TEXAS CHILDREN'S HEALTH PLAN, INC. — health Complaints in Texas

Detailed analysis of 36 health insurance complaints filed against TEXAS CHILDREN'S HEALTH PLAN, INC. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 36
Total health Complaints (All States): 36
Texas Share: 100.0%
NAIC Complaint Ratio: 0
AI Risk Score: 27/100

Analysis: TEXAS CHILDREN'S HEALTH PLAN, INC. health in Texas

TEXAS CHILDREN'S HEALTH PLAN, INC. has accumulated 36 health insurance complaints from consumers in Texas. Across all states, TEXAS CHILDREN'S HEALTH PLAN, INC. has 36 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 21 complaints. Other common issues include Delayed payment (8), Other | Failure to Timely Respond; Corrective Action Taken (1), Not Within TDI Jurisdiction | No Jurisdiction (1).

The most active year was 2025 with 1 complaint filed.

Consumers in Texas who have health disputes with TEXAS CHILDREN'S HEALTH PLAN, INC. can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Claim denial	21	58.3%
Delayed payment	8	22.2%
Other \| Failure to Timely Respond; Corrective Action Taken	1	2.8%
Not Within TDI Jurisdiction \| No Jurisdiction	1	2.8%
Access to Care; Disclosure Of Benefits \| No Jurisdiction	1	2.8%
Unsatisfactory Settle/Offer \| Company Position Upheld; Contract Language/Legal Issue; Information Furnished	1	2.8%
Unsatisfactory Settle/Offer \| Contract Language/Legal Issue; Information Furnished	1	2.8%
Cust Service Claim Handling; Recoupment Of Claims Payment \| Information Furnished; Additional Monies Received	1	2.8%
Recoupment Of Claims Payment \| No Jurisdiction; Additional Monies Received; Information Furnished	1	2.8%

Complaints by Year

2025: 1 complaints
2021: 1 complaints
2020: 2 complaints
2019: 3 complaints
2018: 5 complaints
2017: 3 complaints
2016: 1 complaints
2015: 11 complaints
2014: 4 complaints
2013: 4 complaints
2012: 1 complaints

Recent health Complaints Against TEXAS CHILDREN'S HEALTH PLAN, INC. in Texas

health Complaint #TX-433454-4f9eecc9 (2025-09-03) — Other | Failure to Timely Respond; Corrective Action Taken
health Complaint #TX-323678-dcf4ae4e (2021-10-15) — Claim denial
health Complaint #TX-302067-a3a6d785 (2020-11-16) — Claim denial
health Complaint #TX-302058-a3a6d785 (2020-11-16) — Claim denial
health Complaint #TX-281413-dcf4ae4e (2019-12-31) — Claim denial
health Complaint #TX-244778-4372cd3d (2019-01-28) — Not Within TDI Jurisdiction | No Jurisdiction
health Complaint #TX-244014-80cb6355 (2019-01-22) — Delayed payment
health Complaint #TX-233011-e5138b47 (2018-10-18) — Delayed payment
health Complaint #TX-218675-dcf4ae4e (2018-06-29) — Claim denial
health Complaint #TX-216930-fc858bb3 (2018-06-21) — Claim denial

Frequently Asked Questions

How many health complaints does TEXAS CHILDREN'S HEALTH PLAN, INC. have in Texas?

TEXAS CHILDREN'S HEALTH PLAN, INC. has 36 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 TEXAS CHILDREN'S HEALTH PLAN, INC. in Texas?

The most common issues are: Claim denial (21), Delayed payment (8), Other | Failure to Timely Respond; Corrective Action Taken (1), Not Within TDI Jurisdiction | No Jurisdiction (1), Access to Care; Disclosure Of Benefits | No Jurisdiction (1).

How does TEXAS CHILDREN'S HEALTH PLAN, INC.'s health record in Texas compare to other states?

TEXAS CHILDREN'S HEALTH PLAN, INC. has 36 health complaints in Texas out of 36 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against TEXAS CHILDREN'S HEALTH PLAN, INC. 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.