PHYSICIANS MUTUAL INSURANCE COMPANY — health Complaints in Texas

Detailed analysis of 57 health insurance complaints filed against PHYSICIANS MUTUAL INSURANCE COMPANY by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 57
Total health Complaints (All States): 57
Texas Share: 100.0%
NAIC Complaint Ratio: 6.41
AI Risk Score: 72/100

Analysis: PHYSICIANS MUTUAL INSURANCE COMPANY health in Texas

PHYSICIANS MUTUAL INSURANCE COMPANY has accumulated 57 health insurance complaints from consumers in Texas. Across all states, PHYSICIANS MUTUAL INSURANCE COMPANY has 57 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Delayed payment with 16 complaints. Other common issues include Claim denial (15), Premium or billing dispute (13), Cust Service Claim Handling; Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received (2).

The most active year was 2024 with 4 complaints filed.

Consumers in Texas who have health disputes with PHYSICIANS MUTUAL INSURANCE COMPANY can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Delayed payment	16	28.1%
Claim denial	15	26.3%
Premium or billing dispute	13	22.8%
Cust Service Claim Handling; Unsatisfactory Settle/Offer \| Corrective Action Taken; Additional Monies Received	2	3.5%
Policy cancellation	1	1.8%
Identification Card Issue \| Policy Not In Force	1	1.8%
Agency Balance; Agent/Agency Contrct Termin \| Information Furnished	1	1.8%
Other \| Company Position Upheld	1	1.8%
Agent/Agency Contrct Termin \| Contract Language/Legal Issue	1	1.8%
Unsatisfactory Settle/Offer \| Complainant Retained Attorney; Information Furnished	1	1.8%
Agent Handling \| Information Furnished	1	1.8%
Agent/Agency Contrct Termin \| No Jurisdiction	1	1.8%
Other \| Information Furnished	1	1.8%
Agent Handling; Misrepresentation \| Information Furnished	1	1.8%
Coverage dispute	1	1.8%

Complaints by Year

2024: 4 complaints
2023: 4 complaints
2022: 3 complaints
2021: 5 complaints
2020: 4 complaints
2019: 2 complaints
2018: 6 complaints
2017: 6 complaints
2016: 6 complaints
2015: 3 complaints
2014: 6 complaints
2013: 4 complaints
2012: 4 complaints

Recent health Complaints Against PHYSICIANS MUTUAL INSURANCE COMPANY in Texas

health Complaint #TX-409838-b270793a (2024-11-19) — Policy cancellation
health Complaint #TX-391158-d0798429 (2024-04-23) — Premium or billing dispute
health Complaint #TX-389205-0b003d3d (2024-03-29) — Claim denial
health Complaint #TX-388539-d0798429 (2024-03-21) — Premium or billing dispute
health Complaint #TX-379265-0b003d3d (2023-11-30) — Claim denial
health Complaint #TX-362173-de94fd63 (2023-05-08) — Claim denial
health Complaint #TX-358135-0b003d3d (2023-03-15) — Claim denial
health Complaint #TX-353455-de94fd63 (2023-01-13) — Claim denial
health Complaint #TX-342871-0b003d3d (2022-08-05) — Claim denial
health Complaint #TX-335871-e6a7528d (2022-04-21) — Delayed payment

Frequently Asked Questions

How many health complaints does PHYSICIANS MUTUAL INSURANCE COMPANY have in Texas?

PHYSICIANS MUTUAL INSURANCE COMPANY has 57 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 PHYSICIANS MUTUAL INSURANCE COMPANY in Texas?

The most common issues are: Delayed payment (16), Claim denial (15), Premium or billing dispute (13), Cust Service Claim Handling; Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received (2), Policy cancellation (1).

How does PHYSICIANS MUTUAL INSURANCE COMPANY's health record in Texas compare to other states?

PHYSICIANS MUTUAL INSURANCE COMPANY has 57 health complaints in Texas out of 57 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against PHYSICIANS MUTUAL 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.