SPJST — health Complaints in Texas
Detailed analysis of 12 health insurance complaints filed against SPJST by consumers in Texas, based on public NAIC and state DOI data.
Key Statistics
- health Complaints in Texas: 12
- Total health Complaints (All States): 12
- Texas Share: 100.0%
- NAIC Complaint Ratio: 4.93
- AI Risk Score: 70/100
Analysis: SPJST health in Texas
SPJST has accumulated 12 health insurance complaints from consumers in Texas. Across all states, SPJST has 12 total health complaints, making Texas responsible for 100.0% of the volume.
The most frequent complaint sub-type is Claim denial with 2 complaints. Other common issues include Unsatisfactory Settle/Offer | Corrective Action Taken; Claim Settled; Information Furnished (1), Cash Value; Unsatisfactory Settle/Offer | Company Position Upheld (1), Delayed payment (1).
The most active year was 2025 with 1 complaint filed.
Consumers in Texas who have health disputes with SPJST can file a complaint with the Texas Department of Insurance.
health Complaint Issues in Texas
| Issue Type | Complaints | % |
|---|---|---|
| Claim denial | 2 | 16.7% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Claim Settled; Information Furnished | 1 | 8.3% |
| Cash Value; Unsatisfactory Settle/Offer | Company Position Upheld | 1 | 8.3% |
| Delayed payment | 1 | 8.3% |
| Premium or billing dispute | 1 | 8.3% |
| Other | Information Furnished; Contract Language/Legal Issue | 1 | 8.3% |
| Unsatisfactory Settle/Offer | Claim Settled; Additional Monies Received | 1 | 8.3% |
| Misrepresentation | Contract Language/Legal Issue; Information Furnished | 1 | 8.3% |
| Misrepresentation | Information Furnished; Contract Language/Legal Issue | 1 | 8.3% |
| Policy cancellation | 1 | 8.3% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished | 1 | 8.3% |
Complaints by Year
- 2025: 1 complaints
- 2024: 1 complaints
- 2019: 2 complaints
- 2016: 2 complaints
- 2015: 1 complaints
- 2014: 1 complaints
- 2013: 2 complaints
- 2012: 2 complaints
Recent health Complaints Against SPJST in Texas
- health Complaint #TX-427762-43909a3d (2025-07-02) — Unsatisfactory Settle/Offer | Corrective Action Taken; Claim Settled; Information Furnished
- health Complaint #TX-402969-a0928e46 (2024-09-09) — Claim denial
- health Complaint #TX-260572-50d35968 (2019-05-01) — Cash Value; Unsatisfactory Settle/Offer | Company Position Upheld
- health Complaint #TX-247168-93500ded (2019-02-13) — Delayed payment
- health Complaint #TX-153914-79a9603e (2016-10-03) — Premium or billing dispute
- health Complaint #TX-149058-d773757b (2016-08-22) — Other | Information Furnished; Contract Language/Legal Issue
- health Complaint #TX-85929-43909a3d (2015-01-30) — Unsatisfactory Settle/Offer | Claim Settled; Additional Monies Received
- health Complaint #TX-68300-74bc82ae (2014-07-01) — Claim denial
- health Complaint #TX-34848-5b47ef71 (2013-08-08) — Misrepresentation | Contract Language/Legal Issue; Information Furnished
- health Complaint #TX-27428-5b47ef71 (2013-05-16) — Misrepresentation | Information Furnished; Contract Language/Legal Issue
Frequently Asked Questions
How many health complaints does SPJST have in Texas?
SPJST has 12 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 SPJST in Texas?
The most common issues are: Claim denial (2), Unsatisfactory Settle/Offer | Corrective Action Taken; Claim Settled; Information Furnished (1), Cash Value; Unsatisfactory Settle/Offer | Company Position Upheld (1), Delayed payment (1), Premium or billing dispute (1).
How does SPJST's health record in Texas compare to other states?
SPJST has 12 health complaints in Texas out of 12 total health complaints nationwide. That is 100.0% of their health volume.
Where can I file a health complaint against SPJST 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.