Moda Health Plan, Inc. — Insurance Complaint Report

Moda Health Plan, Inc.: 81.35 complaint index from public DOI data

Key Metrics

Total Complaints: 25
NAIC Complaint Ratio: 81.35
AI Risk Score: 82/100
Most Recent Complaint: 2026-04-03

Decision Cockpit: What to Inspect Next

This hub uses recent real complaint records for Moda Health Plan, Inc. to expose practical next paths: state hotspots, product lines, recurring issues, regulator context, and shopping checks.

Recent source records sampled: 25
Risk score: 82/100
Primary state spoke: Moda Health Plan, Inc. complaints in Texas
Primary product spoke: Moda Health Plan, Inc. health complaints
State/product drilldown: health complaints in Texas
Shopping check: Cross-check financial strength and reviews
Local map utility: Find local agents on Google Maps

State Hotspots

Texas — 25 recent records

Product Lines

health — 25 recent records

Recurring Issue Signals

Delayed payment — 8 recent records
Premium or billing dispute — 6 recent records
Policy cancellation — 2 recent records
Claim denial — 2 recent records
Unauthorized Acts | Referred To; Contract Language/Legal Issue; Information Furnished — 1 recent records

Source and Coverage Transparency

This page is built from public state Department of Insurance datasets currently loaded for Texas, Connecticut, and New York auto complaint rankings. Counts reflect available source records, not every insurance complaint in every state.

Texas Department of Insurance complaints
Texas TDI complaint indexes and policy counts
States represented in this profile: TX
Product lines represented: 1
Complaint record span: 2017-03-10 to 2026-04-03
Profile last rebuilt: 2026-05-19T15:07:00.762Z

AI Insurer Analysis

Moda Health Plan, Inc. has 25 public insurance complaint records in this dataset, led by TX and health coverage.

Risk Breakdown

categories: [object Object]
complaintRatio: 81.35
confirmedComplaints: 12
dispositions: [object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
complaintVolume: 25
states: [object Object]

Red Flags

Complaint index above average in Texas TDI policy-count data (81.35).

Consumer Tips

Compare complaint volume, complaint reasons, dispositions, and state DOI guidance before choosing or renewing insurance coverage.

Trend Analysis

Public complaint records currently span 2017-03-10 through 2026-04-03.

Recent Complaints Against Moda Health Plan, Inc.

health Complaint #TX-452469-c3839e13 — Texas (2026-04-03)
health Complaint #TX-443951-4bc3d389 — Texas (2026-01-07)
health Complaint #TX-422496-6cd2b271 — Texas (2025-04-30)
health Complaint #TX-422489-bdd227c6 — Texas (2025-04-30)
health Complaint #TX-421608-4d28d7d5 — Texas (2025-04-21)
health Complaint #TX-408008-a86daf94 — Texas (2024-10-28)
health Complaint #TX-407621-4ed10def — Texas (2024-10-22)
health Complaint #TX-406539-904caf0a — Texas (2024-10-09)
health Complaint #TX-405983-87a6a71c — Texas (2024-10-04)
health Complaint #TX-398840-12518a32 — Texas (2024-07-24)