InsuranceComplaintCheck

CIGNA HEALTH AND LIFE INSURANCE COMPANY — health Complaints in Texas

Detailed analysis of 4,495 health insurance complaints filed against CIGNA HEALTH AND LIFE INSURANCE COMPANY by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

  • health Complaints in Texas: 4,495
  • Total health Complaints (All States): 5,008
  • Texas Share: 89.8%
  • NAIC Complaint Ratio: 2.67
  • AI Risk Score: 88/100

Analysis: CIGNA HEALTH AND LIFE INSURANCE COMPANY health in Texas

CIGNA HEALTH AND LIFE INSURANCE COMPANY has accumulated 4,495 health insurance complaints from consumers in Texas. Across all states, CIGNA HEALTH AND LIFE INSURANCE COMPANY has 5,008 total health complaints, making Texas responsible for 89.8% of the volume.

The most frequent complaint sub-type is Claim denial with 1550 complaints. Other common issues include Delayed payment (1153), Premium or billing dispute (391), Unsatisfactory Settle/Offer | No Jurisdiction (254).

The most active year was 2026 with 37 complaints filed.

Consumers in Texas who have health disputes with CIGNA HEALTH AND LIFE INSURANCE COMPANY can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue TypeComplaints%
Claim denial1,55034.5%
Delayed payment1,15325.7%
Premium or billing dispute3918.7%
Unsatisfactory Settle/Offer | No Jurisdiction2545.7%
Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction2315.1%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue340.8%
Policy cancellation300.7%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue250.6%
Usual And Customary | Contract Language/Legal Issue230.5%
Not Within TDI Jurisdiction | No Jurisdiction200.4%
Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Contract Language/Legal Issue190.4%
Provider or network dispute180.4%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; No Jurisdiction170.4%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction160.4%
Usual And Customary | No Jurisdiction; Record Only150.3%
Prompt Pay | Contract Language/Legal Issue140.3%
Usual And Customary | Record Only; No Jurisdiction140.3%
Usual And Customary | No Jurisdiction130.3%
Coverage dispute110.2%
Recoupment Of Claims Payment | No Jurisdiction110.2%
Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Information Furnished110.2%
Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Additional Monies Received110.2%
Unsatisfactory Settle/Offer | Information Furnished100.2%
Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Referred To100.2%
Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction100.2%
Unsatisfactory Settle/Offer | No Jurisdiction; Referred To90.2%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; No Jurisdiction90.2%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished80.2%
Unsatisfactory Settle/Offer | No Jurisdiction; Contract Language/Legal Issue80.2%
Unsatisfactory Settle/Offer | Insufficient Information70.2%
Prompt Pay; Unsatisfactory Settle/Offer | Contract Language/Legal Issue70.2%
Unsatisfactory Settle/Offer | Additional Monies Received70.2%
Prompt Pay; SB418 Rule Violation | No Jurisdiction70.2%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received60.1%
Prompt Pay; Unsatisfactory Settle/Offer | No Jurisdiction60.1%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | No Jurisdiction60.1%
Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; No Jurisdiction60.1%
Unfair settlement50.1%
Prompt Pay; Unsatisfactory Settle/Offer | Information Furnished50.1%
Unsatisfactory Settle/Offer | Referred To; No Jurisdiction50.1%
Unsatisfactory Settle/Offer | Additional Monies Received; No Jurisdiction50.1%
Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction50.1%
Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished50.1%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld; Information Furnished40.1%
Unsatisfactory Settle/Offer | Claim Settled40.1%
Other | Information Furnished40.1%
Unsatisfactory Settle/Offer; Usual And Customary | Referred To; No Jurisdiction40.1%
Prompt Pay | No Jurisdiction40.1%
Prompt Pay; SB418 Rule Violation | Contract Language/Legal Issue40.1%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; No Jurisdiction40.1%
Other | No Jurisdiction40.1%
Den/N-Pymt MD Nec Trmt N-Emrg | No Jurisdiction40.1%
Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue40.1%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Information Furnished40.1%
Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Contract Language/Legal40.1%
Misleading sales30.1%
Unsatisfactory Settle/Offer | Information Furnished; Additional Payment Expected30.1%
Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished; Contract Language/Legal Issue30.1%
Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; Contract Language/Legal Issue30.1%
Cust Service Claim Handling | No Jurisdiction30.1%
Recoupment Of Claims Payment | Contract Language/Legal Issue30.1%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Additional Monies Received30.1%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Additional Monies Received30.1%
Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken30.1%
Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer | No Jurisdiction30.1%
Other | Contract Language/Legal Issue30.1%
Prompt Pay; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; No Jurisdiction30.1%
Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken30.1%
Unsatisfactory Settle/Offer; Usual And Customary | Insufficient Information30.1%
Coordination of Benefits | No Jurisdiction30.1%
Unsatisfactory Settle/Offer | No Jurisdiction; Additional Monies Received30.1%
Unsatisfactory Settle/Offer | Claim Settled; Additional Monies Received30.1%
Cust Service Claim Handling | Additional Monies Received; Corrective Action Taken20.0%
Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken; Claim Settled20.0%
Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Information Furnished20.0%
Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Information Furnished20.0%
Unsatisfactory Settle/Offer | Corrective Action Taken; Contract Language/Legal Issue; Information Furnished20.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Lang20.0%
Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Company Position Upheld20.0%
Unsatisfactory Settle/Offer | Additional Payment Expected; Corrective Action Taken; Information Furnished20.0%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corrective Action Taken; Information Furnished20.0%
Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Language/Legal Issue20.0%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company Position Upheld20.0%
Unsatisfactory Settle/Offer | Additional Payment Expected; Information Furnished20.0%
Other | Contract Language/Legal Issue; Information Furnished20.0%
Unsatisfactory Settle/Offer | Information Furnished; Referred To; No Jurisdiction20.0%
Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken; Additional Monies Received20.0%
Unsatisfactory Settle/Offer | Referred To; No Jurisdiction; Information Furnished20.0%
Cust Service Claim Handling | Contract Language/Legal Issue20.0%
Not Within TDI Jurisdiction; Usual And Customary | No Jurisdiction20.0%
Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Contract Language/Legal Issue20.0%
Coordination of Benefits; Unsatisfactory Settle/Offer | No Jurisdiction20.0%
Prompt Pay | Contract Language/Legal Issue; No Jurisdiction20.0%
Other | Insufficient Information20.0%
Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; No Jurisdict20.0%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Claim Settled20.0%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished20.0%
Other | Information Furnished; Contract Language/Legal Issue20.0%
Access to Care | No Jurisdiction20.0%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction20.0%
Unfair Discrim-Clms Handling; Unsatisfactory Settle/Offer | No Jurisdiction20.0%
Unsatisfactory Settle/Offer | Insufficient Information; No Jurisdiction20.0%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld20.0%
Unsatisfactory Settle/Offer | Additional Monies Received; Information Furnished20.0%
SB418 Rule Violation; Unsatisfactory Settle/Offer | No Jurisdiction20.0%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Information Furnished20.0%
Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue20.0%
Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue20.0%
Access to Care; Continuity of Treatment | No Jurisdiction20.0%
Overcharges | No Jurisdiction20.0%
Cust Srvc Policy Holder Srvcs | Information Furnished; Contract Language/Legal Issue10.0%
Identification Card Issue | Contract Language/Legal Issue; Company Position Upheld10.0%
Prior Authorization | Contract Language/Legal Issue; Information Furnished; Company Position Upheld10.0%
Prior Authorization | No Jurisdiction; Referred To; Record Only10.0%
Fraud; Maximum Out of Pocket | Information Furnished; Contract Language/Legal Issue; Referred To10.0%
Cust Service Claim Handling; Maximum Out of Pocket | Information Furnished; Company Position Upheld; Contract Language/L10.0%
Cust Service Claim Handling | Information Furnished; Additional Payment Expected; Corrective Action Taken10.0%
Prior Authorization | Information Furnished; Contract Language/Legal Issue; Company Position Upheld10.0%
Unsatisfactory Settle/Offer | Additional Monies Received; Information Furnished; Corrective Action Taken10.0%
Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken; Stat Pen Pd-Over 90 Dys Late10.0%
Maximum Out of Pocket; Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Information10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Additional Mo10.0%
Maximum Out of Pocket; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Company Posit10.0%
Cust Srvc Policy Holder Srvcs; Prior Authorization | Information Furnished; Contract Language/Legal Issue10.0%
Cust Srvc Policy Holder Srvcs | Information Furnished; Policy Not In Force10.0%
Unsatisfactory Settle/Offer | Additional Payment Expected; Corrective Action Taken; Additional Monies Received10.0%
Unsatisfactory Settle/Offer | Referred To; Company Position Upheld; Contract Language/Legal Issue10.0%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken10.0%
Bad Faith Participation; Cust Service Claim Handling | Corrective Action Taken; Additional Monies Received10.0%
Cust Srvc Policy Holder Srvcs; Prior Authorization | Information Furnished; Company Position Upheld; Contract Language/L10.0%
Cust Srvc Policy Holder Srvcs; Prior Authorization | Corrective Action Taken; Information Furnished10.0%
Other | Company Position Upheld; Contract Language/Legal Issue; Information Furnished10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company10.0%
Authorization Dispute; Unsatisfactory Settle/Offer | Question of Fact; Contract Language/Legal Issue; Company Position U10.0%
Cust Srvc Policy Holder Srvcs; Wellness Program | Additional Payment Expected; Corrective Action Taken; Information Furn10.0%
Maternity and Newborn Care; Unsatisfactory Settle/Offer | Corrective Action Taken; Contract Language/Legal Issue; Inform10.0%
Maximum Out of Pocket; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Claim Settled10.0%
Bad Faith Participation | Additional Monies Received10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Claim Settled10.0%
Insurer Fraud; Prompt Pay | Company Position Upheld; Information Furnished10.0%
Commissions | Contract Language/Legal Issue; Information Furnished10.0%
Bad Faith Participation | Insufficient Information10.0%
Bad Faith Participation | Additional Monies Received; Corrective Action Taken; Information Furnished10.0%
Bad Faith Participation; Cust Service Claim Handling | Information Furnished; Corrective Action Taken10.0%
Recoupment Of Claims Payment | Contract Language/Legal Issue; Information Furnished10.0%
Unsatisfactory Settle/Offer | Information Furnished; Question of Fact; Company Position Upheld10.0%
Pediatric Care; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company Position Uph10.0%
Cust Service Claim Handling; Maximum Out of Pocket | Claim Settled; Information Furnished; Corrective Action Taken10.0%
Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Additional Payment Expected10.0%
Unsatisfactory Settle/Offer | Additional Payment Expected; Information Furnished; Corrective Action Taken10.0%
Unsatisfactory Settle/Offer | Information Furnished; Additional Payment Expected; Corrective Action Taken10.0%
Unsatisfactory Settle/Offer | Record Only; Insufficient Information10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Additional Monies Received10.0%
Other10.0%
Cust Service Claim Handling | Additional Monies Received; Information Furnished10.0%
Access to Care; Pediatric Care | Additional Monies Received; Corrective Action Taken; Claim Settled10.0%
Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Additional Monies Received10.0%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Referred To10.0%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corrective Action Taken; Claim Settled10.0%
Maternity and Newborn Care; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Informat10.0%
Unsatisfactory Settle/Offer | Additional Monies Received; Mediation Paid Amount10.0%
Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken10.0%
Claim Recoding/Bundling | Information Furnished; Company Position Upheld10.0%
Unsatisfactory Settle/Offer | Referred To; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer | Additional Monies Received; Information Furnished; Contract Language/Legal Issue10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld; Infor10.0%
Unsatisfactory Settle/Offer | Corrective Action Taken10.0%
Prompt Pay | Company Position Upheld; Information Furnished10.0%
Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Additional Monies Received10.0%
Unsatisfactory Settle/Offer | Claim Settled; Corrective Action Taken; Information Furnished10.0%
Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Claim Settled10.0%
Prompt Pay; Unsatisfactory Settle/Offer | Corrective Action Taken; Contract Language/Legal Issue; Information Furnished10.0%
Not Within TDI Jurisdiction; Prompt Pay | Referred To; No Jurisdiction; Information Furnished10.0%
Cust Service Claim Handling; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Corrective Action Taken; Information F10.0%
Not Within TDI Jurisdiction; Prompt Pay | No Jurisdiction; Information Furnished; Referred To10.0%
Not Within TDI Jurisdiction; Other | Information Furnished10.0%
Essential Health Benefit; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company Po10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Company Position Upheld10.0%
Cust Service Claim Handling; Essential Health Benefit; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnis10.0%
Essential Health Benefit; Unsatisfactory Settle/Offer | Referred To; No Jurisdiction10.0%
Cust Service Claim Handling; Misrepresentation; Summary of Benefits; Unsatisfactory Settle/Offer | Contract Language/Leg10.0%
Misrepresentation | Referred To; No Jurisdiction10.0%
Other | Referred To; No Jurisdiction10.0%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction; Referred To10.0%
Unsatisfactory Settle/Offer | No Jurisdiction; Additional Monies Received; Contract Language/Legal Issue10.0%
Continuation of Benefits; Unsatisfactory Settle/Offer | No Jurisdiction; Referred To; Information Furnished10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction; Referred To10.0%
Claim Recoding/Bundling; Prompt Pay; Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issu10.0%
Access to Care | Referred To; No Jurisdiction10.0%
Essential Health Benefit; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished; Referred To10.0%
Misrepresentation | Information Furnished; No Jurisdiction; Referred To10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | No Jurisdiction; Referred To10.0%
Not Within TDI Jurisdiction | Information Furnished; No Jurisdiction; Referred To10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished; Referred To10.0%
Prompt Pay | Company Position Upheld; Contract Language/Legal Issue10.0%
Recoupment Of Claims Payment | No Jurisdiction; Referred To10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Referred To; No Jurisdiction10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue10.0%
Essential Health Benefit; Unsatisfactory Settle/Offer | Information Furnished10.0%
Den/N-Pymt MD Nec Trmt N-Emrg; Not Within TDI Jurisdiction | Information Furnished; Referred To; No Jurisdiction10.0%
Unsatisfactory Settle/Offer | No Jurisdiction; Referred To; Information Furnished10.0%
Cust Service Claim Handling; Other; Unsatisfactory Settle/Offer | No Jurisdiction; Referred To10.0%
Recoupment Of Claims Payment | Additional Payment Expected10.0%
Other | Information Furnished; Referred To; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer | No Jurisdiction; Company Position Upheld; Contract Language/Legal Issue10.0%
Disclosure Of Benefits; Other | Information Furnished; Contract Language/Legal Issue10.0%
Coordination of Benefits; Not Within TDI Jurisdiction | No Jurisdiction10.0%
Den/N-Pymt MD Nec RX; Den/N-Pymt MD Nec Trmt N-Emrg | Company Position Upheld; Question of Fact; Contract Language/Legal10.0%
Cust Service Claim Handling | Information Furnished; Contract Language/Legal Issue; No Jurisdiction10.0%
Other; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corrective Action Taken10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Insufficient Information10.0%
Not Within TDI Jurisdiction; Recoupment Of Claims Payment | No Jurisdiction10.0%
Prompt Pay; Recoupment Of Claims Payment | Contract Language/Legal Issue10.0%
Recoupment Of Claims Payment | No Jurisdiction; Contract Language/Legal Issue10.0%
Coordination of Benefits; Unsatisfactory Settle/Offer | Contract Language/Legal Issue10.0%
Prompt Pay | Corrective Action Taken; Contract Language/Legal Issue; Additional Monies Received10.0%
Prompt Pay; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue10.0%
Timely Filing Deficiency | Contract Language/Legal Issue10.0%
Summary of Benefits; Unsatisfactory Settle/Offer | Referred To; No Jurisdiction10.0%
Coordination of Benefits; Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corr10.0%
Unsatisfactory Settle/Offer | Record Only; Information Furnished10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Record Only; No Jurisdiction10.0%
Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue; No Jurisdiction10.0%
Claimant Fraud; Unsatisfactory Settle/Offer | No Jurisdiction10.0%
Usual And Customary | Referred for Disciplinary Actn; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer | Record Only; No Jurisdiction10.0%
Usual And Customary | Additional Monies Received; Contract Language/Legal Issue; Corrective Action Taken10.0%
Usual And Customary | Additional Monies Received10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Informati10.0%
Recoupment Of Claims Payment; Usual And Customary | Contract Language/Legal Issue10.0%
Unfair Discrim-Clms Handling | No Jurisdiction; Information Furnished10.0%
Prompt Pay; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction10.0%
Unsatisfactory Settle/Offer | Insufficient Information; Record Only10.0%
Coordination of Benefits; Cust Service Claim Handling | No Jurisdiction10.0%
Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corrective Action Taken10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Information Furnished; Claim Settled10.0%
Prompt Pay; Unsatisfactory Settle/Offer | Additional Monies Received; Stat Pen Pd-Up To 45 Dys Late; Corrective Action T10.0%
Prompt Pay; Unsatisfactory Settle/Offer | Stat Pen Pd-Up To 45 Dys Late; Clean Claims Violation10.0%
Prompt Pay; Unsatisfactory Settle/Offer | Clean Claims Violation; Stat Pen Pd-Over 90 Dys Late10.0%
Prompt Pay | Additional Monies Received; Corrective Action Taken; Contract Language/Legal Issue10.0%
Deficient Claim Notice | Information Furnished10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished; Contract Language/Leg10.0%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Policy Issued/Restored10.0%
Coordination of Benefits | Contract Language/Legal Issue10.0%
Prompt Pay | Additional Monies Received; Contract Language/Legal Issue; Corrective Action Taken10.0%
Prompt Pay; Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue; Corrective Action T10.0%
Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Con10.0%
Timely Filing Deficiency; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; No Jurisdiction10.0%
Prompt Pay; Unsatisfactory Settle/Offer | Clean Claims Violation; Corrective Action Taken; Stat Pen Pd-Over 90 Dys Late10.0%
Not Within TDI Jurisdiction; Prompt Pay; Unsatisfactory Settle/Offer | No Jurisdiction10.0%
Usual And Customary | Insufficient Information10.0%
Other | Information Furnished; Other10.0%
Prompt Pay; SB418 Rule Violation | Clean Claims Violation; Stat Pen Pd-Over 90 Dys Late; Contract Language/Legal Issue10.0%
Other | Information Furnished; No Jurisdiction10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Additional Payment Expected; Correctiv10.0%
Prompt Pay; SB418 Rule Violation | Clean Claims Violation; Contract Language/Legal Issue; Stat Pen Pd-Over 90 Dys Late10.0%
Prompt Pay | No Jurisdiction; Information Furnished10.0%
Prompt Pay | Additional Monies Received; Stat Pen Pd-Up To 45 Dys Late10.0%
PPACA-Pre-Existing Condition | Insufficient Information; No Jurisdiction10.0%
Coordination of Benefits; Disclosure Of Benefits; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdi10.0%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Referred To10.0%
Den/N-Pymt MD Nec Trmt N-Emrg | No Jurisdiction; Information Furnished10.0%
Discl-Fee Schd/Clms Proc Gdlns; Unsatisfactory Settle/Offer | No Jurisdiction10.0%
Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Insufficient Information10.0%
Prompt Pay; SB418 Rule Violation | Claim Settled; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Claim Settled; No Jurisdiction; Additional Monies Received10.0%
Unsatisfactory Settle/Offer | Other10.0%
Prompt Pay; SB418 Rule Violation | Contract Language/Legal Issue; Claim Settled10.0%
Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken; No Jurisdiction; Additional Monies Received10.0%
Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Claim Settled10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Consumer Withdraw; Record Only10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Record Only10.0%
Closed-Lack Of Info Cmplainant; Unsatisfactory Settle/Offer; Usual And Customary | Insufficient Information10.0%
Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Referred To10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Contract Language/Legal Issue; Claim Sett10.0%
Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Claim Settled; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Claim Settled10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer | No Jurisdiction; Contract Language/Legal Issue; Referred To10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Claim Settled; Additional Monies Received10.0%
Prompt Pay; Unsatisfactory Settle/Offer | Additional Monies Received10.0%
Liability Dispute; Maximum Out of Pocket; Not Within TDI Jurisdiction; Overcharges; Unsatisfactory Settle/Offer | No Jur10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; Additional Monies Received; No Jurisdiction10.0%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld; No Jurisdiction10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; No Jurisdiction; Claim Settled10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Claim Settled; Contract Language/Legal Issue10.0%
Prompt Pay; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue10.0%
Assignment of Benefits | No Jurisdiction10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; No Jurisdiction; Contract Language/Legal 10.0%
Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Claim Settled10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; No Jurisdiction; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer | Additional Monies Received; Stat Pen Pd-Over 90 Dys Late10.0%
Unsatisfactory Settle/Offer | No Jurisdiction; Contract Language/Legal Issue; Information Furnished10.0%
Agent Handling | No Jurisdiction10.0%
Cust Service Claim Handling; Deficient Claim Notice | No Jurisdiction10.0%
Access to Care; Unsatisfactory Settle/Offer | No Jurisdiction10.0%
Assignment of Benefits; Unsatisfactory Settle/Offer | No Jurisdiction10.0%
Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction; Insufficient Information10.0%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Company 10.0%
Other; Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction10.0%
Fraud; Overcharges; Unsatisfactory Settle/Offer | No Jurisdiction; Claim Settled; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer | No Jurisdiction; Company Position Upheld; Information Furnished10.0%
Discl-Fee Schd/Clms Proc Gdlns | No Jurisdiction10.0%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; No Jurisdiction; Information Furnished10.0%
Recoupment Of Claims Payment | Insufficient Information10.0%
Fraud; Not Within TDI Jurisdiction; Other; Overcharges; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furni10.0%
Den/N-Pymt MD Nec DME/Supplies | Information Furnished; Corrective Action Taken10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Referred To; No Jurisdiction; Additional Monies Received10.0%
Continuity of Treatment; Disclosure Of Benefits; Unsatisfactory Settle/Offer | No Jurisdiction10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Insufficient Information; No Jurisdiction10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; No Jurisdiction10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Company Position Upheld10.0%
Unsatisfactory Settle/Offer | Additional Monies Received; Additional Payment Expected10.0%
Coordination of Benefits; Cust Service Claim Handling; Unsatisfactory Settle/Offer | No Jurisdiction10.0%
Coordination of Benefits; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished; Additional 10.0%
Unsatisfactory Settle/Offer | Company Position Upheld10.0%
Unsatisfactory Settle/Offer | Information Furnished; Additional Monies Received10.0%
SB418 Rule Violation; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; No Jurisdiction;10.0%
SB418 Rule Violation; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Information Furn10.0%
SB418 Rule Violation; Timely Filing Deficiency; Unsatisfactory Settle/Offer | Stat Pen Pd-Up To 45 Dys Late; Additional 10.0%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Referred To; Corrective Action Taken10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Contract Language/Legal Issue; Corrective10.0%
Recoupment Of Claims Payment | Overpaid Claim Recouped10.0%
Agent Handling; Disclosure Of Benefits; Misrepresentation | Information Furnished; Corrective Action Taken10.0%
Other; Prohibited PHI Disclosure | Information Furnished10.0%
Unsatisfactory Settle/Offer | Claim Settled; Information Furnished; Additional Monies Received10.0%
Disclosure Of Benefits | Contract Language/Legal Issue; Information Furnished10.0%
Prompt Pay; SB418 Rule Violation | Additional Monies Received; Clean Claims Violation; Stat Pen Pd-Up To 45 Dys Late10.0%
Unsatisfactory Settle/Offer | Claim Settled; Information Furnished10.0%
SB418 Rule Violation; Unsatisfactory Settle/Offer | Information Furnished10.0%
Other | Corrective Action Taken10.0%
Primary Care Providr Selection | Corrective Action Taken; Contract Language/Legal Issue; Information Furnished10.0%
SB418 Rule Violation; Timely Filing Deficiency | Additional Monies Received10.0%
Maternity and Newborn Care | Mediation Billed Amount; Insufficient Information10.0%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Insufficient Information10.0%
Attorney Fraud; Unsatisfactory Settle/Offer | No Jurisdiction10.0%
Prompt Pay; SB418 Rule Violation | Additional Monies Received; Clean Claims Violation10.0%
Material Change To Contract; Out Of Ntwk Referral | No Jurisdiction10.0%
SB418 Rule Violation | No Jurisdiction10.0%
Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Additional Monies Received; Clean Claims Violation; Stat10.0%
Coordination of Benefits; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Company Position Upheld; Contract 10.0%
Cust Service Claim Handling; Disclosure Of Benefits; Other; Unsatisfactory Settle/Offer | No Jurisdiction10.0%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Company Position Upheld10.0%
Agent Handling | Information Furnished10.0%
Hlth Care Svcs Covg/Copay/Lmts; Misrepresentation | No Jurisdiction10.0%
Not Within TDI Jurisdiction | No Jurisdiction; Information Furnished10.0%
Unsatisfactory Settle/Offer | Additional Payment Expected10.0%
Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished10.0%
Unsatisfactory Settle/Offer | Company Position Upheld; Policy Not In Force10.0%
Unsatisfactory Settle/Offer | Information Furnished; Claim Settled10.0%
Recoupment Of Claims Payment | Information Furnished; Corrective Action Taken; Policy Not In Force10.0%
Not Within TDI Jurisdiction10.0%
Notice Requirements; Other | Information Furnished; Corrective Action Taken10.0%
Unsatisfactory Settle/Offer | Additional Monies Received; Claim Settled10.0%
Disclosure Of Benefits; Material Change To Contract | Contract Language/Legal Issue; Information Furnished10.0%
Access to Care; Continuity of Treatment; Den/N-Pymt MD Nec RX; Other | Contract Language/Legal Issue; Company Position U10.0%
Access to Care; Other | Information Furnished10.0%
Overcharges; Unfair Discrim-Clms Handling; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal 10.0%
Den/N-Pymt MD Nec Trmt N-Emrg | Contract Language/Legal Issue; Information Furnished10.0%
Continuity Of Treatment | No Jurisdiction10.0%
Unsatisfactory Settle/Offer | Company Position Upheld; No Jurisdiction10.0%
SB418 Rule Violation; Unsatisfactory Settle/Offer | Additional Monies Received; Stat Pen Pd-Up To 45 Dys Late10.0%
Unsatisfactory Settle/Offer | Additional Payment Expected; Contract Language/Legal Issue10.0%
Den/N-Pymt MD Nec DME/Supplies | Information Furnished; Contract Language/Legal Issue10.0%
Lifetime/Annual Limits; Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; Information Furnishe10.0%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction; Claim Settled10.0%
Overcharges | Additional Payment Expected10.0%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue10.0%
Prompt Pay; Unsatisfactory Settle/Offer | Clean Claims Violation; Stat Pen Pd-Up To 45 Dys Late; Additional Monies Recei10.0%
Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Clean Claims Violation; Stat Pen Pd-Over 90 Dys Late; Ad10.0%
Continuity of Treatment; Other | No Jurisdiction10.0%
Den/N-Pymt MD Nec RX | No Jurisdiction10.0%
Other; Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue10.0%
Access to Care | Contract Language/Legal Issue; Information Furnished10.0%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Failure to Timely Respond; Contract Language/Legal Issue; Ad10.0%
Misrepresentation; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue10.0%
Den/N-Pymt MD Nec RX | Contract Language/Legal Issue10.0%
Other | Contract Language/Legal Issue; Question of Fact10.0%
Overcharges; Recoupment Of Claims Payment | Additional Monies Received; Information Furnished10.0%
Misrepresentation | Contract Language/Legal Issue; Information Furnished10.0%
Pre-Existing Condition; Unsatisfactory Settle/Offer | Information Furnished; Additional Payment Expected10.0%
Misrepresentation; Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue10.0%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Additional Payment Expected; Information Furnished10.0%
Unsatisfactory Settle/Offer | Additional Payment Expected; Information Furnished; Contract Language/Legal Issue10.0%
Recoupment Of Claims Payment | Information Furnished; No Jurisdiction10.0%
Access to Care | Information Furnished10.0%
Misrepresentation | Contract Language/Legal Issue10.0%
Misrepresentation | Information Furnished10.0%
Identification Card Issue | No Jurisdiction10.0%
Unsatisfactory Settle/Offer | Additional Monies Received; Insufficient Information10.0%
SB418 Rule Violation; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction10.0%
Prompt Pay; SB418 Rule Violation | Additional Monies Received; Stat Pen Pd-Up To 45 Dys Late; Clean Claims Violation10.0%
Den/N-Pymt MD Nec Trmt N-Emrg; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished10.0%
Den/N-Pymt MD Nec Trmt N-Emrg; Unsatisfactory Settle/Offer | No Jurisdiction10.0%
Cust Service Claim Handling | Information Furnished; No Jurisdiction10.0%
Den/N-Pymt MD Nec Trmt N-Emrg | Contract Language/Legal Issue10.0%
Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | No Jurisdiction10.0%

Complaints by Year

  • 2026: 37 complaints
  • 2025: 87 complaints
  • 2024: 372 complaints
  • 2023: 146 complaints
  • 2022: 164 complaints
  • 2021: 145 complaints
  • 2020: 125 complaints
  • 2019: 270 complaints
  • 2018: 568 complaints
  • 2017: 792 complaints
  • 2016: 598 complaints
  • 2015: 485 complaints
  • 2014: 521 complaints
  • 2013: 153 complaints
  • 2012: 32 complaints

Recent health Complaints Against CIGNA HEALTH AND LIFE INSURANCE COMPANY in Texas

Frequently Asked Questions

How many health complaints does CIGNA HEALTH AND LIFE INSURANCE COMPANY have in Texas?

CIGNA HEALTH AND LIFE INSURANCE COMPANY has 4495 health insurance complaints on file from consumers in Texas, according to NAIC and state DOI data.

What are the most common health complaint issues with CIGNA HEALTH AND LIFE INSURANCE COMPANY in Texas?

The most common issues are: Claim denial (1550), Delayed payment (1153), Premium or billing dispute (391), Unsatisfactory Settle/Offer | No Jurisdiction (254), Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction (231).

How does CIGNA HEALTH AND LIFE INSURANCE COMPANY's health record in Texas compare to other states?

CIGNA HEALTH AND LIFE INSURANCE COMPANY has 4495 health complaints in Texas out of 5008 total health complaints nationwide. That is 89.8% of their health volume.

Where can I file a health complaint against CIGNA HEALTH AND LIFE INSURANCE COMPANY in Texas?

You can file a complaint with the Texas Department of Insurance. The NAIC Consumer Information Source at https://content.naic.org/cis_consumer.htm also accepts complaints.

Related Pages

CIGNA HEALTH AND LIFE INSURANCE COMPANY health Complaints in Other States

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