SENDERO HEALTH PLANS, INC. — health Complaints in Texas

Detailed analysis of 390 health insurance complaints filed against SENDERO HEALTH PLANS, INC. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 390
Total health Complaints (All States): 390
Texas Share: 100.0%
NAIC Complaint Ratio: 12.99
AI Risk Score: 90/100

Analysis: SENDERO HEALTH PLANS, INC. health in Texas

SENDERO HEALTH PLANS, INC. has accumulated 390 health insurance complaints from consumers in Texas. Across all states, SENDERO HEALTH PLANS, INC. has 390 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Delayed payment with 106 complaints. Other common issues include Claim denial (96), Premium or billing dispute (77), Cust Srvc Policy Holder Srvcs | Information Furnished (19).

The most active year was 2026 with 8 complaints filed.

Consumers in Texas who have health disputes with SENDERO HEALTH PLANS, INC. can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Delayed payment	106	27.2%
Claim denial	96	24.6%
Premium or billing dispute	77	19.7%
Cust Srvc Policy Holder Srvcs \| Information Furnished	19	4.9%
Usual And Customary \| Contract Language/Legal Issue	9	2.3%
Unsatisfactory Settle/Offer; Usual And Customary \| Contract Language/Legal Issue	6	1.5%
Unsatisfactory Settle/Offer \| Contract Language/Legal Issue	5	1.3%
Provider or network dispute	4	1.0%
Coverage dispute	3	0.8%
Usual And Customary \| Contract Language/Legal Issue; Corrective Action Taken; Additional Monies Received	3	0.8%
Unsatisfactory Settle/Offer \| Information Furnished	3	0.8%
Unsatisfactory Settle/Offer; Usual And Customary \| Company Position Upheld	3	0.8%
Cust Service Claim Handling \| Information Furnished; Corrective Action Taken	2	0.5%
Cust Srvc Policy Holder Srvcs \| Information Furnished; Complaint Withdrawn	2	0.5%
Usual And Customary \| Corrective Action Taken; Additional Monies Received; Contract Language/Legal Issue	2	0.5%
Usual And Customary \| Additional Monies Received; Corrective Action Taken; Contract Language/Legal Issue	2	0.5%
Misleading sales	2	0.5%
Policy cancellation	2	0.5%
Cust Srvc Policy Holder Srvcs; Unauthorized Acts \| Information Furnished; Question of Fact; Contract Language/Legal Issu	1	0.3%
Access to Care; Cust Srvc Policy Holder Srvcs \| Contract Language/Legal Issue; Information Furnished; Corrective Action	1	0.3%
Cust Service Claim Handling \| Contract Language/Legal Issue; Information Furnished; Company Position Upheld	1	0.3%
Unfair settlement	1	0.3%
Cust Service Claim Handling; Maximum Out of Pocket \| Contract Language/Legal Issue; Information Furnished; Corrective Ac	1	0.3%
Prior Authorization \| Information Furnished; Corrective Action Taken	1	0.3%
Cust Srvc Policy Holder Srvcs; Prior Authorization \| Information Furnished; Question of Fact	1	0.3%
Health Privacy; Insurer Fraud \| Contract Language/Legal Issue; Information Furnished	1	0.3%
Commissions \| Information Furnished; Question of Fact; Company Position Upheld	1	0.3%
Unsatisfactory Settle/Offer \| Information Furnished; Corrective Action Taken; Additional Monies Received	1	0.3%
Unsatisfactory Settle/Offer \| Additional Monies Received; Information Furnished; Corrective Action Taken	1	0.3%
Cust Srvc Policy Holder Srvcs \| Corrective Action Taken; Information Furnished	1	0.3%
Cust Srvc Policy Holder Srvcs \| Complaint Withdrawn; Information Furnished	1	0.3%
Cust Srvc Policy Holder Srvcs; Identification Card Issue \| Information Furnished	1	0.3%
Maximum Out of Pocket \| Corrective Action Taken; Information Furnished	1	0.3%
Maximum Out of Pocket; Unsatisfactory Settle/Offer \| Contract Language/Legal Issue; Information Furnished	1	0.3%
Unsatisfactory Settle/Offer \| Contract Language/Legal Issue; Company Position Upheld; Corrective Action Taken	1	0.3%
Recoupment Of Claims Payment \| Information Furnished; Claim Settled	1	0.3%
Cust Service Claim Handling; Essential Health Benefit; Maximum Out of Pocket; Unsatisfactory Settle/Offer \| Corrective A	1	0.3%
Unsatisfactory Settle/Offer; Usual And Customary \| Contract Language/Legal Issue; Additional Monies Received; Corrective	1	0.3%
Maximum Out of Pocket; Mental Health Parity; Unsatisfactory Settle/Offer \| Contract Language/Legal Issue; Information Fu	1	0.3%
Usual And Customary \| Corrective Action Taken; Additional Payment Expected; Contract Language/Legal Issue	1	0.3%
Usual And Customary \| Corrective Action Taken; Contract Language/Legal Issue; Additional Payment Expected	1	0.3%
Unsatisfactory Settle/Offer; Usual And Customary \| Corrective Action Taken; Contract Language/Legal Issue; Additional Pa	1	0.3%
Cust Service Claim Handling; Unsatisfactory Settle/Offer \| Company Position Upheld; Contract Language/Legal Issue	1	0.3%
Cust Service Claim Handling; Unsatisfactory Settle/Offer \| Contract Language/Legal Issue; Policy Not In Force	1	0.3%
Other \| Claim Settled	1	0.3%
Unsatisfactory Settle/Offer \| Claim Settled	1	0.3%
Maternity and Newborn Care; Unsatisfactory Settle/Offer \| Information Furnished; Contract Language/Legal Issue	1	0.3%
Maternity and Newborn Care \| Contract Language/Legal Issue	1	0.3%
Usual And Customary \| Contract Language/Legal Issue; Information Furnished	1	0.3%
Unsatisfactory Settle/Offer; Usual And Customary \| Corrective Action Taken	1	0.3%
Unsatisfactory Settle/Offer \| Information Furnished; Company Position Upheld	1	0.3%
Other \| No Jurisdiction; Information Furnished	1	0.3%
Claims Reimb/Bal Bill Problems; Hlth Care Svcs Covg/Copay/Lmts \| Information Furnished; Contract Language/Legal Issue	1	0.3%
Unsatisfactory Settle/Offer \| Contract Language/Legal Issue; Information Furnished; Company Position Upheld	1	0.3%
Enrllmt/Canc/Rnwl Of Enrollee \| Corrective Action Taken; Information Furnished; Consumer Withdraw	1	0.3%
Claims Reimb/Bal Bill Problems; Cust Service Claim Handling; Hlth Care Svcs Covg/Copay/Lmts; PPACA-Preventive Health Svc	1	0.3%
Agent/Agency Contrct Termin; Commissions \| No Jurisdiction; Contract Language/Legal Issue; Information Furnished	1	0.3%
Unsatisfactory Settle/Offer; Usual And Customary \| Contract Language/Legal Issue; Information Furnished	1	0.3%
Cust Service Claim Handling \| Information Furnished	1	0.3%
Not Within TDI Jurisdiction \| Contract Language/Legal Issue; No Jurisdiction	1	0.3%
Enrllmt/Canc/Rnwl Of Enrollee \| Corrective Action Taken; Information Furnished	1	0.3%
Access to Care \| Information Furnished	1	0.3%

Complaints by Year

2026: 8 complaints
2025: 51 complaints
2024: 2 complaints
2023: 4 complaints
2022: 2 complaints
2021: 10 complaints
2020: 7 complaints
2019: 55 complaints
2018: 65 complaints
2017: 99 complaints
2016: 64 complaints
2015: 14 complaints
2014: 9 complaints

Recent health Complaints Against SENDERO HEALTH PLANS, INC. in Texas

health Complaint #TX-454414-1d2d27f5 (2026-04-22) — Premium or billing dispute
health Complaint #TX-453838-52703a4d (2026-04-16) — Claim denial
health Complaint #TX-450574-92e606ef (2026-03-18) — Delayed payment
health Complaint #TX-448156-e2a49f79 (2026-02-20) — Cust Srvc Policy Holder Srvcs; Unauthorized Acts | Information Furnished; Question of Fact; Contract Language/Legal Issu
health Complaint #TX-446447-8aa285d7 (2026-02-02) — Access to Care; Cust Srvc Policy Holder Srvcs | Contract Language/Legal Issue; Information Furnished; Corrective Action
health Complaint #TX-445447-7f69561c (2026-01-21) — Cust Service Claim Handling | Contract Language/Legal Issue; Information Furnished; Company Position Upheld
health Complaint #TX-445399-5eaa0c5c (2026-01-21) — Premium or billing dispute
health Complaint #TX-443612-92e606ef (2026-01-02) — Delayed payment
health Complaint #TX-442788-8e9ddb26 (2025-12-18) — Premium or billing dispute
health Complaint #TX-442279-6464b1e7 (2025-12-15) — Claim denial

Frequently Asked Questions

How many health complaints does SENDERO HEALTH PLANS, INC. have in Texas?

SENDERO HEALTH PLANS, INC. has 390 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 SENDERO HEALTH PLANS, INC. in Texas?

The most common issues are: Delayed payment (106), Claim denial (96), Premium or billing dispute (77), Cust Srvc Policy Holder Srvcs | Information Furnished (19), Usual And Customary | Contract Language/Legal Issue (9).

How does SENDERO HEALTH PLANS, INC.'s health record in Texas compare to other states?

SENDERO HEALTH PLANS, INC. has 390 health complaints in Texas out of 390 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against SENDERO HEALTH PLANS, 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.