GOLDEN RULE INSURANCE COMPANY — health Insurance Complaints
Analysis of 526 health insurance complaints filed against GOLDEN RULE INSURANCE COMPANY, based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 526
- Total Complaints (All Types): 529
- health Share: 99.4%
- NAIC Complaint Ratio: 2.46
- AI Risk Score: 83/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 143 | 27.2% |
| Premium or billing dispute | 131 | 24.9% |
| Delayed payment | 106 | 20.2% |
| Policy cancellation | 19 | 3.6% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 11 | 2.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue | 8 | 1.5% |
| Prompt Pay; Timely Filing Deficiency | Contract Language/Legal Issue | 4 | 0.8% |
| Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 3 | 0.6% |
| Refusal to Insure | Information Furnished; Contract Language/Legal Issue | 3 | 0.6% |
| Usual And Customary | Contract Language/Legal Issue | 3 | 0.6% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 3 | 0.6% |
| Unfair settlement | 2 | 0.4% |
| Coverage dispute | 2 | 0.4% |
| Refusal to Insure | Company Position Upheld; Information Furnished; Contract Language/Legal Issue | 2 | 0.4% |
| Refusal to Insure | Company Position Upheld; Information Furnished | 2 | 0.4% |
| Misleading sales | 2 | 0.4% |
| Refusal to Insure | Policy Not In Force; Contract Language/Legal Issue | 2 | 0.4% |
| Refusal to Insure | Contract Language/Legal Issue | 2 | 0.4% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Contract Language/Legal Issue; Company Positio | 2 | 0.4% |
| Unsatisfactory Settle/Offer | Additional Payment Expected; Information Furnished | 2 | 0.4% |
| Endorsement / Rider | Contract Language/Legal Issue | 2 | 0.4% |
| Unsatisfactory Settle/Offer | Information Furnished | 2 | 0.4% |
| Cust Service Claim Handling | Information Furnished | 2 | 0.4% |
| Other | Information Furnished | 2 | 0.4% |
| Cust Service Claim Handling | Contract Language/Legal Issue; Information Furnished; Company Position Upheld | 1 | 0.2% |
| Recoupment Of Claims Payment | Contract Language/Legal Issue; Company Position Upheld; Information Furnished | 1 | 0.2% |
| Provider or network dispute | 1 | 0.2% |
| Maximum Out of Pocket | Information Furnished; Company Position Upheld; Contract Language/Legal Issue | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corrective Action Taken; Company Position Upheld | 1 | 0.2% |
| Cust Service Claim Handling; Pediatric Care; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Fu | 1 | 0.2% |
| Assignment of Benefits; Coordination of Benefits; Cust Service Claim Handling; Unsatisfactory Settle/Offer | Claim Settl | 1 | 0.2% |
| Prior Authorization | Information Furnished; Corrective Action Taken | 1 | 0.2% |
| Recoupment Of Claims Payment | Company Position Upheld; Information Furnished; Contract Language/Legal Issue | 1 | 0.2% |
| Waiting Periods | Underwriting | Company Position Substantiated | 1 | 0.2% |
| Refusal to Insure | Contract Language/Legal Issue; Information Furnished | 1 | 0.2% |
| Claim Procedure | Claim Handling | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld; Information Furnished | 1 | 0.2% |
| Bad Faith Participation | Information Furnished | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Company Position Upheld | 1 | 0.2% |
| Recoupment Of Claims Payment | Information Furnished; Company Position Upheld; Contract Language/Legal Issue | 1 | 0.2% |
| Recoupment Of Claims Payment | Information Furnished; Contract Language/Legal Issue; Policy Not In Force | 1 | 0.2% |
| Access to Care; Misrepresentation | Information Furnished; Contract Language/Legal Issue | 1 | 0.2% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Claim Settled; Contract Language/Legal | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Claim Settled | 1 | 0.2% |
| Claim Recoding/Bundling | Contract Language/Legal Issue | 1 | 0.2% |
| Misrepresentation | Corrective Action Taken; Information Furnished; Contract Language/Legal Issue | 1 | 0.2% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Additional Monies Received; Information Furnished; Contract L | 1 | 0.2% |
| Refusal to Insure | Company Position Upheld; Contract Language/Legal Issue; Information Furnished | 1 | 0.2% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Policy Not In Force; Contract Language/Legal Issue | 1 | 0.2% |
| Refusal to Insure | Contract Language/Legal Issue; No Jurisdiction; Policy Not In Force | 1 | 0.2% |
| Refusal to Insure | Referred To; Contract Language/Legal Issue; No Jurisdiction | 1 | 0.2% |
| Refusal to Insure | No Jurisdiction; Contract Language/Legal Issue; Company Position Upheld | 1 | 0.2% |
| Refusal to Insure | Information Furnished; Referred To; No Jurisdiction | 1 | 0.2% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.2% |
| Continuation of Benefits; Not Within TDI Jurisdiction | No Jurisdiction; Information Furnished | 1 | 0.2% |
| Misrepresentation | No Jurisdiction | 1 | 0.2% |
| Refusal to Insure | Contract Language/Legal Issue; Company Position Upheld | 1 | 0.2% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Lang | 1 | 0.2% |
| Refusal to Insure | Contract Language/Legal Issue; No Jurisdiction | 1 | 0.2% |
| Refusal to Insure | Referred To; No Jurisdiction; Contract Language/Legal Issue | 1 | 0.2% |
| Continuation of Benefits; Refusal to Insure | Information Furnished; Contract Language/Legal Issue | 1 | 0.2% |
| Commissions | Contract Language/Legal Issue | 1 | 0.2% |
| Refusal to Insure | Contract Language/Legal Issue; Company Position Upheld; Policy Not In Force | 1 | 0.2% |
| Refusal to Insure | No Jurisdiction; Company Position Upheld; Policy Not In Force | 1 | 0.2% |
| Refusal to Insure | Contract Language/Legal Issue; Information Furnished; Company Position Upheld | 1 | 0.2% |
| Fraud; Unsatisfactory Settle/Offer | Claim Settled; Information Furnished | 1 | 0.2% |
| Access to Care | Contract Language/Legal Issue; Company Position Upheld | 1 | 0.2% |
| Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; Contract Language/Legal Issue | 1 | 0.2% |
| PPACA-Out-Of-Ntwk Emerg Care; Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Additional Payme | 1 | 0.2% |
| Unsatisfactory Settle/Offer; Usual And Customary | Claim Settled; Contract Language/Legal Issue | 1 | 0.2% |
| Closed-Lack Of Info Cmplainant; Unsatisfactory Settle/Offer; Usual And Customary | Insufficient Information | 1 | 0.2% |
| Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Company Position Upheld | 1 | 0.2% |
| Fraud; Laboratory Services; Maximum Out of Pocket; Overcharges | Contract Language/Legal Issue | 1 | 0.2% |
| Access to Care; Other | Information Furnished; Contract Language/Legal Issue | 1 | 0.2% |
| Material Change To Contract | Contract Language/Legal Issue; Company Position Upheld | 1 | 0.2% |
| Other | Company Position Upheld; Contract Language/Legal Issue | 1 | 0.2% |
| Disclosure Of Benefits; Material Change To Contract | Contract Language/Legal Issue; Information Furnished | 1 | 0.2% |
| Not Within TDI Jurisdiction | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction; Contract Language/Legal Issue | 1 | 0.2% |
| Other | Information Furnished; Contract Language/Legal Issue | 1 | 0.2% |
| Access to Care | Policy Not In Force | 1 | 0.2% |
| Refusal to Insure | Policy Not In Force | 1 | 0.2% |
| Continuation of Benefits | Information Furnished | 1 | 0.2% |
| Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Claim Settled | 1 | 0.2% |
| Refusal to Insure | No Jurisdiction | 1 | 0.2% |
| Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Additional Payment Expected | 1 | 0.2% |
| Continuity Of Treatment | Claim Settled | 1 | 0.2% |
| Claim Recoding/Bundling | Information Furnished | 1 | 0.2% |
health Complaints by State
| State | Complaints |
|---|---|
| Texas | 521 |
| Connecticut | 5 |
Recent health Complaints Against GOLDEN RULE INSURANCE COMPANY
- health Complaint #TX-453584-3078b42d — Texas (2026-04-15)
- health Complaint #TX-452721-4c1ee6fd — Texas (2026-04-06)
- health Complaint #TX-452138-d798c627 — Texas (2026-03-31)
- health Complaint #TX-451718-ac6b59ff — Texas (2026-03-27)
- health Complaint #TX-449971-41f8ed2c — Texas (2026-03-11)
- health Complaint #TX-449968-bebbe704 — Texas (2026-03-11)
- health Complaint #TX-449047-b6a2b141 — Texas (2026-03-03)
- health Complaint #TX-447198-807fb2e2 — Texas (2026-02-10)
- health Complaint #TX-443500-48aff99d — Texas (2025-12-31)
- health Complaint #TX-442784-78295e77 — Texas (2025-12-18)
Frequently Asked Questions
How many health complaints does GOLDEN RULE INSURANCE COMPANY have?
GOLDEN RULE INSURANCE COMPANY has 526 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with GOLDEN RULE INSURANCE COMPANY?
The most common health complaint issues for GOLDEN RULE INSURANCE COMPANY are: Claim denial (143), Premium or billing dispute (131), Delayed payment (106), Policy cancellation (19), Unsatisfactory Settle/Offer | Contract Language/Legal Issue (11).
Which states have the most health complaints against GOLDEN RULE INSURANCE COMPANY?
The states with the most health complaints against GOLDEN RULE INSURANCE COMPANY are: Texas (521), Connecticut (5).
health Complaints by State
GOLDEN RULE INSURANCE COMPANY Complaints by State
- GOLDEN RULE INSURANCE COMPANY Complaints in California
- GOLDEN RULE INSURANCE COMPANY Complaints in Texas
- GOLDEN RULE INSURANCE COMPANY Complaints in New York
- GOLDEN RULE INSURANCE COMPANY Complaints in Florida
- GOLDEN RULE INSURANCE COMPANY Complaints in Illinois
- GOLDEN RULE INSURANCE COMPANY Complaints in Pennsylvania
- GOLDEN RULE INSURANCE COMPANY Complaints in Ohio
- GOLDEN RULE INSURANCE COMPANY Complaints in Georgia
- GOLDEN RULE INSURANCE COMPANY Complaints in North Carolina
- GOLDEN RULE INSURANCE COMPANY Complaints in New Jersey