. Again, please be sure to be detailed and thorough while completing the form, which may include attaching any supporting documents we may not already be aware of.Name* First Last Phone NumberEmail* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Warranty Contract #Please attach copies of any supporting documents for our consideration.Max. file size: 100 MB.Max. file size: 100 MB.Max. file size: 100 MB.Max. file size: 100 MB.Please explain the circumstances in detail and provide us with any other pertinent information for our consideration:*CAPTCHA
If you would like to review the full warranty Terms & Conditions, click HERE. Additionally, and in accordance with the Terms & Conditions, you can also contact the OFFICE OF THE COMMISSIONER OF INSURANCE, a state agency which enforces Wisconsin’s insurance laws, and file a complaint. You can contact the Office of the Commissioner of Insurance by writing to: OCI – Complaints Department P.O. Box 7873 Madison, WI 53707-7873, or you can call 1-800-236-8517 to request a complaint form. Again, please be sure to be detailed and thorough while completing the form, which may include attaching any supporting documents we may not already be aware of.
