GOLDEN RULE INSURANCE COMPANY — health Complaints in Texas

Detailed analysis of 521 health insurance complaints filed against GOLDEN RULE INSURANCE COMPANY by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 521
Total health Complaints (All States): 526
Texas Share: 99.0%
NAIC Complaint Ratio: 2.46
AI Risk Score: 83/100

Analysis: GOLDEN RULE INSURANCE COMPANY health in Texas

GOLDEN RULE INSURANCE COMPANY has accumulated 521 health insurance complaints from consumers in Texas. Across all states, GOLDEN RULE INSURANCE COMPANY has 526 total health complaints, making Texas responsible for 99.0% of the volume.

The most frequent complaint sub-type is Claim denial with 143 complaints. Other common issues include Premium or billing dispute (131), Delayed payment (105), Policy cancellation (19).

The most active year was 2026 with 8 complaints filed.

Consumers in Texas who have health disputes with GOLDEN RULE INSURANCE COMPANY can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Claim denial	143	27.4%
Premium or billing dispute	131	25.1%
Delayed payment	105	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%
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%
Unfair settlement	1	0.2%
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%
Refusal to Insure \| Contract Language/Legal Issue; Information Furnished	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%
Coverage dispute	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%

Complaints by Year

2026: 8 complaints
2025: 21 complaints
2024: 22 complaints
2023: 35 complaints
2022: 32 complaints
2021: 34 complaints
2020: 40 complaints
2019: 36 complaints
2018: 39 complaints
2017: 52 complaints
2016: 39 complaints
2015: 52 complaints
2014: 45 complaints
2013: 37 complaints
2012: 29 complaints

Recent health Complaints Against GOLDEN RULE INSURANCE COMPANY in Texas

health Complaint #TX-453584-3078b42d (2026-04-15) — Premium or billing dispute
health Complaint #TX-452721-4c1ee6fd (2026-04-06) — Unfair settlement
health Complaint #TX-452138-d798c627 (2026-03-31) — Premium or billing dispute
health Complaint #TX-451718-ac6b59ff (2026-03-27) — Claim denial
health Complaint #TX-449971-41f8ed2c (2026-03-11) — Cust Service Claim Handling | Contract Language/Legal Issue; Information Furnished; Company Position Upheld
health Complaint #TX-449968-bebbe704 (2026-03-11) — Recoupment Of Claims Payment | Contract Language/Legal Issue; Company Position Upheld; Information Furnished
health Complaint #TX-449047-b6a2b141 (2026-03-03) — Claim denial
health Complaint #TX-447198-807fb2e2 (2026-02-10) — Premium or billing dispute
health Complaint #TX-443500-48aff99d (2025-12-31) — Delayed payment
health Complaint #TX-442784-78295e77 (2025-12-18) — Claim denial

Frequently Asked Questions

How many health complaints does GOLDEN RULE INSURANCE COMPANY have in Texas?

GOLDEN RULE INSURANCE COMPANY has 521 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 GOLDEN RULE INSURANCE COMPANY in Texas?

The most common issues are: Claim denial (143), Premium or billing dispute (131), Delayed payment (105), Policy cancellation (19), Unsatisfactory Settle/Offer | Contract Language/Legal Issue (11).

How does GOLDEN RULE INSURANCE COMPANY's health record in Texas compare to other states?

GOLDEN RULE INSURANCE COMPANY has 521 health complaints in Texas out of 526 total health complaints nationwide. That is 99.0% of their health volume.

Where can I file a health complaint against GOLDEN RULE 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.