InsuranceComplaintCheck

PRUDENTIAL INSURANCE COMPANY OF AMERICA, THE — health Insurance Complaints

Analysis of 418 health insurance complaints filed against PRUDENTIAL INSURANCE COMPANY OF AMERICA, THE, based on public NAIC and state DOI data.

Key Statistics

  • health Complaints: 418
  • Total Complaints (All Types): 420
  • health Share: 99.5%
  • NAIC Complaint Ratio: 2.46
  • AI Risk Score: 84/100

health Complaint Issues

Issue TypeComplaints% of Total
Delayed payment19045.5%
Claim denial8219.6%
Premium or billing dispute5713.6%
Policy cancellation92.2%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue61.4%
Cust Srvc Policy Holder Srvcs | Information Furnished20.5%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished20.5%
Cash Value | Information Furnished20.5%
Other | Contract Language/Legal Issue20.5%
Refusal to Insure | No Jurisdiction20.5%
Unsatisfactory Settle/Offer | No Jurisdiction20.5%
Coverage dispute20.5%
Cust Srvc Policy Holder Srvcs | Company Position Upheld; Information Furnished10.2%
Cust Srvc Policy Holder Srvcs; Material Change To Contract | Information Furnished; Contract Language/Legal Issue; Polic10.2%
Unfair settlement10.2%
Assignment of Benefits; Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken; Claim Settled10.2%
Cust Srvc Policy Holder Srvcs | Corrective Action Taken; Information Furnished10.2%
Cash Value; Cust Srvc Policy Holder Srvcs | Contract Language/Legal Issue; Company Position Upheld; Information Furnishe10.2%
Cash Value; Cust Srvc Policy Holder Srvcs | Corrective Action Taken; Information Furnished10.2%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken; Claim Settled10.2%
Other | Company Position Upheld; Contract Language/Legal Issue; Information Furnished10.2%
Other | Insufficient Information10.2%
Prompt Pay; Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld10.2%
Recoupment Of Claims Payment | Information Furnished; Corrective Action Taken; Contract Language/Legal Issue10.2%
Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Record Only10.2%
Provider or network dispute10.2%
Cust Service Claim Handling; Essential Health Benefit; Unsatisfactory Settle/Offer | Referred To; No Jurisdiction; Contr10.2%
Cust Service Claim Handling | No Jurisdiction; Referred To10.2%
Cash Value; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished10.2%
Continuation of Benefits; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; No Jurisdiction; Company Position10.2%
Cash Value | Insufficient Information; Information Furnished10.2%
Endorsement / Rider | Contract Language/Legal Issue; No Jurisdiction10.2%
Unauthorized Acts | Contract Language/Legal Issue; Question of Fact10.2%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished10.2%
Conversion; Endorsement / Rider | Information Furnished; Contract Language/Legal Issue10.2%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; No Jurisdiction10.2%
Unsatisfactory Settle/Offer | Claim Settled; Information Furnished10.2%
Cust Service Claim Handling | Corrective Action Taken; Additional Monies Received10.2%
Agent Handling; Improper Inducements | Question of Fact; Information Furnished10.2%
Cash Value; Cust Service Claim Handling | Cash Surrender Paid; Information Furnished10.2%
Agent Handling | Information Furnished; Contract Language/Legal Issue10.2%
Other | No Jurisdiction; Information Furnished10.2%
Agent Handling | Contract Language/Legal Issue10.2%
Unsatisfactory Settle/Offer | Insufficient Information10.2%
Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue10.2%
Cash Value; Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction10.2%
Unsatisfactory Settle/Offer | Claim Settled; Corrective Action Taken; Information Furnished10.2%
Agent Handling; Churning | Referred for Disciplinary Actn10.2%
Other; Unsatisfactory Settle/Offer | Information Furnished; Insufficient Information10.2%
Unsatisfactory Settle/Offer | Information Furnished10.2%
Other; Other | No Jurisdiction10.2%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue10.2%
Rehabilitative/habilitative ; Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Lan10.2%
Unsatisfactory Settle/Offer | Additional Monies Received; No Jurisdiction10.2%
Other | Other; Information Furnished10.2%
Cash Value | Contract Language/Legal Issue10.2%
Refusal to Insure | Contract Language/Legal Issue10.2%
Cash Value | Contract Language/Legal Issue; Information Furnished10.2%
Cust Service Claim Handling | Information Furnished; Contract Language/Legal Issue10.2%
Cash Value; Other | Contract Language/Legal Issue10.2%
Agent Handling | Contract Language/Legal Issue; Information Furnished10.2%
Cash Value; Other | Information Furnished10.2%
Cash Value; Other | Contract Language/Legal Issue; Information Furnished; Company Position Upheld10.2%
Churning | Information Furnished; Contract Language/Legal Issue10.2%
Cash Value10.2%
Refusal to Insure | Question of Fact; Contract Language/Legal Issue10.2%
Misrepresentation | Contract Language/Legal Issue10.2%
Other | Information Furnished; Policy Not In Force10.2%
Cash Value | Insufficient Information10.2%
Unsatisfactory Settle/Offer | Claim Settled10.2%
Cash Value | Information Furnished; Additional Monies Received10.2%
Other | Information Furnished; Corrective Action Taken10.2%

health Complaints by State

StateComplaints
Texas418

Recent health Complaints Against PRUDENTIAL INSURANCE COMPANY OF AMERICA, THE

Frequently Asked Questions

How many health complaints does PRUDENTIAL INSURANCE COMPANY OF AMERICA, THE have?

PRUDENTIAL INSURANCE COMPANY OF AMERICA, THE has 418 health insurance complaints on file, according to NAIC and state DOI data.

What are the most common health complaint issues with PRUDENTIAL INSURANCE COMPANY OF AMERICA, THE?

The most common health complaint issues for PRUDENTIAL INSURANCE COMPANY OF AMERICA, THE are: Delayed payment (190), Claim denial (82), Premium or billing dispute (57), Policy cancellation (9), Unsatisfactory Settle/Offer | Contract Language/Legal Issue (6).

Which states have the most health complaints against PRUDENTIAL INSURANCE COMPANY OF AMERICA, THE?

The states with the most health complaints against PRUDENTIAL INSURANCE COMPANY OF AMERICA, THE are: Texas (418).

health Complaints by State

PRUDENTIAL INSURANCE COMPANY OF AMERICA, THE Complaints by State

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