Harvard Pilgrim Health Care, Inc. — health Complaints in Connecticut

Detailed analysis of 19 health insurance complaints filed against Harvard Pilgrim Health Care, Inc. by consumers in Connecticut, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Connecticut: 19
Total health Complaints (All States): 19
Connecticut Share: 100.0%
AI Risk Score: 31/100

Analysis: Harvard Pilgrim Health Care, Inc. health in Connecticut

Harvard Pilgrim Health Care, Inc. has accumulated 19 health insurance complaints from consumers in Connecticut. Across all states, Harvard Pilgrim Health Care, Inc. has 19 total health complaints, making Connecticut responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 8 complaints. Other common issues include Policy cancellation (2), Delayed payment (1), Unfair settlement (1).

The most active year was 2024 with 4 complaints filed.

Consumers in Connecticut who have health disputes with Harvard Pilgrim Health Care, Inc. can file a complaint with the Connecticut Department of Insurance.

health Complaint Issues in Connecticut

Issue Type	Complaints	%
Claim denial	8	42.1%
Policy cancellation	2	10.5%
Delayed payment	1	5.3%
Unfair settlement	1	5.3%
Prompt Pay \| Claim Handling \| Company Position Substantiated	1	5.3%
Claims Other \| Claim Handling \| Claim Settled	1	5.3%
Co-pay, Deductible, and Co-Insurance Issues \| Claim Handling \| Company Position Overturned	1	5.3%
Coordination of Benefits \| Claim Handling \| Company Position Overturned	1	5.3%
Claim Handling Other \| Claim Handling \| Company Position Substantiated	1	5.3%
UR INTERNAL/EXTERNAL APPEAL PROCEDURE \| Claim Handling	1	5.3%
Coverage dispute	1	5.3%

Complaints by Year

2024: 4 complaints
2023: 5 complaints
2022: 9 complaints
2021: 1 complaints

Recent health Complaints Against Harvard Pilgrim Health Care, Inc. in Connecticut

health Complaint #CT-7063167-86f68d14 (2024-04-03) — Delayed payment
health Complaint #CT-7062262-065e6ef6 (2024-03-04) — Unfair settlement
health Complaint #CT-7062201-5402af28 (2024-03-01) — Claim denial
health Complaint #CT-7061525-76c97504 (2024-02-08) — Claim denial
health Complaint #CT-7056059-972590e0 (2023-07-25) — Policy cancellation
health Complaint #CT-7055954-d3fe9134 (2023-07-20) — Claim denial
health Complaint #CT-7055413-e47ed971 (2023-06-28) — Policy cancellation
health Complaint #CT-7053899-97ea0a4c (2023-05-01) — Claim denial
health Complaint #CT-7052243-1bb8a9c7 (2023-03-03) — Claim denial
health Complaint #CT-7046882-b8817607 (2022-07-28) — Claim denial

Frequently Asked Questions

How many health complaints does Harvard Pilgrim Health Care, Inc. have in Connecticut?

Harvard Pilgrim Health Care, Inc. has 19 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 Harvard Pilgrim Health Care, Inc. in Connecticut?

The most common issues are: Claim denial (8), Policy cancellation (2), Delayed payment (1), Unfair settlement (1), Prompt Pay | Claim Handling | Company Position Substantiated (1).

How does Harvard Pilgrim Health Care, Inc.'s health record in Connecticut compare to other states?

Harvard Pilgrim Health Care, Inc. has 19 health complaints in Connecticut out of 19 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against Harvard Pilgrim Health Care, 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.