SHA, L.L.C. — health Insurance Complaints
Analysis of 672 health insurance complaints filed against SHA, L.L.C., based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 672
- Total Complaints (All Types): 672
- health Share: 100.0%
- NAIC Complaint Ratio: 16.95
- AI Risk Score: 89/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 231 | 34.4% |
| Delayed payment | 151 | 22.5% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue | 83 | 12.4% |
| Usual And Customary | Contract Language/Legal Issue | 29 | 4.3% |
| Premium or billing dispute | 26 | 3.9% |
| Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld | 18 | 2.7% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Claim Settled | 10 | 1.5% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 9 | 1.3% |
| Policy cancellation | 6 | 0.9% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished | 6 | 0.9% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Contract Language/Legal Issue | 5 | 0.7% |
| Unsatisfactory Settle/Offer | No Jurisdiction | 5 | 0.7% |
| Unsatisfactory Settle/Offer | Additional Monies Received | 4 | 0.6% |
| Unsatisfactory Settle/Offer | Company Position Upheld | 4 | 0.6% |
| Unsatisfactory Settle/Offer; Usual And Customary | Claim Settled; Contract Language/Legal Issue | 4 | 0.6% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Information Furnished | 3 | 0.4% |
| Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; Contract Language/Legal Issue | 3 | 0.4% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Company Position Upheld | 2 | 0.3% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 2 | 0.3% |
| Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 2 | 0.3% |
| Essential Health Benefit; Unsatisfactory Settle/Offer | Information Furnished; Additional Monies Received | 2 | 0.3% |
| Other | Contract Language/Legal Issue | 2 | 0.3% |
| Unsatisfactory Settle/Offer | Insufficient Information | 2 | 0.3% |
| Other | Information Furnished | 2 | 0.3% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received | 2 | 0.3% |
| Coverage dispute | 2 | 0.3% |
| Out Of Ntwk Referral | Company Position Upheld; Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Cust Service Claim Handling; Recoupment Of Claims Payment | Information Furnished; Additional Payment Expected; Addition | 1 | 0.1% |
| Cust Service Claim Handling; Recoupment Of Claims Payment | Corrective Action Taken; Claim Settled; Information Furnishe | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Corrective Action Taken | 1 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | Stat Pen Pd-Up To 45 Dys Late; Additional Monies Received; Information Furnish | 1 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | Stat Pen Pd-Up To 45 Dys Late; Additional Monies Received | 1 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | Additional Monies Received; Stat Pen Pd-Up To 45 Dys Late; Information Furnish | 1 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | Additional Payment Expected; Additional Monies Received; Stat Pen Pd-Up To 45 | 1 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | Stat Pen Pd-Over 90 Dys Late; Information Furnished; Additional Monies Receive | 1 | 0.1% |
| Cust Service Claim Handling; Prompt Pay; Unsatisfactory Settle/Offer | Additional Payment Expected; Information Furnishe | 1 | 0.1% |
| Access to Care; Out Of Ntwk Referral | Information Furnished; Company Position Upheld; Contract Language/Legal Issue | 1 | 0.1% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.1% |
| Cust Service Claim Handling | Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Additional Monies Received | 1 | 0.1% |
| Cust Service Claim Handling; Prompt Pay; Timely Filing Deficiency | Contract Language/Legal Issue | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Mediation Not Eligible; Additional Monies Received | 1 | 0.1% |
| Timely Filing Deficiency | Contract Language/Legal Issue | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Record Only | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Insufficient Information; Record Only | 1 | 0.1% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Insufficient Information | 1 | 0.1% |
| Misrepresentation | Contract Language/Legal Issue | 1 | 0.1% |
| Cust Service Claim Handling | Contract Language/Legal Issue; No Jurisdiction | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken; Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction | 1 | 0.1% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Claim Settled; Additional Monies Received | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Policy Not In Force | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Additional Payment Expected | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken; Additional Monies Received; Contract Languag | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Additional Monies Received; Claim Sett | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; No Jurisdiction | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Mediation Not Eligible; Contract Language/Legal Issue | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Additional Monies Received | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Contract Language/Legal Issue | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Overpaid Claim Recouped; Contract Language/Legal Issue | 1 | 0.1% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Additional Payment Expected | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Additional Payment Expected | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue | 1 | 0.1% |
| Cust Service Claim Handling | Information Furnished; Contract Language/Legal Issue | 1 | 0.1% |
| Not Within TDI Jurisdiction; Other | No Jurisdiction | 1 | 0.1% |
| Recoupment Of Claims Payment | Information Furnished; Additional Monies Received | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction | 1 | 0.1% |
| SB418 Rule Violation | Information Furnished; Additional Monies Received | 1 | 0.1% |
| SB418 Rule Violation | Referred for Disciplinary Actn; Information Furnished; Contract Language/Legal Issue | 1 | 0.1% |
| Claims Reimb/Bal Bill Problems | Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Claim Settled | 1 | 0.1% |
| Closed-Lack Of Info Cmplainant | Insufficient Information | 1 | 0.1% |
| Recoupment Of Claims Payment | Corrective Action Taken; No Jurisdiction | 1 | 0.1% |
| Provider or network dispute | 1 | 0.1% |
| Enrllmt/Canc/Rnwl Of Enrollee; Hlth Care Svcs Covg/Copay/Lmts | Information Furnished | 1 | 0.1% |
| Recoupment Of Claims Payment | Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Access to Care; Out Of Ntwk Referral | Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Recoupment Of Claims Payment | No Jurisdiction | 1 | 0.1% |
| Overcharges | No Jurisdiction; Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Information Furnished | 1 | 0.1% |
health Complaints by State
| State | Complaints |
|---|---|
| Texas | 672 |
Recent health Complaints Against SHA, L.L.C.
- health Complaint #TX-395168-a51311ac — Texas (2024-06-11)
- health Complaint #TX-387676-82dc7474 — Texas (2024-03-11)
- health Complaint #TX-377200-933b2c2d — Texas (2023-11-06)
- health Complaint #TX-377035-7a7f30cc — Texas (2023-11-03)
- health Complaint #TX-376115-7a7f30cc — Texas (2023-10-23)
- health Complaint #TX-376110-7a7f30cc — Texas (2023-10-23)
- health Complaint #TX-376105-7a7f30cc — Texas (2023-10-23)
- health Complaint #TX-376101-7a7f30cc — Texas (2023-10-23)
- health Complaint #TX-376100-7a7f30cc — Texas (2023-10-23)
- health Complaint #TX-376096-7a7f30cc — Texas (2023-10-23)
Frequently Asked Questions
How many health complaints does SHA, L.L.C. have?
SHA, L.L.C. has 672 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with SHA, L.L.C.?
The most common health complaint issues for SHA, L.L.C. are: Claim denial (231), Delayed payment (151), Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue (83), Usual And Customary | Contract Language/Legal Issue (29), Premium or billing dispute (26).
Which states have the most health complaints against SHA, L.L.C.?
The states with the most health complaints against SHA, L.L.C. are: Texas (672).
health Complaints by State
SHA, L.L.C. Complaints by State
- SHA, L.L.C. Complaints in California
- SHA, L.L.C. Complaints in Texas
- SHA, L.L.C. Complaints in New York
- SHA, L.L.C. Complaints in Florida
- SHA, L.L.C. Complaints in Illinois
- SHA, L.L.C. Complaints in Pennsylvania
- SHA, L.L.C. Complaints in Ohio
- SHA, L.L.C. Complaints in Georgia
- SHA, L.L.C. Complaints in North Carolina
- SHA, L.L.C. Complaints in New Jersey