Pennsylvania Statutes Title 40 P.S. Insurance § 991.2142. Appeal of complaint or administrative denial

(1) If the subject of the complaint is listed in section 2141.1(b)(6),  1 an enrollee or the enrollee's authorized representative shall have fifteen (15) days from receipt of the notice of decision to appeal the decision to the department.

(2) If a second level review was completed, a covered person or an enrollee, or the covered person's or enrollee's authorized representative, shall have fifteen (15) days from receipt of the notice of the decision from the second level review committee to appeal the decision to the department.

(1) A covered person or covered person's authorized representative may appeal a decision about the coverage, operations or management policies of an insurer, other than decisions that are adverse benefit determinations.

(2) A covered person or covered person's authorized representative shall have fifteen (15) days from receipt of the notice of a decision conducted under section 2164  2 on an administrative denial to appeal the decision to the department.