SETON HEALTH PLAN, INC. — health Complaints in Texas

Detailed analysis of 49 health insurance complaints filed against SETON HEALTH PLAN, INC. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 49
Total health Complaints (All States): 49
Texas Share: 100.0%
NAIC Complaint Ratio: 0
AI Risk Score: 20/100

Analysis: SETON HEALTH PLAN, INC. health in Texas

SETON HEALTH PLAN, INC. has accumulated 49 health insurance complaints from consumers in Texas. Across all states, SETON HEALTH PLAN, INC. has 49 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Delayed payment with 27 complaints. Other common issues include Claim denial (13), Premium or billing dispute (4), Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction (2).

The most active year was 2021 with 2 complaints filed.

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

health Complaint Issues in Texas

Issue Type	Complaints	%
Delayed payment	27	55.1%
Claim denial	13	26.5%
Premium or billing dispute	4	8.2%
Unsatisfactory Settle/Offer; Usual And Customary \| No Jurisdiction	2	4.1%
Unsatisfactory Settle/Offer \| No Jurisdiction	1	2.0%
Unsatisfactory Settle/Offer \| Information Furnished; No Jurisdiction	1	2.0%
COBRA \| No Jurisdiction	1	2.0%

Complaints by Year

2021: 2 complaints
2019: 1 complaints
2018: 2 complaints
2017: 4 complaints
2016: 4 complaints
2015: 5 complaints
2014: 6 complaints
2013: 25 complaints

Recent health Complaints Against SETON HEALTH PLAN, INC. in Texas

health Complaint #TX-312458-9564cc1f (2021-05-13) — Premium or billing dispute
health Complaint #TX-307338-cf6b4f1f (2021-02-24) — Premium or billing dispute
health Complaint #TX-272528-b3a41560 (2019-08-28) — Claim denial
health Complaint #TX-205566-cf6b4f1f (2018-03-05) — Premium or billing dispute
health Complaint #TX-199554-eaed653b (2018-01-04) — Claim denial
health Complaint #TX-193993-108dfc99 (2017-09-19) — Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction
health Complaint #TX-184487-108dfc99 (2017-07-31) — Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction
health Complaint #TX-177054-bac320a3 (2017-06-13) — Claim denial
health Complaint #TX-171634-ea3bca34 (2017-04-21) — Delayed payment
health Complaint #TX-148378-eff62870 (2016-09-21) — Delayed payment

Frequently Asked Questions

How many health complaints does SETON HEALTH PLAN, INC. have in Texas?

SETON HEALTH PLAN, INC. has 49 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 SETON HEALTH PLAN, INC. in Texas?

The most common issues are: Delayed payment (27), Claim denial (13), Premium or billing dispute (4), Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction (2), Unsatisfactory Settle/Offer | No Jurisdiction (1).

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

SETON HEALTH PLAN, INC. has 49 health complaints in Texas out of 49 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against SETON HEALTH PLAN, 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.