Submitting a complaint about statutory social insurance

Upon receipt of your complaint by the competent supervisory authority, you will first receive a confirmation.

If necessary, the social insurance institution concerned will then be asked to comment on your complaint.

The supervisory authority will then check the statement and all associated documents for legal violations. Once the supervisory review has been completed, you will receive a reply with the results of the review.

If you have any complaints about the Rhineland-Palatinate state statutory health and long-term care insurance funds, i.e. the AOK Rheinland-Pfalz/Saarland, the BKK Pfaff and the BKK EVM, please contact the State Office for Social Affairs, Youth and Care.

If you have any complaints about the Rhineland-Palatinate Accident Insurance Fund, please also contact the State Office for Social Affairs, Youth and Care.

For complaints about the German Pension Insurance Rhineland-Palatinate, please contact the Ministry of Labour, Social Affairs, Transformation and Digitization.

If you are not dealing with a state-owned insurance provider, the complaint should be addressed to the Federal Social Security Office.

None. However, a written description of the facts is useful.

In Rhineland-Palatinate, a brief written and comprehensible description of the reason for your complaint is required. This can be done by letter or e-mail. If you have documents that contribute to a better understanding of the facts of the case, you should enclose a copy or pdf file of these.

You do not have to observe a deadline.

The duration of processing depends on the scope and complexity of the individual case. It is expected to take at least four to six weeks.

• §87 Social Code - Fourth Book (SGB IV)
• §Section 88 of the German Social Code - Fourth Book (SGB IV)
• §89 Social Code - Fourth Book (SGB IV)
• §90 Social Code - Fourth Book (SGB IV)
• §Section 90a of the German Social Code - Fourth Book (SGB IV)

The examination of the complaint does not constitute legal advice and does not replace an objection or a complaint.

The supervisory authority only acts in the public interest. The competent supervisory authority is therefore not obliged to take action following a complaint.

If there is a violation of the law, the competent supervisory authority will work to ensure that this is rectified by the statutory social insurance institution. However, the supervisory authority cannot make any decisions in place of the social insurance institution.

If the complainant seeks a change in the law, he/she must contact the responsible federal ministry directly.

If the statutory social insurance institution covers more than three federal states, the Federal Social Security Office is responsible. If this is not the case, it is usually the respective state's Ministry of Social Affairs.

22.11.2023