MEMORIAL HERMANN HEALTH INSURANCE COMPANY — health Complaints in Texas
Detailed analysis of 153 health insurance complaints filed against MEMORIAL HERMANN HEALTH INSURANCE COMPANY by consumers in Texas, based on public NAIC and state DOI data.
Key Statistics
- health Complaints in Texas: 153
- Total health Complaints (All States): 153
- Texas Share: 100.0%
- NAIC Complaint Ratio: 59.28
- AI Risk Score: 79/100
Analysis: MEMORIAL HERMANN HEALTH INSURANCE COMPANY health in Texas
MEMORIAL HERMANN HEALTH INSURANCE COMPANY has accumulated 153 health insurance complaints from consumers in Texas. Across all states, MEMORIAL HERMANN HEALTH INSURANCE COMPANY has 153 total health complaints, making Texas responsible for 100.0% of the volume.
The most frequent complaint sub-type is Claim denial with 47 complaints. Other common issues include Delayed payment (46), Premium or billing dispute (19), Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue (9).
The most active year was 2026 with 1 complaint filed.
Consumers in Texas who have health disputes with MEMORIAL HERMANN HEALTH INSURANCE COMPANY can file a complaint with the Texas Department of Insurance.
health Complaint Issues in Texas
| Issue Type | Complaints | % |
|---|---|---|
| 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% |
Complaints by Year
- 2026: 1 complaints
- 2025: 2 complaints
- 2024: 1 complaints
- 2023: 3 complaints
- 2022: 2 complaints
- 2021: 2 complaints
- 2020: 2 complaints
- 2019: 5 complaints
- 2018: 69 complaints
- 2017: 28 complaints
- 2016: 22 complaints
- 2015: 10 complaints
- 2014: 4 complaints
- 2013: 2 complaints
Recent health Complaints Against MEMORIAL HERMANN HEALTH INSURANCE COMPANY in Texas
- health Complaint #TX-451119-14629f51 (2026-03-23) — Claim denial
- health Complaint #TX-438246-107d85c1 (2025-10-27) — Premium or billing dispute
- health Complaint #TX-424949-79d736e3 (2025-05-29) — Delayed payment
- health Complaint #TX-392516-79d736e3 (2024-05-08) — Delayed payment
- health Complaint #TX-381250-20a80ea2 (2023-12-27) — Bad Faith Participation | Company Position Upheld; Corrective Action Taken
- health Complaint #TX-373317-1a98116b (2023-09-19) — Delayed payment
- health Complaint #TX-354572-1246879c (2023-01-30) — Delayed payment
- health Complaint #TX-336040-7054ce76 (2022-04-25) — Delayed payment
- health Complaint #TX-334608-cca600d0 (2022-04-01) — Cust Service Claim Handling; Essential Health Benefit; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Additional P
- health Complaint #TX-318534-bc5b5882 (2021-08-05) — Essential Health Benefit; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Informatio
Frequently Asked Questions
How many health complaints does MEMORIAL HERMANN HEALTH INSURANCE COMPANY have in Texas?
MEMORIAL HERMANN HEALTH INSURANCE COMPANY has 153 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 MEMORIAL HERMANN HEALTH INSURANCE COMPANY in Texas?
The most common issues 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).
How does MEMORIAL HERMANN HEALTH INSURANCE COMPANY's health record in Texas compare to other states?
MEMORIAL HERMANN HEALTH INSURANCE COMPANY has 153 health complaints in Texas out of 153 total health complaints nationwide. That is 100.0% of their health volume.
Where can I file a health complaint against MEMORIAL HERMANN HEALTH 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.
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