HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. — health Complaints in Texas

Detailed analysis of 260 health insurance complaints filed against HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 260
Total health Complaints (All States): 271
Texas Share: 95.9%
NAIC Complaint Ratio: 0
AI Risk Score: 29/100

Analysis: HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. health in Texas

HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. has accumulated 260 health insurance complaints from consumers in Texas. Across all states, HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. has 271 total health complaints, making Texas responsible for 95.9% of the volume.

The most frequent complaint sub-type is Delayed payment with 107 complaints. Other common issues include Claim denial (85), Unsatisfactory Settle/Offer | No Jurisdiction (21), Premium or billing dispute (11).

The most active year was 2023 with 2 complaints filed.

Consumers in Texas who have health disputes with HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Delayed payment	107	41.2%
Claim denial	85	32.7%
Unsatisfactory Settle/Offer \| No Jurisdiction	21	8.1%
Premium or billing dispute	11	4.2%
Other \| No Jurisdiction	3	1.2%
Unsatisfactory Settle/Offer \| No Jurisdiction; Information Furnished	3	1.2%
Access to Care; Continuity of Treatment \| No Jurisdiction	3	1.2%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer \| No Jurisdiction	2	0.8%
Access to Care \| No Jurisdiction	2	0.8%
Not Within TDI Jurisdiction \| No Jurisdiction	1	0.4%
Unsatisfactory Settle/Offer \| Information Furnished; No Jurisdiction	1	0.4%
Access to Care \| Insufficient Information	1	0.4%
Other \| No Jurisdiction; Information Furnished	1	0.4%
Notice Requirements; Other \| No Jurisdiction	1	0.4%
Continuity Of Treatment \| No Jurisdiction	1	0.4%
Coverage dispute	1	0.4%
Disclosure Of Benefits; Primary Care Providr Selection \| No Jurisdiction	1	0.4%
Access to Care; Continuity of Treatment; Den/N-Pymt MD Nec RX \| No Jurisdiction	1	0.4%
Not Within TDI Jurisdiction; Other \| No Jurisdiction	1	0.4%
Improper Inducements \| Information Furnished	1	0.4%
Agent/Agency Contrct Termin \| No Jurisdiction	1	0.4%
Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer \| No Jurisdiction	1	0.4%
Refusal to Insure \| No Jurisdiction	1	0.4%
Recoupment Of Claims Payment \| No Jurisdiction	1	0.4%
Other; Unsatisfactory Settle/Offer \| No Jurisdiction	1	0.4%
Overcharges \| No Jurisdiction	1	0.4%
Other \| Information Furnished; Company Position Upheld; No Jurisdiction	1	0.4%
Cust Service Claim Handling \| Information Furnished; No Jurisdiction	1	0.4%
Commissions \| No Jurisdiction	1	0.4%
Misrepresentation \| Company Position Upheld	1	0.4%
Agent Handling; Misrepresentation \| No Jurisdiction	1	0.4%
Provider or network dispute	1	0.4%

Complaints by Year

2023: 2 complaints
2021: 1 complaints
2020: 1 complaints
2019: 5 complaints
2018: 3 complaints
2017: 5 complaints
2016: 63 complaints
2015: 55 complaints
2014: 57 complaints
2013: 38 complaints
2012: 30 complaints

Recent health Complaints Against HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. in Texas

health Complaint #TX-376228-9b371e8d (2023-10-24) — Delayed payment
health Complaint #TX-365130-9afc7853 (2023-06-14) — Claim denial
health Complaint #TX-323750-f2891e9f (2021-10-14) — Claim denial
health Complaint #TX-293644-caa83acb (2020-06-18) — Premium or billing dispute
health Complaint #TX-263850-b7c6ba06 (2019-06-18) — Unsatisfactory Settle/Offer | No Jurisdiction
health Complaint #TX-249850-e3a4950b (2019-03-05) — Delayed payment
health Complaint #TX-247551-9afc7853 (2019-02-15) — Claim denial
health Complaint #TX-248656-45405e56 (2019-02-05) — Delayed payment
health Complaint #TX-243132-8a585583 (2019-01-02) — Claim denial
health Complaint #TX-242902-4016c320 (2018-12-10) — Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction

Frequently Asked Questions

How many health complaints does HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. have in Texas?

HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. has 260 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 HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. in Texas?

The most common issues are: Delayed payment (107), Claim denial (85), Unsatisfactory Settle/Offer | No Jurisdiction (21), Premium or billing dispute (11), Other | No Jurisdiction (3).

How does HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.'s health record in Texas compare to other states?

HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. has 260 health complaints in Texas out of 271 total health complaints nationwide. That is 95.9% of their health volume.

Where can I file a health complaint against HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. 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.