TEXAS HEALTH INSURANCE POOL — health Complaints in Texas

Detailed analysis of 62 health insurance complaints filed against TEXAS HEALTH INSURANCE POOL by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 62
Total health Complaints (All States): 62
Texas Share: 100.0%
AI Risk Score: 41/100

Analysis: TEXAS HEALTH INSURANCE POOL health in Texas

TEXAS HEALTH INSURANCE POOL has accumulated 62 health insurance complaints from consumers in Texas. Across all states, TEXAS HEALTH INSURANCE POOL has 62 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 (10), Premium or billing dispute (7), Unsatisfactory Settle/Offer | Information Furnished (4).

The most active year was 2015 with 3 complaints filed.

Consumers in Texas who have health disputes with TEXAS HEALTH INSURANCE POOL can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Claim denial	23	37.1%
Delayed payment	10	16.1%
Premium or billing dispute	7	11.3%
Unsatisfactory Settle/Offer \| Information Furnished	4	6.5%
Policy cancellation	3	4.8%
Unsatisfactory Settle/Offer \| Contract Language/Legal Issue	2	3.2%
Prompt Pay; Unsatisfactory Settle/Offer \| Company Position Upheld; Contract Language/Legal Issue	1	1.6%
Unsatisfactory Settle/Offer \| Additional Monies Received	1	1.6%
Unsatisfactory Settle/Offer	1	1.6%
Unsatisfactory Settle/Offer \| Additional Monies Received; Contract Language/Legal Issue	1	1.6%
Unsatisfactory Settle/Offer \| Information Furnished; Contract Language/Legal Issue; Company Position Upheld	1	1.6%
Unsatisfactory Settle/Offer \| Claim Settled; Contract Language/Legal Issue	1	1.6%
Access to Care; Den/N-Pymt MD Nec RX; Other \| Information Furnished; Claim Settled	1	1.6%
Other \| Contract Language/Legal Issue; Information Furnished	1	1.6%
Other \| Information Furnished	1	1.6%
Unsatisfactory Settle/Offer \| Information Furnished; Additional Monies Received	1	1.6%
Other \| Contract Language/Legal Issue	1	1.6%
Unsatisfactory Settle/Offer \| Information Furnished; Contract Language/Legal Issue	1	1.6%
Recoupment Of Claims Payment \| Information Furnished; Additional Payment Expected; Corrective Action Taken	1	1.6%

Complaints by Year

2015: 3 complaints
2014: 16 complaints
2013: 20 complaints
2012: 23 complaints

Recent health Complaints Against TEXAS HEALTH INSURANCE POOL in Texas

health Complaint #TX-112966-e8f0edcb (2015-11-02) — Premium or billing dispute
health Complaint #TX-93393-856cf6b5 (2015-04-06) — Delayed payment
health Complaint #TX-87526-22b986f2 (2015-02-13) — Claim denial
health Complaint #TX-83475-c9b1c3fb (2014-12-18) — Claim denial
health Complaint #TX-71350-457bb2d1 (2014-08-05) — Claim denial
health Complaint #TX-66018-fbd529ce (2014-06-09) — Claim denial
health Complaint #TX-65313-f5b59138 (2014-06-09) — Claim denial
health Complaint #TX-66178-937910b6 (2014-06-03) — Claim denial
health Complaint #TX-63758-3ddfd44f (2014-05-20) — Prompt Pay; Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue
health Complaint #TX-61484-fbd529ce (2014-04-24) — Claim denial

Frequently Asked Questions

How many health complaints does TEXAS HEALTH INSURANCE POOL have in Texas?

TEXAS HEALTH INSURANCE POOL has 62 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 HEALTH INSURANCE POOL in Texas?

The most common issues are: Claim denial (23), Delayed payment (10), Premium or billing dispute (7), Unsatisfactory Settle/Offer | Information Furnished (4), Policy cancellation (3).

How does TEXAS HEALTH INSURANCE POOL's health record in Texas compare to other states?

TEXAS HEALTH INSURANCE POOL has 62 health complaints in Texas out of 62 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against TEXAS HEALTH INSURANCE POOL 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.