PACIFICARE LIFE AND HEALTH INSURANCE COMPANY — health Complaints in Texas

Detailed analysis of 15 health insurance complaints filed against PACIFICARE LIFE AND HEALTH INSURANCE COMPANY by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 15
Total health Complaints (All States): 15
Texas Share: 100.0%
AI Risk Score: 49/100

Analysis: PACIFICARE LIFE AND HEALTH INSURANCE COMPANY health in Texas

PACIFICARE LIFE AND HEALTH INSURANCE COMPANY has accumulated 15 health insurance complaints from consumers in Texas. Across all states, PACIFICARE LIFE AND HEALTH INSURANCE COMPANY has 15 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Delayed payment with 6 complaints. Other common issues include Claim denial (6), Hospitalization; Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction (1), Prompt Pay | Clean Claims Violation; Stat Pen Pd-Up To 45 Dys Late; Additional Monies Received (1).

The most active year was 2015 with 2 complaints filed.

Consumers in Texas who have health disputes with PACIFICARE LIFE AND HEALTH INSURANCE COMPANY can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Delayed payment	6	40.0%
Claim denial	6	40.0%
Hospitalization; Unsatisfactory Settle/Offer \| Information Furnished; No Jurisdiction	1	6.7%
Prompt Pay \| Clean Claims Violation; Stat Pen Pd-Up To 45 Dys Late; Additional Monies Received	1	6.7%
Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer \| Information Furnished; Additional Monies Received; Clean	1	6.7%

Complaints by Year

2015: 2 complaints
2014: 7 complaints
2013: 5 complaints
2012: 1 complaints

Recent health Complaints Against PACIFICARE LIFE AND HEALTH INSURANCE COMPANY in Texas

health Complaint #TX-98973-faabac12 (2015-06-05) — Delayed payment
health Complaint #TX-88758-b8e28073 (2015-02-18) — Delayed payment
health Complaint #TX-73935-fb89acde (2014-08-28) — Delayed payment
health Complaint #TX-66042-4a6c6d8b (2014-06-11) — Claim denial
health Complaint #TX-61961-39337668 (2014-04-29) — Claim denial
health Complaint #TX-61521-3654257b (2014-04-24) — Claim denial
health Complaint #TX-59620-09d0dcc0 (2014-04-07) — Claim denial
health Complaint #TX-58169-3654257b (2014-03-24) — Claim denial
health Complaint #TX-55780-4c1468b5 (2014-02-25) — Hospitalization; Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction
health Complaint #TX-42550-926d8a26 (2013-11-08) — Delayed payment

Frequently Asked Questions

How many health complaints does PACIFICARE LIFE AND HEALTH INSURANCE COMPANY have in Texas?

PACIFICARE LIFE AND HEALTH INSURANCE COMPANY has 15 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 PACIFICARE LIFE AND HEALTH INSURANCE COMPANY in Texas?

The most common issues are: Delayed payment (6), Claim denial (6), Hospitalization; Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction (1), Prompt Pay | Clean Claims Violation; Stat Pen Pd-Up To 45 Dys Late; Additional Monies Received (1), Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Information Furnished; Additional Monies Received; Clean (1).

How does PACIFICARE LIFE AND HEALTH INSURANCE COMPANY's health record in Texas compare to other states?

PACIFICARE LIFE AND HEALTH INSURANCE COMPANY has 15 health complaints in Texas out of 15 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against PACIFICARE LIFE AND 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.