SUPERIOR HEALTHPLAN, INC. — health Insurance Complaints
Analysis of 1,182 health insurance complaints filed against SUPERIOR HEALTHPLAN, INC., based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 1,182
- Total Complaints (All Types): 1,182
- health Share: 100.0%
- NAIC Complaint Ratio: 2.2
- AI Risk Score: 85/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 449 | 38.0% |
| Delayed payment | 449 | 38.0% |
| Premium or billing dispute | 74 | 6.3% |
| Provider or network dispute | 46 | 3.9% |
| Unsatisfactory Settle/Offer | No Jurisdiction | 9 | 0.8% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 6 | 0.5% |
| Policy cancellation | 5 | 0.4% |
| Other | Information Furnished | 4 | 0.3% |
| Misleading sales | 4 | 0.3% |
| Access to Care | Information Furnished | 4 | 0.3% |
| Not Within TDI Jurisdiction | No Jurisdiction | 4 | 0.3% |
| Other | No Jurisdiction | 4 | 0.3% |
| Prior Authorization | Company Position Upheld; Information Furnished; Contract Language/Legal Issue | 3 | 0.3% |
| Cust Srvc Policy Holder Srvcs | Information Furnished | 3 | 0.3% |
| Prior Authorization | Contract Language/Legal Issue; Information Furnished | 3 | 0.3% |
| Cust Service Claim Handling | Information Furnished | 3 | 0.3% |
| Coverage dispute | 3 | 0.3% |
| Recoupment Of Claims Payment | Information Furnished | 2 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Language/Legal Issue | 2 | 0.2% |
| Access to Care | Information Furnished; Corrective Action Taken | 2 | 0.2% |
| Other | Corrective Action Taken; Information Furnished | 2 | 0.2% |
| Other | Contract Language/Legal Issue; Information Furnished | 2 | 0.2% |
| Access to Care | Contract Language/Legal Issue; Information Furnished | 2 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished | 2 | 0.2% |
| Recoupment Of Claims Payment | No Jurisdiction | 2 | 0.2% |
| Cust Service Claim Handling; Maximum Out of Pocket | Information Furnished; Contract Language/Legal Issue | 1 | 0.1% |
| Unauthorized Acts | Corrective Action Taken; Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Cust Srvc Policy Holder Srvcs; Other | Corrective Action Taken; Information Furnished | 1 | 0.1% |
| Cust Service Claim Handling; Prior Authorization | Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Prior Authorization | Contract Language/Legal Issue; Company Position Upheld; Information Furnished | 1 | 0.1% |
| Cust Srvc Policy Holder Srvcs | Information Furnished; Company Position Upheld; Contract Language/Legal Issue | 1 | 0.1% |
| Access to Care; Prior Authorization | Information Furnished; Contract Language/Legal Issue | 1 | 0.1% |
| Cust Service Claim Handling | Question of Fact; Information Furnished | 1 | 0.1% |
| Cust Srvc Policy Holder Srvcs | Company Position Upheld; Information Furnished | 1 | 0.1% |
| Access to Care; Prior Authorization | Information Furnished; Company Position Upheld; Contract Language/Legal Issue | 1 | 0.1% |
| Other | Information Furnished; Company Position Upheld; Contract Language/Legal Issue | 1 | 0.1% |
| Recoupment Of Claims Payment; Timely Filing Deficiency; Unsatisfactory Settle/Offer | Information Furnished; Company Pos | 1 | 0.1% |
| Maximum Out of Pocket | Question of Fact; Claim Settled; Information Furnished | 1 | 0.1% |
| Recoupment Of Claims Payment | Company Position Upheld; Information Furnished; Contract Language/Legal Issue | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Company Position Upheld | 1 | 0.1% |
| Authorization Dispute | Corrective Action Taken; Additional Payment Expected; Information Furnished | 1 | 0.1% |
| Recoupment Of Claims Payment | Corrective Action Taken; Additional Payment Expected | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Information Furnished | 1 | 0.1% |
| Access to Care | Information Furnished; Company Position Upheld | 1 | 0.1% |
| Authorization Dispute; Cust Service Claim Handling | Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Claim Settled; Stat Pen Pd-46 To 90 Dys Late | 1 | 0.1% |
| Cust Srvc Policy Holder Srvcs | Information Furnished; Contract Language/Legal Issue | 1 | 0.1% |
| Recoupment Of Claims Payment | Additional Payment Expected; Information Furnished; Corrective Action Taken | 1 | 0.1% |
| Unauthorized Acts | Information Furnished; Referred To; Contract Language/Legal Issue | 1 | 0.1% |
| Cust Service Claim Handling | Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Cust Service Claim Handling; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Company Position Upheld; Information F | 1 | 0.1% |
| Access to Care; Cust Srvc Policy Holder Srvcs | Question of Fact; Information Furnished | 1 | 0.1% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished | 1 | 0.1% |
| Prompt Pay | Additional Payment Expected; Information Furnished; Corrective Action Taken | 1 | 0.1% |
| Unauthorized Acts | Referred To; Information Furnished | 1 | 0.1% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Misrepresentation; Other | Information Furnished; Contract Language/Legal Issue | 1 | 0.1% |
| Unauthorized Acts | Information Furnished; Contract Language/Legal Issue | 1 | 0.1% |
| Maximum Out of Pocket; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 1 | 0.1% |
| Maternity and Newborn Care; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.1% |
| Recoupment Of Claims Payment | Corrective Action Taken; Information Furnished; Additional Payment Expected | 1 | 0.1% |
| Cust Service Claim Handling; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Information Furnished; Corrective Acti | 1 | 0.1% |
| Access to Care; Unauthorized Acts | Information Furnished; Question of Fact; Contract Language/Legal Issue | 1 | 0.1% |
| Unauthorized Acts | Policy Not In Force; Information Furnished | 1 | 0.1% |
| Maximum Out of Pocket | Company Position Upheld; Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Claim Settled; Information Furnished; Corrective Action Taken | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Payment Expected; Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Timely Filing Deficiency; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Information | 1 | 0.1% |
| Maximum Out of Pocket | Information Furnished; Company Position Upheld | 1 | 0.1% |
| Essential Health Benefit; Unsatisfactory Settle/Offer | Information Furnished; Additional Payment Expected | 1 | 0.1% |
| Access to Care | Additional Monies Received; Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Claim Settled | 1 | 0.1% |
| Access to Care | Corrective Action Taken; Information Furnished | 1 | 0.1% |
| Enrllmt/Canc/Rnwl Of Enrollee | Policy Issued/Restored; Information Furnished | 1 | 0.1% |
| Other | Contract Language/Legal Issue | 1 | 0.1% |
| Recoupment Of Claims Payment | Additional Monies Received; Corrective Action Taken | 1 | 0.1% |
| Other | Company Position Upheld | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken | 1 | 0.1% |
| Fraud; Not Within TDI Jurisdiction | No Jurisdiction; Corrective Action Taken; Referred To | 1 | 0.1% |
| Not Within TDI Jurisdiction; Other | Record Only; Referred To | 1 | 0.1% |
| Closed-Lack Of Info Cmplainant | Record Only; Insufficient Information | 1 | 0.1% |
| Other | No Jurisdiction; Record Only | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Claim Settled | 1 | 0.1% |
| Cust Service Claim Handling | Insufficient Information | 1 | 0.1% |
| Den/N-Pymt MD Nec RX | Information Furnished; No Jurisdiction | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 1 | 0.1% |
| Commissions | Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Claim Settled; Information Furnished | 1 | 0.1% |
| Disclosure Of Benefits; Enrllmt/Canc/Rnwl Of Enrollee; Hlth Care Svcs Covg/Copay/Lmts; Material Change To Contract; Misr | 1 | 0.1% |
| Access to Care; Disclosure Of Benefits; Hlth Care Svcs Covg/Copay/Lmts | Corrective Action Taken; Information Furnished | 1 | 0.1% |
| Recoupment Of Claims Payment | Company Position Upheld; No Jurisdiction; Information Furnished | 1 | 0.1% |
| Claims Reimb/Bal Bill Problems; Hlth Care Svcs Covg/Copay/Lmts; Recoupment Of Claims Payment; Unsatisfactory Settle/Offe | 1 | 0.1% |
| Continuity Of Treatment; Primary Care Providr Selection | Information Furnished | 1 | 0.1% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished; Policy Not In Force | 1 | 0.1% |
| Access to Care; Continuity Of Treatment | No Jurisdiction | 1 | 0.1% |
| Access to Care | No Jurisdiction | 1 | 0.1% |
| Other | Information Furnished; No Jurisdiction | 1 | 0.1% |
| Access to Care; Continuity of Treatment | No Jurisdiction | 1 | 0.1% |
| Den/N-Pymt MD Nec DME/Supplies | No Jurisdiction | 1 | 0.1% |
| Access to Care; Den/N-Pymt MD Nec Trmt N-Emrg; Other | Information Furnished; Contract Language/Legal Issue | 1 | 0.1% |
| PPACA-Choice Prim Care/Pediat | No Jurisdiction | 1 | 0.1% |
| Other | Information Furnished; Record Only; No Jurisdiction | 1 | 0.1% |
| Continuity Of Treatment; Out Of Ntwk Referral | No Jurisdiction | 1 | 0.1% |
| Cust Service Claim Handling | No Jurisdiction | 1 | 0.1% |
| Recoupment Of Claims Payment | Corrective Action Taken; No Jurisdiction | 1 | 0.1% |
| Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction | 1 | 0.1% |
| Continuity Of Treatment | Information Furnished; No Jurisdiction | 1 | 0.1% |
| Material Change To Contract | Information Furnished; No Jurisdiction | 1 | 0.1% |
| Not Within TDI Jurisdiction | Information Furnished; No Jurisdiction; Contract Language/Legal Issue | 1 | 0.1% |
| Refusal to Insure | No Jurisdiction; Information Furnished | 1 | 0.1% |
| Usual And Customary | No Jurisdiction | 1 | 0.1% |
health Complaints by State
| State | Complaints |
|---|---|
| Texas | 1,182 |
Recent health Complaints Against SUPERIOR HEALTHPLAN, INC.
- health Complaint #TX-454073-df0b86d9 — Texas (2026-04-20)
- health Complaint #TX-453601-4473d824 — Texas (2026-04-15)
- health Complaint #TX-453350-e1cbfb3b — Texas (2026-04-13)
- health Complaint #TX-453245-bde8bb41 — Texas (2026-04-13)
- health Complaint #TX-453197-92f0609d — Texas (2026-04-10)
- health Complaint #TX-452648-96a11001 — Texas (2026-04-06)
- health Complaint #TX-452632-10902594 — Texas (2026-04-06)
- health Complaint #TX-452472-79a01360 — Texas (2026-04-03)
- health Complaint #TX-452236-89d0c78e — Texas (2026-04-01)
- health Complaint #TX-451946-344fad2d — Texas (2026-03-30)
Frequently Asked Questions
How many health complaints does SUPERIOR HEALTHPLAN, INC. have?
SUPERIOR HEALTHPLAN, INC. has 1182 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with SUPERIOR HEALTHPLAN, INC.?
The most common health complaint issues for SUPERIOR HEALTHPLAN, INC. are: Claim denial (449), Delayed payment (449), Premium or billing dispute (74), Provider or network dispute (46), Unsatisfactory Settle/Offer | No Jurisdiction (9).
Which states have the most health complaints against SUPERIOR HEALTHPLAN, INC.?
The states with the most health complaints against SUPERIOR HEALTHPLAN, INC. are: Texas (1182).
health Complaints by State
SUPERIOR HEALTHPLAN, INC. Complaints by State
- SUPERIOR HEALTHPLAN, INC. Complaints in California
- SUPERIOR HEALTHPLAN, INC. Complaints in Texas
- SUPERIOR HEALTHPLAN, INC. Complaints in New York
- SUPERIOR HEALTHPLAN, INC. Complaints in Florida
- SUPERIOR HEALTHPLAN, INC. Complaints in Illinois
- SUPERIOR HEALTHPLAN, INC. Complaints in Pennsylvania
- SUPERIOR HEALTHPLAN, INC. Complaints in Ohio
- SUPERIOR HEALTHPLAN, INC. Complaints in Georgia
- SUPERIOR HEALTHPLAN, INC. Complaints in North Carolina
- SUPERIOR HEALTHPLAN, INC. Complaints in New Jersey