MEMORIAL HERMANN HEALTH INSURANCE COMPANY — health Insurance Complaints
Analysis of 153 health insurance complaints filed against MEMORIAL HERMANN HEALTH INSURANCE COMPANY, based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 153
- Total Complaints (All Types): 153
- health Share: 100.0%
- NAIC Complaint Ratio: 59.28
- AI Risk Score: 79/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 47 | 30.7% |
| Delayed payment | 46 | 30.1% |
| Premium or billing dispute | 19 | 12.4% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue | 9 | 5.9% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 6 | 3.9% |
| Unsatisfactory Settle/Offer | No Jurisdiction | 4 | 2.6% |
| Unsatisfactory Settle/Offer | Information Furnished | 2 | 1.3% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction | 2 | 1.3% |
| Bad Faith Participation | Company Position Upheld; Corrective Action Taken | 1 | 0.7% |
| Cust Service Claim Handling; Essential Health Benefit; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Additional P | 1 | 0.7% |
| Essential Health Benefit; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Informatio | 1 | 0.7% |
| Den/N-Pymt MD Nec DME/Supplies; Unsatisfactory Settle/Offer | Referred To; No Jurisdiction | 1 | 0.7% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 1 | 0.7% |
| Unsatisfactory Settle/Offer; Usual And Customary | Insufficient Information | 1 | 0.7% |
| Overcharges | Information Furnished; Contract Language/Legal Issue | 1 | 0.7% |
| Notice Requirements | Contract Language/Legal Issue | 1 | 0.7% |
| Coverage dispute | 1 | 0.7% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Claim Settled | 1 | 0.7% |
| Continuity Of Treatment; Den/N-Pymt MD Nec RX; Material Change To Contract | Failure to Timely Respond; Information Furn | 1 | 0.7% |
| Den/N-Pymt MD Nec RX | Information Furnished; Contract Language/Legal Issue | 1 | 0.7% |
| Provider or network dispute | 1 | 0.7% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Insufficient Information | 1 | 0.7% |
| Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; Information Furnished | 1 | 0.7% |
| Access to Care | Additional Monies Received; Corrective Action Taken; Information Furnished | 1 | 0.7% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished | 1 | 0.7% |
| Other | No Jurisdiction | 1 | 0.7% |
health Complaints by State
| State | Complaints |
|---|---|
| Texas | 153 |
Recent health Complaints Against MEMORIAL HERMANN HEALTH INSURANCE COMPANY
- health Complaint #TX-451119-14629f51 — Texas (2026-03-23)
- health Complaint #TX-438246-107d85c1 — Texas (2025-10-27)
- health Complaint #TX-424949-79d736e3 — Texas (2025-05-29)
- health Complaint #TX-392516-79d736e3 — Texas (2024-05-08)
- health Complaint #TX-381250-20a80ea2 — Texas (2023-12-27)
- health Complaint #TX-373317-1a98116b — Texas (2023-09-19)
- health Complaint #TX-354572-1246879c — Texas (2023-01-30)
- health Complaint #TX-336040-7054ce76 — Texas (2022-04-25)
- health Complaint #TX-334608-cca600d0 — Texas (2022-04-01)
- health Complaint #TX-318534-bc5b5882 — Texas (2021-08-05)
Frequently Asked Questions
How many health complaints does MEMORIAL HERMANN HEALTH INSURANCE COMPANY have?
MEMORIAL HERMANN HEALTH INSURANCE COMPANY has 153 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with MEMORIAL HERMANN HEALTH INSURANCE COMPANY?
The most common health complaint issues for MEMORIAL HERMANN HEALTH INSURANCE COMPANY are: Claim denial (47), Delayed payment (46), Premium or billing dispute (19), Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue (9), Unsatisfactory Settle/Offer | Contract Language/Legal Issue (6).
Which states have the most health complaints against MEMORIAL HERMANN HEALTH INSURANCE COMPANY?
The states with the most health complaints against MEMORIAL HERMANN HEALTH INSURANCE COMPANY are: Texas (153).
health Complaints by State
MEMORIAL HERMANN HEALTH INSURANCE COMPANY Complaints by State
- MEMORIAL HERMANN HEALTH INSURANCE COMPANY Complaints in California
- MEMORIAL HERMANN HEALTH INSURANCE COMPANY Complaints in Texas
- MEMORIAL HERMANN HEALTH INSURANCE COMPANY Complaints in New York
- MEMORIAL HERMANN HEALTH INSURANCE COMPANY Complaints in Florida
- MEMORIAL HERMANN HEALTH INSURANCE COMPANY Complaints in Illinois
- MEMORIAL HERMANN HEALTH INSURANCE COMPANY Complaints in Pennsylvania
- MEMORIAL HERMANN HEALTH INSURANCE COMPANY Complaints in Ohio
- MEMORIAL HERMANN HEALTH INSURANCE COMPANY Complaints in Georgia
- MEMORIAL HERMANN HEALTH INSURANCE COMPANY Complaints in North Carolina
- MEMORIAL HERMANN HEALTH INSURANCE COMPANY Complaints in New Jersey