Prominence HealthFirst of Texas, Inc. — health Complaints in Texas

Detailed analysis of 55 health insurance complaints filed against Prominence HealthFirst of Texas, Inc. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 55
Total health Complaints (All States): 55
Texas Share: 100.0%
NAIC Complaint Ratio: 0
AI Risk Score: 28/100

Analysis: Prominence HealthFirst of Texas, Inc. health in Texas

Prominence HealthFirst of Texas, Inc. has accumulated 55 health insurance complaints from consumers in Texas. Across all states, Prominence HealthFirst of Texas, Inc. has 55 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue with 14 complaints. Other common issues include Claim denial (10), Premium or billing dispute (10), Policy cancellation (2).

The most active year was 2026 with 1 complaint filed.

Consumers in Texas who have health disputes with Prominence HealthFirst of Texas, Inc. can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Unsatisfactory Settle/Offer; Usual And Customary \| Contract Language/Legal Issue	14	25.5%
Claim denial	10	18.2%
Premium or billing dispute	10	18.2%
Policy cancellation	2	3.6%
Delayed payment	2	3.6%
Unsatisfactory Settle/Offer; Usual And Customary \| Contract Language/Legal Issue; Claim Settled	2	3.6%
Unsatisfactory Settle/Offer; Usual And Customary \| Information Furnished; Contract Language/Legal Issue	2	3.6%
Access to Care; Cust Srvc Policy Holder Srvcs \| No Jurisdiction; Referred To; Record Only	1	1.8%
Unsatisfactory Settle/Offer \| Corrective Action Taken; Information Furnished; Additional Monies Received	1	1.8%
Unsatisfactory Settle/Offer \| Referred To; No Jurisdiction; Information Furnished	1	1.8%
Unsatisfactory Settle/Offer \| Contract Language/Legal Issue	1	1.8%
Unsatisfactory Settle/Offer \| Corrective Action Taken	1	1.8%
Unsatisfactory Settle/Offer; Usual And Customary \| Corrective Action Taken	1	1.8%
Unsatisfactory Settle/Offer; Usual And Customary \| Contract Language/Legal Issue; Information Furnished; Claim Settled	1	1.8%
Unsatisfactory Settle/Offer; Usual And Customary \| Contract Language/Legal Issue; Information Furnished	1	1.8%
Unsatisfactory Settle/Offer \| Contract Language/Legal Issue; Claim Settled	1	1.8%
Unsatisfactory Settle/Offer; Usual And Customary \| Claim Settled; Contract Language/Legal Issue	1	1.8%
Commissions \| No Jurisdiction; Information Furnished; Contract Language/Legal Issue	1	1.8%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer \| Consumer Withdraw	1	1.8%
Commissions \| Contract Language/Legal Issue	1	1.8%

Complaints by Year

2026: 1 complaints
2025: 1 complaints
2023: 2 complaints
2022: 1 complaints
2021: 2 complaints
2020: 1 complaints
2018: 6 complaints
2017: 37 complaints
2016: 4 complaints

Recent health Complaints Against Prominence HealthFirst of Texas, Inc. in Texas

health Complaint #TX-447574-c4940356 (2026-02-13) — Access to Care; Cust Srvc Policy Holder Srvcs | No Jurisdiction; Referred To; Record Only
health Complaint #TX-438035-581e0a7e (2025-10-24) — Claim denial
health Complaint #TX-367661-f383da4d (2023-07-18) — Claim denial
health Complaint #TX-359655-93b8d94b (2023-04-04) — Claim denial
health Complaint #TX-329549-7d134580 (2022-01-19) — Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Additional Monies Received
health Complaint #TX-324095-7d134580 (2021-10-22) — Unsatisfactory Settle/Offer | Referred To; No Jurisdiction; Information Furnished
health Complaint #TX-312278-c1a73033 (2021-05-10) — Premium or billing dispute
health Complaint #TX-301532-51d7304e (2020-11-04) — Claim denial
health Complaint #TX-242183-02759d5d (2018-12-27) — Claim denial
health Complaint #TX-235004-c1a73033 (2018-10-11) — Premium or billing dispute

Frequently Asked Questions

How many health complaints does Prominence HealthFirst of Texas, Inc. have in Texas?

Prominence HealthFirst of Texas, Inc. has 55 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 Prominence HealthFirst of Texas, Inc. in Texas?

The most common issues are: Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue (14), Claim denial (10), Premium or billing dispute (10), Policy cancellation (2), Delayed payment (2).

How does Prominence HealthFirst of Texas, Inc.'s health record in Texas compare to other states?

Prominence HealthFirst of Texas, Inc. has 55 health complaints in Texas out of 55 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against Prominence HealthFirst of Texas, Inc. 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.