Insurance Department (UID). Do you have a specific grievance or dissatisfaction with a Prudential product, service, or associate?If so, please tell us about it using this form. Consumer Action offers a sample complaint letter and an email complaint template. You can cut and paste these documents below. There are two types of ERISA preemption – complete preemption and conflict preemption. BCBSKC argues that the Supreme Court has ruled that ERISA preempts a plaintiff's claims which arise from the denial of benefits under an. Print a non-Medicare complaint form. If you have a non-Medicare plan, you can print and complete a form to mail or fax to us. If one of your drugs is not listed in the Drug List, you should visit our website or contact.