AETNA HEALTH AND LIFE INSURANCE COMPANY — health Insurance Complaints
Analysis of 153 health insurance complaints filed against AETNA HEALTH AND LIFE INSURANCE COMPANY, based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 153
- Total Complaints (All Types): 188
- health Share: 81.4%
- NAIC Complaint Ratio: 1.01
- AI Risk Score: 46/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 40 | 26.1% |
| Provider or network dispute | 32 | 20.9% |
| Delayed payment | 22 | 14.4% |
| Unfair settlement | 15 | 9.8% |
| Coverage dispute | 8 | 5.2% |
| CPT Code Issue | Claim Handling | 6 | 3.9% |
| Other | 4 | 2.6% |
| Premium or billing dispute | 3 | 2.0% |
| Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Substantiated | 2 | 1.3% |
| Claim Handling Other | Claim Handling | 2 | 1.3% |
| Claim Procedure | Claim Handling | Claim Settled | 2 | 1.3% |
| Claim Procedure | Claim Handling | 1 | 0.7% |
| Misleading sales | 1 | 0.7% |
| Policy Service | PolicyHolder Service | No Action Requested/Required | 1 | 0.7% |
| Authorization Dispute | Claim Handling | Question of Fact/Contract/Provision/Legal Issue | 1 | 0.7% |
| Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | 1 | 0.7% |
| UR INTERNAL/EXTERNAL APPEAL PROCEDURE | Claim Handling | Company Position Substantiated | 1 | 0.7% |
| Recoupment | Claim Handling | Company Position Substantiated | 1 | 0.7% |
| Inadequate Reimbursement/Rates | PolicyHolder Service | 1 | 0.7% |
| Prompt Pay | Claim Handling | Company Position Overturned | 1 | 0.7% |
| Policy Service | PolicyHolder Service | Company Position Overturned | 1 | 0.7% |
| Prompt Pay | Claim Handling | Insufficient Information | 1 | 0.7% |
| CPT Code Issue | Claim Handling | Question of Fact/Contract/Provision/Legal Issue | 1 | 0.7% |
| Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Overturned | 1 | 0.7% |
| CPT Code Issue | Claim Handling | Company Position Substantiated | 1 | 0.7% |
| Claim Recoding/Bundling | Claim Handling | 1 | 0.7% |
| Policy cancellation | 1 | 0.7% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished | 1 | 0.7% |
health Complaints by State
| State | Complaints |
|---|---|
| Connecticut | 131 |
| Texas | 22 |
Recent health Complaints Against AETNA HEALTH AND LIFE INSURANCE COMPANY
- health Complaint #CT-7085029-70d6e218 — Connecticut (2026-04-27)
- health Complaint #CT-7084955-a022c1bc — Connecticut (2026-04-24)
- health Complaint #CT-7084888-b6fde30b — Connecticut (2026-04-22)
- health Complaint #CT-7084852-b8e5faa4 — Connecticut (2026-04-21)
- health Complaint #CT-7084837-b85c3fac — Connecticut (2026-04-20)
- health Complaint #CT-7084134-01f48353 — Connecticut (2026-03-25)
- health Complaint #CT-7084048-e4ee6776 — Connecticut (2026-03-23)
- health Complaint #CT-7083616-131bca52 — Connecticut (2026-03-09)
- health Complaint #CT-7083593-131bca52 — Connecticut (2026-03-09)
- health Complaint #CT-7083368-df9bda2c — Connecticut (2026-03-03)
Frequently Asked Questions
How many health complaints does AETNA HEALTH AND LIFE INSURANCE COMPANY have?
AETNA HEALTH AND LIFE INSURANCE COMPANY has 153 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with AETNA HEALTH AND LIFE INSURANCE COMPANY?
The most common health complaint issues for AETNA HEALTH AND LIFE INSURANCE COMPANY are: Claim denial (40), Provider or network dispute (32), Delayed payment (22), Unfair settlement (15), Coverage dispute (8).
Which states have the most health complaints against AETNA HEALTH AND LIFE INSURANCE COMPANY?
The states with the most health complaints against AETNA HEALTH AND LIFE INSURANCE COMPANY are: Connecticut (131), Texas (22).
health Complaints by State
AETNA HEALTH AND LIFE INSURANCE COMPANY Complaints by State
- AETNA HEALTH AND LIFE INSURANCE COMPANY Complaints in California
- AETNA HEALTH AND LIFE INSURANCE COMPANY Complaints in Texas
- AETNA HEALTH AND LIFE INSURANCE COMPANY Complaints in New York
- AETNA HEALTH AND LIFE INSURANCE COMPANY Complaints in Florida
- AETNA HEALTH AND LIFE INSURANCE COMPANY Complaints in Illinois
- AETNA HEALTH AND LIFE INSURANCE COMPANY Complaints in Pennsylvania
- AETNA HEALTH AND LIFE INSURANCE COMPANY Complaints in Ohio
- AETNA HEALTH AND LIFE INSURANCE COMPANY Complaints in Georgia
- AETNA HEALTH AND LIFE INSURANCE COMPANY Complaints in North Carolina
- AETNA HEALTH AND LIFE INSURANCE COMPANY Complaints in New Jersey