CIGNA HEALTH AND LIFE INSURANCE COMPANY — health Insurance Complaints
Analysis of 5,008 health insurance complaints filed against CIGNA HEALTH AND LIFE INSURANCE COMPANY, based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 5,008
- Total Complaints (All Types): 5,146
- health Share: 97.3%
- NAIC Complaint Ratio: 2.67
- AI Risk Score: 88/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 1,722 | 34.4% |
| Delayed payment | 1,227 | 24.5% |
| Premium or billing dispute | 400 | 8.0% |
| Unsatisfactory Settle/Offer | No Jurisdiction | 254 | 5.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction | 231 | 4.6% |
| Provider or network dispute | 62 | 1.2% |
| Unfair settlement | 38 | 0.8% |
| Policy cancellation | 34 | 0.7% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue | 34 | 0.7% |
| Coverage dispute | 32 | 0.6% |
| Claim Procedure | Claim Handling | 27 | 0.5% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 25 | 0.5% |
| Usual And Customary | Contract Language/Legal Issue | 23 | 0.5% |
| Not Within TDI Jurisdiction | No Jurisdiction | 20 | 0.4% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Contract Language/Legal Issue | 19 | 0.4% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; No Jurisdiction | 17 | 0.3% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction | 16 | 0.3% |
| Usual And Customary | No Jurisdiction; Record Only | 15 | 0.3% |
| Prompt Pay | Contract Language/Legal Issue | 14 | 0.3% |
| Usual And Customary | Record Only; No Jurisdiction | 14 | 0.3% |
| Usual And Customary | No Jurisdiction | 13 | 0.3% |
| Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Substantiated | 12 | 0.2% |
| External Review | Claim Handling | 12 | 0.2% |
| Recoupment Of Claims Payment | No Jurisdiction | 11 | 0.2% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Information Furnished | 11 | 0.2% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Additional Monies Received | 11 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished | 10 | 0.2% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Referred To | 10 | 0.2% |
| Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction | 10 | 0.2% |
| Other | 9 | 0.2% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Referred To | 9 | 0.2% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; No Jurisdiction | 9 | 0.2% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 8 | 0.2% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Contract Language/Legal Issue | 8 | 0.2% |
| Unsatisfactory Settle/Offer | Insufficient Information | 7 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 7 | 0.1% |
| Unsatisfactory Settle/Offer | Additional Monies Received | 7 | 0.1% |
| Prompt Pay; SB418 Rule Violation | No Jurisdiction | 7 | 0.1% |
| Misleading sales | 6 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received | 6 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | No Jurisdiction | 6 | 0.1% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | No Jurisdiction | 6 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; No Jurisdiction | 6 | 0.1% |
| Claim Handling Other | Claim Handling | Claim Settled | 5 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | Information Furnished | 5 | 0.1% |
| Unsatisfactory Settle/Offer | Referred To; No Jurisdiction | 5 | 0.1% |
| Unsatisfactory Settle/Offer | Additional Monies Received; No Jurisdiction | 5 | 0.1% |
| Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction | 5 | 0.1% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished | 5 | 0.1% |
| Claim Handling Other | Claim Handling | Company Position Substantiated | 4 | 0.1% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld; Information Furnished | 4 | 0.1% |
| Unsatisfactory Settle/Offer | Claim Settled | 4 | 0.1% |
| Prompt Pay | Claim Handling | Company Position Overturned | 4 | 0.1% |
| Coordination of Benefits | Claim Handling | 4 | 0.1% |
| Other | Information Furnished | 4 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Referred To; No Jurisdiction | 4 | 0.1% |
| Prompt Pay | No Jurisdiction | 4 | 0.1% |
| Prompt Pay; SB418 Rule Violation | Contract Language/Legal Issue | 4 | 0.1% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; No Jurisdiction | 4 | 0.1% |
| Other | No Jurisdiction | 4 | 0.1% |
| Den/N-Pymt MD Nec Trmt N-Emrg | No Jurisdiction | 4 | 0.1% |
| Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 4 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Information Furnished | 4 | 0.1% |
| Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Contract Language/Legal | 4 | 0.1% |
| Claim Handling Other | Claim Handling | 3 | 0.1% |
| Mandated Benefit | Claim Handling | 3 | 0.1% |
| Coordination of Benefit | Claim Handling | Claim Settled | 3 | 0.1% |
| Coordination of Benefits | Claim Handling | Company Position Substantiated | 3 | 0.1% |
| Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | 3 | 0.1% |
| Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Overturned | 3 | 0.1% |
| Preventive Care | Claim Handling | Claim Settled | 3 | 0.1% |
| Unsatisfactory Settle/Offer | Information Furnished; Additional Payment Expected | 3 | 0.1% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished; Contract Language/Legal Issue | 3 | 0.1% |
| Claim Procedure | Claim Handling | Claim Settled | 3 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; Contract Language/Legal Issue | 3 | 0.1% |
| Cust Service Claim Handling | No Jurisdiction | 3 | 0.1% |
| Recoupment Of Claims Payment | Contract Language/Legal Issue | 3 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Additional Monies Received | 3 | 0.1% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Additional Monies Received | 3 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken | 3 | 0.1% |
| Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer | No Jurisdiction | 3 | 0.1% |
| Other | Contract Language/Legal Issue | 3 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; No Jurisdiction | 3 | 0.1% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken | 3 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Insufficient Information | 3 | 0.1% |
| Coordination of Benefits | No Jurisdiction | 3 | 0.1% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Additional Monies Received | 3 | 0.1% |
| Unsatisfactory Settle/Offer | Claim Settled; Additional Monies Received | 3 | 0.1% |
| UR INTERNAL/EXTERNAL APPEAL PROCEDURE | Claim Handling | 2 | 0.0% |
| Cust Service Claim Handling | Additional Monies Received; Corrective Action Taken | 2 | 0.0% |
| Medically Necessary | Claim Handling | Company Position Overturned | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken; Claim Settled | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Information Furnished | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Information Furnished | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Contract Language/Legal Issue; Information Furnished | 2 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Lang | 2 | 0.0% |
| Pharmacy Benefits | Claim Handling | Company Position Substantiated | 2 | 0.0% |
| Claim Handling Other | Claim Handling | Company Position Overturned | 2 | 0.0% |
| Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Question of Fact/Contract/Provision/Legal Issue | 2 | 0.0% |
| Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Claim Settled | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Company Position Upheld | 2 | 0.0% |
| Authorization Dispute | Claim Handling | 2 | 0.0% |
| Recoupment | Claim Handling | Company Position Substantiated | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Payment Expected; Corrective Action Taken; Information Furnished | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corrective Action Taken; Information Furnished | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Language/Legal Issue | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company Position Upheld | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Payment Expected; Information Furnished | 2 | 0.0% |
| Other | Contract Language/Legal Issue; Information Furnished | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Referred To; No Jurisdiction | 2 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken; Additional Monies Received | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Referred To; No Jurisdiction; Information Furnished | 2 | 0.0% |
| Cust Service Claim Handling | Contract Language/Legal Issue | 2 | 0.0% |
| Not Within TDI Jurisdiction; Usual And Customary | No Jurisdiction | 2 | 0.0% |
| Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 2 | 0.0% |
| Coordination of Benefits; Unsatisfactory Settle/Offer | No Jurisdiction | 2 | 0.0% |
| Prompt Pay | Contract Language/Legal Issue; No Jurisdiction | 2 | 0.0% |
| Other | Insufficient Information | 2 | 0.0% |
| Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; No Jurisdict | 2 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Claim Settled | 2 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished | 2 | 0.0% |
| Other | Information Furnished; Contract Language/Legal Issue | 2 | 0.0% |
| Access to Care | No Jurisdiction | 2 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction | 2 | 0.0% |
| Unfair Discrim-Clms Handling; Unsatisfactory Settle/Offer | No Jurisdiction | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Insufficient Information; No Jurisdiction | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Information Furnished | 2 | 0.0% |
| SB418 Rule Violation; Unsatisfactory Settle/Offer | No Jurisdiction | 2 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Information Furnished | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue | 2 | 0.0% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue | 2 | 0.0% |
| Access to Care; Continuity of Treatment | No Jurisdiction | 2 | 0.0% |
| Overcharges | No Jurisdiction | 2 | 0.0% |
| Cust Srvc Policy Holder Srvcs | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Identification Card Issue | Contract Language/Legal Issue; Company Position Upheld | 1 | 0.0% |
| Prior Authorization | Contract Language/Legal Issue; Information Furnished; Company Position Upheld | 1 | 0.0% |
| Coordination of Benefit | Claim Handling | Question of Fact/Contract/Provision/Legal Issue | 1 | 0.0% |
| Prior Authorization | No Jurisdiction; Referred To; Record Only | 1 | 0.0% |
| Quality of Care | PolicyHolder Service | 1 | 0.0% |
| CPT Code Issue | Claim Handling | 1 | 0.0% |
| Fraud; Maximum Out of Pocket | Information Furnished; Contract Language/Legal Issue; Referred To | 1 | 0.0% |
| Cust Service Claim Handling; Maximum Out of Pocket | Information Furnished; Company Position Upheld; Contract Language/L | 1 | 0.0% |
| Cust Service Claim Handling | Information Furnished; Additional Payment Expected; Corrective Action Taken | 1 | 0.0% |
| Prior Authorization | Information Furnished; Contract Language/Legal Issue; Company Position Upheld | 1 | 0.0% |
| Policy Information | PolicyHolder Service | 1 | 0.0% |
| Policy Service | PolicyHolder Service | Company Position Substantiated | 1 | 0.0% |
| Inadequate Reimbursement/Rates | PolicyHolder Service | 1 | 0.0% |
| Inadequate Reimbursement/Rates | PolicyHolder Service | Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Information Furnished; Corrective Action Taken | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken; Stat Pen Pd-Over 90 Dys Late | 1 | 0.0% |
| Inadequate Reimbursement/Rates | PolicyHolder Service | Company Position Substantiated | 1 | 0.0% |
| Maximum Out of Pocket; Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Information | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Additional Mo | 1 | 0.0% |
| Maximum Out of Pocket; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Company Posit | 1 | 0.0% |
| Cust Srvc Policy Holder Srvcs; Prior Authorization | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Usual, Customary, Reasonable (UCR) Charges | Claim Handling | Question of Fact/Contract/Provision/Legal Issue | 1 | 0.0% |
| Inadequate Reimbursement/Rates | PolicyHolder Service | Company Position Overturned | 1 | 0.0% |
| Cust Srvc Policy Holder Srvcs | Information Furnished; Policy Not In Force | 1 | 0.0% |
| CPT Code Issue | Claim Handling | No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Payment Expected; Corrective Action Taken; Additional Monies Received | 1 | 0.0% |
| Mandated Benefit | Claim Handling | Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Referred To; Company Position Upheld; Contract Language/Legal Issue | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken | 1 | 0.0% |
| Claim Recoding/Bundling | Claim Handling | 1 | 0.0% |
| Bad Faith Participation; Cust Service Claim Handling | Corrective Action Taken; Additional Monies Received | 1 | 0.0% |
| Cust Srvc Policy Holder Srvcs; Prior Authorization | Information Furnished; Company Position Upheld; Contract Language/L | 1 | 0.0% |
| Cust Srvc Policy Holder Srvcs; Prior Authorization | Corrective Action Taken; Information Furnished | 1 | 0.0% |
| Other | Company Position Upheld; Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company | 1 | 0.0% |
| Authorization Dispute; Unsatisfactory Settle/Offer | Question of Fact; Contract Language/Legal Issue; Company Position U | 1 | 0.0% |
| Refusal to Insure | Underwriting | 1 | 0.0% |
| Cust Srvc Policy Holder Srvcs; Wellness Program | Additional Payment Expected; Corrective Action Taken; Information Furn | 1 | 0.0% |
| Claim Procedure | Claim Handling | Company Position Substantiated | 1 | 0.0% |
| Mandated Benefit | Claim Handling | Company Position Substantiated | 1 | 0.0% |
| Usual, Customary, Reasonable (UCR) Charges | Claim Handling | Company Position Overturned | 1 | 0.0% |
| Claim Recoding/Bundling | Claim Handling | Company Position Substantiated | 1 | 0.0% |
| Policy Service | PolicyHolder Service | No Jurisdiction | 1 | 0.0% |
| Maternity and Newborn Care; Unsatisfactory Settle/Offer | Corrective Action Taken; Contract Language/Legal Issue; Inform | 1 | 0.0% |
| CPT Code Issue | Claim Handling | Claim Settled | 1 | 0.0% |
| Maximum Out of Pocket; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Claim Settled | 1 | 0.0% |
| Bad Faith Participation | Additional Monies Received | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Claim Settled | 1 | 0.0% |
| Insurer Fraud; Prompt Pay | Company Position Upheld; Information Furnished | 1 | 0.0% |
| Commissions | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Policy Service | PolicyHolder Service | 1 | 0.0% |
| Usual, Customary, Reasonable (UCR) Charges | Claim Handling | Claim Settled | 1 | 0.0% |
| Bad Faith Participation | Insufficient Information | 1 | 0.0% |
| Bad Faith Participation | Additional Monies Received; Corrective Action Taken; Information Furnished | 1 | 0.0% |
| Bad Faith Participation; Cust Service Claim Handling | Information Furnished; Corrective Action Taken | 1 | 0.0% |
| Recoupment Of Claims Payment | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Question of Fact; Company Position Upheld | 1 | 0.0% |
| Recoupment | Claim Handling | Claim Settled | 1 | 0.0% |
| UR Case Management | Claim Handling | 1 | 0.0% |
| Pediatric Care; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company Position Uph | 1 | 0.0% |
| Cust Service Claim Handling; Maximum Out of Pocket | Claim Settled; Information Furnished; Corrective Action Taken | 1 | 0.0% |
| Coordination of Benefits | Claim Handling | Company Position Overturned | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Authorization Dispute | Claim Handling | Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Additional Payment Expected | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Payment Expected; Information Furnished; Corrective Action Taken | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Additional Payment Expected; Corrective Action Taken | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Record Only; Insufficient Information | 1 | 0.0% |
| Unprofessional Conduct by Insurer | PolicyHolder Service | Company Position Overturned | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Additional Monies Received | 1 | 0.0% |
| CPT Code Issue | Claim Handling | Company Position Substantiated | 1 | 0.0% |
| Cust Service Claim Handling | Additional Monies Received; Information Furnished | 1 | 0.0% |
| Policy Information | PolicyHolder Service | Company Position Substantiated | 1 | 0.0% |
| Access to Care; Pediatric Care | Additional Monies Received; Corrective Action Taken; Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Additional Monies Received | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Referred To | 1 | 0.0% |
| Emergency Services | Claim Handling | Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corrective Action Taken; Claim Settled | 1 | 0.0% |
| Maternity and Newborn Care; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Informat | 1 | 0.0% |
| Usual, Customary, Reasonable (UCR) Charges | Claim Handling | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Mediation Paid Amount | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken | 1 | 0.0% |
| Claim Recoding/Bundling | Information Furnished; Company Position Upheld | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Referred To; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld; Infor | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Corrective Action Taken | 1 | 0.0% |
| Unprofessional Conduct | PolicyHolder Service | Question of Fact/Contract/Provision/Legal Issue | 1 | 0.0% |
| UR Procedure | Claim Handling | 1 | 0.0% |
| UR Procedure | Claim Handling | Company Position Overturned | 1 | 0.0% |
| Prompt Pay | Company Position Upheld; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Additional Monies Received | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Claim Settled; Corrective Action Taken; Information Furnished | 1 | 0.0% |
| Authorization Dispute | Claim Handling | Company Position Overturned | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Claim Settled | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer | Corrective Action Taken; Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Not Within TDI Jurisdiction; Prompt Pay | Referred To; No Jurisdiction; Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Corrective Action Taken; Information F | 1 | 0.0% |
| Waiting Periods | Underwriting | Question of Fact/Contract/Provision/Legal Issue | 1 | 0.0% |
| Not Within TDI Jurisdiction; Prompt Pay | No Jurisdiction; Information Furnished; Referred To | 1 | 0.0% |
| Notice Requirements | PolicyHolder Service | Company Position Overturned | 1 | 0.0% |
| Not Within TDI Jurisdiction; Other | Information Furnished | 1 | 0.0% |
| Essential Health Benefit; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company Po | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Company Position Upheld | 1 | 0.0% |
| Cust Service Claim Handling; Essential Health Benefit; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnis | 1 | 0.0% |
| Essential Health Benefit; Unsatisfactory Settle/Offer | Referred To; No Jurisdiction | 1 | 0.0% |
| Cust Service Claim Handling; Misrepresentation; Summary of Benefits; Unsatisfactory Settle/Offer | Contract Language/Leg | 1 | 0.0% |
| Misrepresentation | Referred To; No Jurisdiction | 1 | 0.0% |
| Other | Referred To; No Jurisdiction | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction; Referred To | 1 | 0.0% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Additional Monies Received; Contract Language/Legal Issue | 1 | 0.0% |
| Continuation of Benefits; Unsatisfactory Settle/Offer | No Jurisdiction; Referred To; Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction; Referred To | 1 | 0.0% |
| Claim Recoding/Bundling; Prompt Pay; Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issu | 1 | 0.0% |
| Access to Care | Referred To; No Jurisdiction | 1 | 0.0% |
| Essential Health Benefit; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished; Referred To | 1 | 0.0% |
| Misrepresentation | Information Furnished; No Jurisdiction; Referred To | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | No Jurisdiction; Referred To | 1 | 0.0% |
| Not Within TDI Jurisdiction | Information Furnished; No Jurisdiction; Referred To | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished; Referred To | 1 | 0.0% |
| Prompt Pay | Company Position Upheld; Contract Language/Legal Issue | 1 | 0.0% |
| Recoupment Of Claims Payment | No Jurisdiction; Referred To | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Referred To; No Jurisdiction | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.0% |
| Essential Health Benefit; Unsatisfactory Settle/Offer | Information Furnished | 1 | 0.0% |
| Den/N-Pymt MD Nec Trmt N-Emrg; Not Within TDI Jurisdiction | Information Furnished; Referred To; No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Referred To; Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling; Other; Unsatisfactory Settle/Offer | No Jurisdiction; Referred To | 1 | 0.0% |
| Recoupment Of Claims Payment | Additional Payment Expected | 1 | 0.0% |
| Other | Information Furnished; Referred To; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Company Position Upheld; Contract Language/Legal Issue | 1 | 0.0% |
| Disclosure Of Benefits; Other | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Coordination of Benefits; Not Within TDI Jurisdiction | No Jurisdiction | 1 | 0.0% |
| Den/N-Pymt MD Nec RX; Den/N-Pymt MD Nec Trmt N-Emrg | Company Position Upheld; Question of Fact; Contract Language/Legal | 1 | 0.0% |
| Cust Service Claim Handling | Information Furnished; Contract Language/Legal Issue; No Jurisdiction | 1 | 0.0% |
| Other; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corrective Action Taken | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Insufficient Information | 1 | 0.0% |
| Not Within TDI Jurisdiction; Recoupment Of Claims Payment | No Jurisdiction | 1 | 0.0% |
| Prompt Pay; Recoupment Of Claims Payment | Contract Language/Legal Issue | 1 | 0.0% |
| Recoupment Of Claims Payment | No Jurisdiction; Contract Language/Legal Issue | 1 | 0.0% |
| Coordination of Benefits; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.0% |
| Prompt Pay | Corrective Action Taken; Contract Language/Legal Issue; Additional Monies Received | 1 | 0.0% |
| Prompt Pay; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.0% |
| Timely Filing Deficiency | Contract Language/Legal Issue | 1 | 0.0% |
| Summary of Benefits; Unsatisfactory Settle/Offer | Referred To; No Jurisdiction | 1 | 0.0% |
| Coordination of Benefits; Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corr | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Record Only; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Record Only; No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue; No Jurisdiction | 1 | 0.0% |
| Claimant Fraud; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.0% |
| Usual And Customary | Referred for Disciplinary Actn; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Record Only; No Jurisdiction | 1 | 0.0% |
| Usual And Customary | Additional Monies Received; Contract Language/Legal Issue; Corrective Action Taken | 1 | 0.0% |
| Usual And Customary | Additional Monies Received | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Informati | 1 | 0.0% |
| Recoupment Of Claims Payment; Usual And Customary | Contract Language/Legal Issue | 1 | 0.0% |
| Unfair Discrim-Clms Handling | No Jurisdiction; Information Furnished | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Insufficient Information; Record Only | 1 | 0.0% |
| Coordination of Benefits; Cust Service Claim Handling | No Jurisdiction | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corrective Action Taken | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Information Furnished; Claim Settled | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer | Additional Monies Received; Stat Pen Pd-Up To 45 Dys Late; Corrective Action T | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer | Stat Pen Pd-Up To 45 Dys Late; Clean Claims Violation | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer | Clean Claims Violation; Stat Pen Pd-Over 90 Dys Late | 1 | 0.0% |
| Prompt Pay | Additional Monies Received; Corrective Action Taken; Contract Language/Legal Issue | 1 | 0.0% |
| Deficient Claim Notice | Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished; Contract Language/Leg | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Policy Issued/Restored | 1 | 0.0% |
| Coordination of Benefits | Contract Language/Legal Issue | 1 | 0.0% |
| Prompt Pay | Additional Monies Received; Contract Language/Legal Issue; Corrective Action Taken | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue; Corrective Action T | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Con | 1 | 0.0% |
| Timely Filing Deficiency; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; No Jurisdiction | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer | Clean Claims Violation; Corrective Action Taken; Stat Pen Pd-Over 90 Dys Late | 1 | 0.0% |
| Not Within TDI Jurisdiction; Prompt Pay; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.0% |
| Usual And Customary | Insufficient Information | 1 | 0.0% |
| Other | Information Furnished; Other | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation | Clean Claims Violation; Stat Pen Pd-Over 90 Dys Late; Contract Language/Legal Issue | 1 | 0.0% |
| Other | Information Furnished; No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Additional Payment Expected; Correctiv | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation | Clean Claims Violation; Contract Language/Legal Issue; Stat Pen Pd-Over 90 Dys Late | 1 | 0.0% |
| Prompt Pay | No Jurisdiction; Information Furnished | 1 | 0.0% |
| Prompt Pay | Additional Monies Received; Stat Pen Pd-Up To 45 Dys Late | 1 | 0.0% |
| PPACA-Pre-Existing Condition | Insufficient Information; No Jurisdiction | 1 | 0.0% |
| Coordination of Benefits; Disclosure Of Benefits; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdi | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Referred To | 1 | 0.0% |
| Den/N-Pymt MD Nec Trmt N-Emrg | No Jurisdiction; Information Furnished | 1 | 0.0% |
| Discl-Fee Schd/Clms Proc Gdlns; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Insufficient Information | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation | Claim Settled; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Claim Settled; No Jurisdiction; Additional Monies Received | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Other | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation | Contract Language/Legal Issue; Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken; No Jurisdiction; Additional Monies Received | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Consumer Withdraw; Record Only | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Record Only | 1 | 0.0% |
| Closed-Lack Of Info Cmplainant; Unsatisfactory Settle/Offer; Usual And Customary | Insufficient Information | 1 | 0.0% |
| Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Referred To | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Contract Language/Legal Issue; Claim Sett | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Claim Settled; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Contract Language/Legal Issue; Referred To | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Claim Settled; Additional Monies Received | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer | Additional Monies Received | 1 | 0.0% |
| Liability Dispute; Maximum Out of Pocket; Not Within TDI Jurisdiction; Overcharges; Unsatisfactory Settle/Offer | No Jur | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; Additional Monies Received; No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld; No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; No Jurisdiction; Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Claim Settled; Contract Language/Legal Issue | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue | 1 | 0.0% |
| Assignment of Benefits | No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; No Jurisdiction; Contract Language/Legal | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; No Jurisdiction; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Stat Pen Pd-Over 90 Dys Late | 1 | 0.0% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Agent Handling | No Jurisdiction | 1 | 0.0% |
| Cust Service Claim Handling; Deficient Claim Notice | No Jurisdiction | 1 | 0.0% |
| Access to Care; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.0% |
| Assignment of Benefits; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction; Insufficient Information | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Company | 1 | 0.0% |
| Other; Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction | 1 | 0.0% |
| Fraud; Overcharges; Unsatisfactory Settle/Offer | No Jurisdiction; Claim Settled; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Company Position Upheld; Information Furnished | 1 | 0.0% |
| Discl-Fee Schd/Clms Proc Gdlns | No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; No Jurisdiction; Information Furnished | 1 | 0.0% |
| Recoupment Of Claims Payment | Insufficient Information | 1 | 0.0% |
| Fraud; Not Within TDI Jurisdiction; Other; Overcharges; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furni | 1 | 0.0% |
| Den/N-Pymt MD Nec DME/Supplies | Information Furnished; Corrective Action Taken | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Referred To; No Jurisdiction; Additional Monies Received | 1 | 0.0% |
| Continuity of Treatment; Disclosure Of Benefits; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Insufficient Information; No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Company Position Upheld | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Additional Payment Expected | 1 | 0.0% |
| Coordination of Benefits; Cust Service Claim Handling; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.0% |
| Coordination of Benefits; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished; Additional | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Company Position Upheld | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Additional Monies Received | 1 | 0.0% |
| SB418 Rule Violation; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; No Jurisdiction; | 1 | 0.0% |
| SB418 Rule Violation; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Information Furn | 1 | 0.0% |
| SB418 Rule Violation; Timely Filing Deficiency; Unsatisfactory Settle/Offer | Stat Pen Pd-Up To 45 Dys Late; Additional | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Referred To; Corrective Action Taken | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Contract Language/Legal Issue; Corrective | 1 | 0.0% |
| Recoupment Of Claims Payment | Overpaid Claim Recouped | 1 | 0.0% |
| Agent Handling; Disclosure Of Benefits; Misrepresentation | Information Furnished; Corrective Action Taken | 1 | 0.0% |
| Other; Prohibited PHI Disclosure | Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Claim Settled; Information Furnished; Additional Monies Received | 1 | 0.0% |
| Disclosure Of Benefits | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation | Additional Monies Received; Clean Claims Violation; Stat Pen Pd-Up To 45 Dys Late | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Claim Settled; Information Furnished | 1 | 0.0% |
| SB418 Rule Violation; Unsatisfactory Settle/Offer | Information Furnished | 1 | 0.0% |
| Other | Corrective Action Taken | 1 | 0.0% |
| Primary Care Providr Selection | Corrective Action Taken; Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| SB418 Rule Violation; Timely Filing Deficiency | Additional Monies Received | 1 | 0.0% |
| Maternity and Newborn Care | Mediation Billed Amount; Insufficient Information | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Insufficient Information | 1 | 0.0% |
| Attorney Fraud; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation | Additional Monies Received; Clean Claims Violation | 1 | 0.0% |
| Material Change To Contract; Out Of Ntwk Referral | No Jurisdiction | 1 | 0.0% |
| SB418 Rule Violation | No Jurisdiction | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Additional Monies Received; Clean Claims Violation; Stat | 1 | 0.0% |
| Coordination of Benefits; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Company Position Upheld; Contract | 1 | 0.0% |
| Cust Service Claim Handling; Disclosure Of Benefits; Other; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Company Position Upheld | 1 | 0.0% |
| Agent Handling | Information Furnished | 1 | 0.0% |
| Hlth Care Svcs Covg/Copay/Lmts; Misrepresentation | No Jurisdiction | 1 | 0.0% |
| Not Within TDI Jurisdiction | No Jurisdiction; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Payment Expected | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Policy Not In Force | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Claim Settled | 1 | 0.0% |
| Recoupment Of Claims Payment | Information Furnished; Corrective Action Taken; Policy Not In Force | 1 | 0.0% |
| Not Within TDI Jurisdiction | 1 | 0.0% |
| Notice Requirements; Other | Information Furnished; Corrective Action Taken | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Claim Settled | 1 | 0.0% |
| Disclosure Of Benefits; Material Change To Contract | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Access to Care; Continuity of Treatment; Den/N-Pymt MD Nec RX; Other | Contract Language/Legal Issue; Company Position U | 1 | 0.0% |
| Access to Care; Other | Information Furnished | 1 | 0.0% |
| Overcharges; Unfair Discrim-Clms Handling; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal | 1 | 0.0% |
| Den/N-Pymt MD Nec Trmt N-Emrg | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Continuity Of Treatment | No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Company Position Upheld; No Jurisdiction | 1 | 0.0% |
| SB418 Rule Violation; Unsatisfactory Settle/Offer | Additional Monies Received; Stat Pen Pd-Up To 45 Dys Late | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Payment Expected; Contract Language/Legal Issue | 1 | 0.0% |
| Den/N-Pymt MD Nec DME/Supplies | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Lifetime/Annual Limits; Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; Information Furnishe | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction; Claim Settled | 1 | 0.0% |
| Overcharges | Additional Payment Expected | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer | Clean Claims Violation; Stat Pen Pd-Up To 45 Dys Late; Additional Monies Recei | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Clean Claims Violation; Stat Pen Pd-Over 90 Dys Late; Ad | 1 | 0.0% |
| Continuity of Treatment; Other | No Jurisdiction | 1 | 0.0% |
| Den/N-Pymt MD Nec RX | No Jurisdiction | 1 | 0.0% |
| Other; Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue | 1 | 0.0% |
| Access to Care | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Failure to Timely Respond; Contract Language/Legal Issue; Ad | 1 | 0.0% |
| Misrepresentation; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Den/N-Pymt MD Nec RX | Contract Language/Legal Issue | 1 | 0.0% |
| Other | Contract Language/Legal Issue; Question of Fact | 1 | 0.0% |
| Overcharges; Recoupment Of Claims Payment | Additional Monies Received; Information Furnished | 1 | 0.0% |
| Misrepresentation | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Pre-Existing Condition; Unsatisfactory Settle/Offer | Information Furnished; Additional Payment Expected | 1 | 0.0% |
| Misrepresentation; Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Additional Payment Expected; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Payment Expected; Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Recoupment Of Claims Payment | Information Furnished; No Jurisdiction | 1 | 0.0% |
| Access to Care | Information Furnished | 1 | 0.0% |
| Misrepresentation | Contract Language/Legal Issue | 1 | 0.0% |
| Misrepresentation | Information Furnished | 1 | 0.0% |
| Identification Card Issue | No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Insufficient Information | 1 | 0.0% |
| SB418 Rule Violation; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation | Additional Monies Received; Stat Pen Pd-Up To 45 Dys Late; Clean Claims Violation | 1 | 0.0% |
| Den/N-Pymt MD Nec Trmt N-Emrg; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Den/N-Pymt MD Nec Trmt N-Emrg; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.0% |
| Cust Service Claim Handling | Information Furnished; No Jurisdiction | 1 | 0.0% |
| Den/N-Pymt MD Nec Trmt N-Emrg | Contract Language/Legal Issue | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.0% |
health Complaints by State
| State | Complaints |
|---|---|
| Texas | 4,495 |
| Connecticut | 513 |
Recent health Complaints Against CIGNA HEALTH AND LIFE INSURANCE COMPANY
- health Complaint #CT-7085440-7f8738e2 — Connecticut (2026-05-08)
- health Complaint #CT-7085398-34c04a9f — Connecticut (2026-05-07)
- health Complaint #CT-7085288-298f67e1 — Connecticut (2026-05-04)
- health Complaint #CT-7085285-298f67e1 — Connecticut (2026-05-04)
- health Complaint #CT-7085266-298f67e1 — Connecticut (2026-05-04)
- health Complaint #CT-7085248-d72b932f — Connecticut (2026-05-01)
- health Complaint #TX-454360-38783ecc — Texas (2026-04-22)
- health Complaint #CT-7084863-6be0d331 — Connecticut (2026-04-21)
- health Complaint #CT-7084804-35285994 — Connecticut (2026-04-17)
- health Complaint #CT-7084713-78f59ec3 — Connecticut (2026-04-16)
Frequently Asked Questions
How many health complaints does CIGNA HEALTH AND LIFE INSURANCE COMPANY have?
CIGNA HEALTH AND LIFE INSURANCE COMPANY has 5008 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with CIGNA HEALTH AND LIFE INSURANCE COMPANY?
The most common health complaint issues for CIGNA HEALTH AND LIFE INSURANCE COMPANY are: Claim denial (1722), Delayed payment (1227), Premium or billing dispute (400), Unsatisfactory Settle/Offer | No Jurisdiction (254), Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction (231).
Which states have the most health complaints against CIGNA HEALTH AND LIFE INSURANCE COMPANY?
The states with the most health complaints against CIGNA HEALTH AND LIFE INSURANCE COMPANY are: Texas (4495), Connecticut (513).
health Complaints by State
CIGNA HEALTH AND LIFE INSURANCE COMPANY Complaints by State
- CIGNA HEALTH AND LIFE INSURANCE COMPANY Complaints in California
- CIGNA HEALTH AND LIFE INSURANCE COMPANY Complaints in Texas
- CIGNA HEALTH AND LIFE INSURANCE COMPANY Complaints in New York
- CIGNA HEALTH AND LIFE INSURANCE COMPANY Complaints in Florida
- CIGNA HEALTH AND LIFE INSURANCE COMPANY Complaints in Illinois
- CIGNA HEALTH AND LIFE INSURANCE COMPANY Complaints in Pennsylvania
- CIGNA HEALTH AND LIFE INSURANCE COMPANY Complaints in Ohio
- CIGNA HEALTH AND LIFE INSURANCE COMPANY Complaints in Georgia
- CIGNA HEALTH AND LIFE INSURANCE COMPANY Complaints in North Carolina
- CIGNA HEALTH AND LIFE INSURANCE COMPANY Complaints in New Jersey