SHA, L.L.C. — health Complaints in Texas
Detailed analysis of 672 health insurance complaints filed against SHA, L.L.C. by consumers in Texas, based on public NAIC and state DOI data.
Key Statistics
- health Complaints in Texas: 672
- Total health Complaints (All States): 672
- Texas Share: 100.0%
- NAIC Complaint Ratio: 16.95
- AI Risk Score: 89/100
Analysis: SHA, L.L.C. health in Texas
SHA, L.L.C. has accumulated 672 health insurance complaints from consumers in Texas. Across all states, SHA, L.L.C. has 672 total health complaints, making Texas responsible for 100.0% of the volume.
The most frequent complaint sub-type is Claim denial with 231 complaints. Other common issues include Delayed payment (151), Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue (83), Usual And Customary | Contract Language/Legal Issue (29).
The most active year was 2024 with 2 complaints filed.
Consumers in Texas who have health disputes with SHA, L.L.C. can file a complaint with the Texas Department of Insurance.
health Complaint Issues in Texas
| Issue Type | Complaints | % |
|---|---|---|
| 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% |
Complaints by Year
- 2024: 2 complaints
- 2023: 25 complaints
- 2022: 13 complaints
- 2021: 47 complaints
- 2020: 54 complaints
- 2019: 76 complaints
- 2018: 28 complaints
- 2017: 152 complaints
- 2016: 94 complaints
- 2015: 54 complaints
- 2014: 43 complaints
- 2013: 77 complaints
- 2012: 7 complaints
Recent health Complaints Against SHA, L.L.C. in Texas
- health Complaint #TX-395168-a51311ac (2024-06-11) — Delayed payment
- health Complaint #TX-387676-82dc7474 (2024-03-11) — Premium or billing dispute
- health Complaint #TX-377200-933b2c2d (2023-11-06) — Claim denial
- health Complaint #TX-377035-7a7f30cc (2023-11-03) — Claim denial
- health Complaint #TX-376115-7a7f30cc (2023-10-23) — Claim denial
- health Complaint #TX-376110-7a7f30cc (2023-10-23) — Claim denial
- health Complaint #TX-376105-7a7f30cc (2023-10-23) — Claim denial
- health Complaint #TX-376101-7a7f30cc (2023-10-23) — Claim denial
- health Complaint #TX-376100-7a7f30cc (2023-10-23) — Claim denial
- health Complaint #TX-376096-7a7f30cc (2023-10-23) — Claim denial
Frequently Asked Questions
How many health complaints does SHA, L.L.C. have in Texas?
SHA, L.L.C. has 672 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 SHA, L.L.C. in Texas?
The most common issues 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).
How does SHA, L.L.C.'s health record in Texas compare to other states?
SHA, L.L.C. has 672 health complaints in Texas out of 672 total health complaints nationwide. That is 100.0% of their health volume.
Where can I file a health complaint against SHA, L.L.C. 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.