# NH Insurance Department Bulletin INS 04-003-AB: Annual Complaint Log

> New Hampshire · Agency guidance · Rescinded

URL: https://www.frixlaw.com/law-library/statutes/NH_INS_B_2004-003-AB

## Section

- **Citation:** NH Insurance Department Bulletin INS 04-003-AB
- **Heading:** Annual Complaint Log
- **Jurisdiction:** New Hampshire
- **Kind:** Agency guidance
- **Status:** Rescinded
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** New Hampshire Insurance Department Bulletins / Annual Complaint Log

## Text

The State of New Hampshire
Insurance Department
56 Old Suncook Road
Concord NH 03301-7317
(603) 271-2261 Fax (603)271-0248
TDD Access: Relay NH 1-800-735-2964
Roger A. Sevigny
Comissioner
BULLETIN
Docket No. INS 04-003-AB
TO:
All Licensed Companies
Date: January 14, 2004
FROM:
Roger A. Sevigny
Insurance Commissioner
SUBJECT: Annual Complaint Log
The purpose of this Bulletin is to remind companies that pursuant to RSA 417:4 XVII ( c ) of
Chapter 417, companies must provide the Department an annual complaint log. For purposes
of this Bulletin, the definition of complaint is a communication primarily expressing a grievance.
Grievance is defined as any expression of dissatisfaction. The log must use the following
format. To complete, indicate the number of New Hampshire complaints received by the
Insurance Department and directly by the Company for each issue listed.
New Hampshire Complaints
Insurance Department
#
Company
#
A.
Cancellation
B.
Non-Renewal
C.
Claims (First Party)
D.
Claims (Third Party)
E.
Rating
F.
Sales
G.
Underwriting Procedures
H.
Miscellaneous/Other
Annual complaint logs are due to the Department by the last day in January for the preceding
year. If the logs are not filed by this date, appropriate fines and penalties will be assessed.
Annual complaint logs should be submitted to “Director, Consumer Services Division”. If you
have any questions on this Bulletin, please email the Consumer Division at
requests@ins.nh.gov, or contact the Department by phone at the above number.

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/NH_INS_B_2004-003-AB. Check the current official text before relying on it. Not legal advice.