InsuranceComplaintCheck

GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, THE — health Insurance Complaints

Analysis of 473 health insurance complaints filed against GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, THE, based on public NAIC and state DOI data.

Key Statistics

  • health Complaints: 473
  • Total Complaints (All Types): 473
  • health Share: 100.0%
  • NAIC Complaint Ratio: 1.36
  • AI Risk Score: 66/100

health Complaint Issues

Issue TypeComplaints% of Total
Claim denial28860.9%
Delayed payment11624.5%
Premium or billing dispute112.3%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue102.1%
Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue30.6%
Unsatisfactory Settle/Offer | No Jurisdiction30.6%
Unfair settlement20.4%
Policy cancellation20.4%
Unsatisfactory Settle/Offer | Information Furnished; Additional Monies Received20.4%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Question of Fact; Claim Settled; Information Furnished10.2%
Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Information Furnished10.2%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Additional Monies Received; Information Furnished10.2%
Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Company Position Upheld10.2%
Maximum Out of Pocket; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld10.2%
Cust Service Claim Handling | Information Furnished10.2%
Cust Srvc Policy Holder Srvcs | Contract Language/Legal Issue; Information Furnished; Additional Payment Expected10.2%
Continuation of Benefits | Information Furnished; Contract Language/Legal Issue; Company Position Upheld10.2%
Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Language/Legal Issue10.2%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company10.2%
Unsatisfactory Settle/Offer | Additional Payment Expected; Contract Language/Legal Issue; Information Furnished10.2%
Recoupment Of Claims Payment | Corrective Action Taken; Information Furnished10.2%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Claim Settled; Information Furnished10.2%
Access to Care | Corrective Action Taken; Information Furnished10.2%
Other | Contract Language/Legal Issue10.2%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction10.2%
Coordination of Benefits | Insufficient Information10.2%
Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished10.2%
Unsatisfactory Settle/Offer | Claim Settled; Additional Monies Received10.2%
Other | Contract Language/Legal Issue; Information Furnished10.2%
Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished; Contract Language/Legal Issue10.2%
Unsatisfactory Settle/Offer | Insufficient Information10.2%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue10.2%
Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken; Information Furnished10.2%
Unsatisfactory Settle/Offer | Additional Monies Received; Information Furnished10.2%
Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received10.2%
Closed-Lack Of Info Cmplainant; Other | Insufficient Information10.2%
Provider or network dispute10.2%
Material Change To Contract; Misrepresentation | Contract Language/Legal Issue; Information Furnished10.2%
Recoupment Of Claims Payment | Overpaid Claim Recouped10.2%
Cash Value; Other; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Company Position 10.2%
Unsatisfactory Settle/Offer | Information Furnished10.2%
Unsatisfactory Settle/Offer | Additional Monies Received10.2%
Other | Policy Not In Force10.2%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished10.2%
Recoupment Of Claims Payment | No Jurisdiction; Information Furnished10.2%

health Complaints by State

StateComplaints
Texas473

Recent health Complaints Against GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, THE

Frequently Asked Questions

How many health complaints does GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, THE have?

GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, THE has 473 health insurance complaints on file, according to NAIC and state DOI data.

What are the most common health complaint issues with GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, THE?

The most common health complaint issues for GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, THE are: Claim denial (288), Delayed payment (116), Premium or billing dispute (11), Unsatisfactory Settle/Offer | Contract Language/Legal Issue (10), Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue (3).

Which states have the most health complaints against GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, THE?

The states with the most health complaints against GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, THE are: Texas (473).

health Complaints by State

GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, THE Complaints by State

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