SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA — health Complaints in Texas

Detailed analysis of 71 health insurance complaints filed against SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 71
Total health Complaints (All States): 71
Texas Share: 100.0%
NAIC Complaint Ratio: 0
AI Risk Score: 28/100

Analysis: SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA health in Texas

SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA has accumulated 71 health insurance complaints from consumers in Texas. Across all states, SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA has 71 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Delayed payment with 31 complaints. Other common issues include Claim denial (17), Premium or billing dispute (10), Policy cancellation (2).

The most active year was 2025 with 1 complaint filed.

Consumers in Texas who have health disputes with SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Delayed payment	31	43.7%
Claim denial	17	23.9%
Premium or billing dispute	10	14.1%
Policy cancellation	2	2.8%
Cust Srvc Policy Holder Srvcs; Material Change To Contract \| Company Position Upheld; Contract Language/Legal Issue; Inf	1	1.4%
Cust Srvc Policy Holder Srvcs \| Company Position Upheld; Information Furnished	1	1.4%
Cust Srvc Policy Holder Srvcs; Material Change To Contract \| Contract Language/Legal Issue; Company Position Upheld; Inf	1	1.4%
Commissions \| Information Furnished; Company Position Upheld; Contract Language/Legal Issue	1	1.4%
Cash Value \| Contract Language/Legal Issue	1	1.4%
Access to Care \| Additional Monies Received	1	1.4%
Unsatisfactory Settle/Offer \| Contract Language/Legal Issue; Information Furnished	1	1.4%
Continuity Of Treatment; Unsatisfactory Settle/Offer \| Question of Fact; Contract Language/Legal Issue; Company Position	1	1.4%
Maximum Out of Pocket \| Company Position Upheld; Contract Language/Legal Issue	1	1.4%
Disclosure Of Benefits \| Contract Language/Legal Issue; Information Furnished	1	1.4%
Cust Service Claim Handling; Recoupment Of Claims Payment \| Contract Language/Legal Issue; Information Furnished	1	1.4%

Complaints by Year

2025: 1 complaints
2024: 2 complaints
2023: 1 complaints
2022: 5 complaints
2021: 3 complaints
2020: 4 complaints
2019: 2 complaints
2018: 8 complaints
2017: 10 complaints
2016: 12 complaints
2015: 5 complaints
2014: 8 complaints
2013: 6 complaints
2012: 3 complaints
2011: 1 complaints

Recent health Complaints Against SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA in Texas

health Complaint #TX-416806-341c3191 (2025-02-24) — Cust Srvc Policy Holder Srvcs; Material Change To Contract | Company Position Upheld; Contract Language/Legal Issue; Inf
health Complaint #TX-408464-83557d61 (2024-11-01) — Cust Srvc Policy Holder Srvcs | Company Position Upheld; Information Furnished
health Complaint #TX-400295-341c3191 (2024-08-09) — Cust Srvc Policy Holder Srvcs; Material Change To Contract | Contract Language/Legal Issue; Company Position Upheld; Inf
health Complaint #TX-365385-0c863c1e (2023-06-19) — Commissions | Information Furnished; Company Position Upheld; Contract Language/Legal Issue
health Complaint #TX-331485-cc9d4ccf (2022-02-16) — Premium or billing dispute
health Complaint #TX-330976-1b2ff9e4 (2022-02-09) — Delayed payment
health Complaint #TX-330240-c7756ec2 (2022-01-31) — Delayed payment
health Complaint #TX-329618-2d4c437f (2022-01-21) — Delayed payment
health Complaint #TX-329539-b1e7ab4f (2022-01-20) — Delayed payment
health Complaint #TX-322865-b1e7ab4f (2021-10-04) — Delayed payment

Frequently Asked Questions

How many health complaints does SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA have in Texas?

SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA has 71 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 SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA in Texas?

The most common issues are: Delayed payment (31), Claim denial (17), Premium or billing dispute (10), Policy cancellation (2), Cust Srvc Policy Holder Srvcs; Material Change To Contract | Company Position Upheld; Contract Language/Legal Issue; Inf (1).

How does SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA's health record in Texas compare to other states?

SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA has 71 health complaints in Texas out of 71 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against SENIOR HEALTH INSURANCE COMPANY OF PENNSYLVANIA 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.