InsuranceComplaintCheck

ConnectiCare Benefits, Inc. — health Complaints in Connecticut

Detailed analysis of 627 health insurance complaints filed against ConnectiCare Benefits, Inc. by consumers in Connecticut, based on public NAIC and state DOI data.

Key Statistics

  • health Complaints in Connecticut: 627
  • Total health Complaints (All States): 627
  • Connecticut Share: 100.0%
  • AI Risk Score: 49/100

Analysis: ConnectiCare Benefits, Inc. health in Connecticut

ConnectiCare Benefits, Inc. has accumulated 627 health insurance complaints from consumers in Connecticut. Across all states, ConnectiCare Benefits, Inc. has 627 total health complaints, making Connecticut responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 110 complaints. Other common issues include Delayed payment (109), Premium or billing dispute (77), Unfair settlement (64).

The most active year was 2026 with 177 complaints filed.

Consumers in Connecticut who have health disputes with ConnectiCare Benefits, Inc. can file a complaint with the Connecticut Department of Insurance.

health Complaint Issues in Connecticut

Issue TypeComplaints%
Claim denial11017.5%
Delayed payment10917.4%
Premium or billing dispute7712.3%
Unfair settlement6410.2%
Claim Procedure | Claim Handling314.9%
Coverage dispute304.8%
Policy cancellation274.3%
Provider or network dispute203.2%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Substantiated182.9%
Policy Service | PolicyHolder Service91.4%
Delivery of Policy | PolicyHolder Service91.4%
Claim Handling Other | Claim Handling | Claim Settled81.3%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling61.0%
CPT Code Issue | Claim Handling61.0%
Claim Handling Other | Claim Handling | Company Position Substantiated61.0%
Misleading sales61.0%
Delivery of Policy | PolicyHolder Service | Company Position Overturned50.8%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Company Position Overturned50.8%
Policy Service Other | PolicyHolder Service40.6%
Recoupment | Claim Handling | Company Position Substantiated40.6%
Payment Not Credited | PolicyHolder Service30.5%
UR Procedure | Claim Handling30.5%
Co-pay, Deductible, and Co-Insurance Issues | Claim Handling | Question of Fact/Contract/Provision/Legal Issue30.5%
Authorization Dispute | Claim Handling30.5%
Recoupment | Claim Handling | Claim Settled30.5%
Claim Procedure | Claim Handling | Claim Settled30.5%
Claim Handling Other | Claim Handling20.3%
Unprofessional Conduct | PolicyHolder Service20.3%
Policy Information | PolicyHolder Service20.3%
Policy Service Other | PolicyHolder Service | Company Position Substantiated20.3%
Other20.3%
Policy Information | PolicyHolder Service | Question of Fact/Contract/Provision/Legal Issue20.3%
Claim Procedure | Claim Handling | Question of Fact/Contract/Provision/Legal Issue20.3%
Payment Not Credited | PolicyHolder Service | Company Position Substantiated20.3%
CPT Code Issue | Claim Handling | Company Position Substantiated20.3%
Surrender Problems | PolicyHolder Service10.2%
Access to Care | PolicyHolder Service10.2%
Recoupment | Claim Handling10.2%
Inadequate Reimbursement/Rates | PolicyHolder Service | Company Position Substantiated10.2%
Policy Service Other | PolicyHolder Service | Referred to Outside Agency/Dept10.2%
Mandated Benefit | Claim Handling | Claim Settled10.2%
Access to Care | PolicyHolder Service | Claim Settled10.2%
Preventive Care | Claim Handling | Claim Settled10.2%
Lapsed | PolicyHolder Service10.2%
Notice Requirements | PolicyHolder Service10.2%
Pharmacy Benefits | Claim Handling | Company Position Substantiated10.2%
Preventive Care | Claim Handling10.2%
Unfair Negotiation | PolicyHolder Service | Company Position Substantiated10.2%
Claim Procedure | Claim Handling | Company Position Overturned10.2%
Mandated Benefit | Claim Handling | Referred to Other Division for Possible Disciplinary Action10.2%
Authorization Dispute | Claim Handling | Company Position Substantiated10.2%
UR INTERNAL/EXTERNAL APPEAL PROCEDURE | Claim Handling10.2%
Policy Information | PolicyHolder Service | Claim Settled10.2%
Usual & Customary Fees | Claim Handling | Claim Settled10.2%
Policy Service | PolicyHolder Service | Company Position Substantiated10.2%
Policy Information | PolicyHolder Service | Company Position Overturned10.2%
Delivery of Policy | PolicyHolder Service | Company Position Substantiated10.2%
Lapsed | PolicyHolder Service | Company Position Substantiated10.2%
Claim Recoding/Bundling | Claim Handling | Company Position Substantiated10.2%
Mandated Benefit | Claim Handling10.2%
Abusive Service | PolicyHolder Service | Company Position Substantiated10.2%
Claim Recoding/Bundling | Claim Handling | Insufficient Information10.2%
Prompt Pay | Claim Handling | Company Position Substantiated10.2%
Usual, Customary, Reasonable (UCR) Charges | Claim Handling | Question of Fact/Contract/Provision/Legal Issue10.2%
Preventive Care | Claim Handling | Company Position Substantiated10.2%
Medically Necessary | Claim Handling | Company Position Overturned10.2%
Recoupment | Claim Handling | Company Position Overturned10.2%
Unsatisfactory Offer | Claim Handling | Company Position Substantiated10.2%
UR Procedure | Claim Handling | Company Position Substantiated10.2%
Fraud | Claim Handling | Company Position Substantiated10.2%
Policy Service Other | PolicyHolder Service | Company Position Overturned10.2%
Unsatisfactory Offer | Claim Handling | Claim Settled10.2%

Complaints by Year

  • 2026: 177 complaints
  • 2025: 101 complaints
  • 2024: 112 complaints
  • 2023: 112 complaints
  • 2022: 117 complaints
  • 2021: 8 complaints

Recent health Complaints Against ConnectiCare Benefits, Inc. in Connecticut

Frequently Asked Questions

How many health complaints does ConnectiCare Benefits, Inc. have in Connecticut?

ConnectiCare Benefits, Inc. has 627 health insurance complaints on file from consumers in Connecticut, according to NAIC and state DOI data.

What are the most common health complaint issues with ConnectiCare Benefits, Inc. in Connecticut?

The most common issues are: Claim denial (110), Delayed payment (109), Premium or billing dispute (77), Unfair settlement (64), Claim Procedure | Claim Handling (31).

How does ConnectiCare Benefits, Inc.'s health record in Connecticut compare to other states?

ConnectiCare Benefits, Inc. has 627 health complaints in Connecticut out of 627 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against ConnectiCare Benefits, Inc. in Connecticut?

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

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