SOUTHWEST LIFE & HEALTH INSURANCE COMPANY — health Complaints in Texas

Detailed analysis of 72 health insurance complaints filed against SOUTHWEST LIFE & HEALTH INSURANCE COMPANY by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 72
Total health Complaints (All States): 72
Texas Share: 100.0%
NAIC Complaint Ratio: 0
AI Risk Score: 29/100

Analysis: SOUTHWEST LIFE & HEALTH INSURANCE COMPANY health in Texas

SOUTHWEST LIFE & HEALTH INSURANCE COMPANY has accumulated 72 health insurance complaints from consumers in Texas. Across all states, SOUTHWEST LIFE & HEALTH INSURANCE COMPANY has 72 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 23 complaints. Other common issues include Delayed payment (19), Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue (13), Premium or billing dispute (3).

The most active year was 2018 with 3 complaints filed.

Consumers in Texas who have health disputes with SOUTHWEST LIFE & HEALTH INSURANCE COMPANY can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Claim denial	23	31.9%
Delayed payment	19	26.4%
Unsatisfactory Settle/Offer; Usual And Customary \| Contract Language/Legal Issue	13	18.1%
Premium or billing dispute	3	4.2%
Unsatisfactory Settle/Offer \| No Jurisdiction	3	4.2%
Unsatisfactory Settle/Offer; Usual And Customary \| Claim Settled; Contract Language/Legal Issue	2	2.8%
Continuity of Treatment; Unsatisfactory Settle/Offer \| Insufficient Information	1	1.4%
Unsatisfactory Settle/Offer; Usual And Customary \| Contract Language/Legal Issue; Information Furnished	1	1.4%
Unsatisfactory Settle/Offer; Usual And Customary \| No Jurisdiction; Contract Language/Legal Issue	1	1.4%
Unsatisfactory Settle/Offer; Usual And Customary \| Contract Language/Legal Issue; Record Only	1	1.4%
Discl-Fee Schd/Clms Proc Gdlns \| Information Furnished	1	1.4%
Cash Value \| Information Furnished	1	1.4%
Recoupment Of Claims Payment \| No Jurisdiction	1	1.4%
Unsatisfactory Settle/Offer \| Contract Language/Legal Issue	1	1.4%
Cust Service Claim Handling \| Information Furnished	1	1.4%

Complaints by Year

2018: 3 complaints
2017: 16 complaints
2016: 15 complaints
2015: 3 complaints
2014: 12 complaints
2013: 14 complaints
2012: 9 complaints

Recent health Complaints Against SOUTHWEST LIFE & HEALTH INSURANCE COMPANY in Texas

health Complaint #TX-228950-85508b53 (2018-09-24) — Premium or billing dispute
health Complaint #TX-228241-a0e78905 (2018-06-28) — Claim denial
health Complaint #TX-205102-1d3c8b6c (2018-02-28) — Continuity of Treatment; Unsatisfactory Settle/Offer | Insufficient Information
health Complaint #TX-198925-fc065f8e (2017-12-28) — Claim denial
health Complaint #TX-192042-a0e78905 (2017-10-02) — Claim denial
health Complaint #TX-190943-5768d35a (2017-09-05) — Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue
health Complaint #TX-190937-5768d35a (2017-09-05) — Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue
health Complaint #TX-190875-5768d35a (2017-09-05) — Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue
health Complaint #TX-190509-5768d35a (2017-09-01) — Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue
health Complaint #TX-190422-5768d35a (2017-08-31) — Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue

Frequently Asked Questions

How many health complaints does SOUTHWEST LIFE & HEALTH INSURANCE COMPANY have in Texas?

SOUTHWEST LIFE & HEALTH INSURANCE COMPANY has 72 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 SOUTHWEST LIFE & HEALTH INSURANCE COMPANY in Texas?

The most common issues are: Claim denial (23), Delayed payment (19), Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue (13), Premium or billing dispute (3), Unsatisfactory Settle/Offer | No Jurisdiction (3).

How does SOUTHWEST LIFE & HEALTH INSURANCE COMPANY's health record in Texas compare to other states?

SOUTHWEST LIFE & HEALTH INSURANCE COMPANY has 72 health complaints in Texas out of 72 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against SOUTHWEST LIFE & HEALTH INSURANCE COMPANY 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.