Complaint Notice

TEXAS COMPLAINT NOTICE

Note: Effective July 1, 2007, the mandatory Texas Complaint Notice must include the Texas Department of Insurance website and e-mail address is paragraph 6 of the notice. These changes are the result of amendments to Title 28, Sec. 16.01 of the Texas Administrative Code adopted by the Commissioner of Insurance.

Paragraphs 2, 3, and 4 remain optional for surplus lines contracts.

Policies and binders filed with the Stamping Office on or after July 1, 2007 that include a Complaint Notice should reflect the additions.

Figure: 28 TAC §1.601(a)(3):

1 IMPORTANT NOTICE	AVISO IMPORTANTE
To obtain information or make a complaint:	Para obtener informacion o para someter una queja:
2 You may contact your (title) at (telephone number).	Puede comunicarse con su (title) al (telephone number).
3 You may call (company)’s toll-free telephone number for information or to make a complaint at:	Usted puede llamar al numero de telefono gratis de (company)’s para informacion o para someter una queja al:
1-XXX-XXX-XXXX	1-XXX-XXX-XXXX
4 You may also write to (company) at:	Usted tambien puede escribir a (company):
5 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at:	Puede comunicarse con el Departamento de Seguros de Texas para obtener informacion acerca de companias, coberturas, derechos o quejas al:
1-800-252-3439	1-800-252-3439
6 You may write the Texas Department of Insurance: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: http://www.tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us	Puede escribir al Departamento de Seguros de Texas: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: http://www.tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us
7 PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact the (agent) (company) (agent or the company) first. If the dispute is not resolved, you may contact the Texas Department of Insurance.	DISPUTAS SOBRE PRIMAS O RECLAMOS: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse con el (agente) (la compania) (agente o la compania) primero. Si no se resuelve la disputa, puede entonces comunicarse con el departamento (TDI).
8 ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document.	UNA ESTE AVISO A SU POLIZA: Este aviso es solo para proposito de informacion y no se convierte en parte o condicion del documento adjunto.