TEXAS MUTUAL INSURANCE COMPANY — workers-compensation Insurance Complaints
Analysis of 516 workers-compensation insurance complaints filed against TEXAS MUTUAL INSURANCE COMPANY, based on public NAIC and state DOI data.
Key Statistics
- workers-compensation Complaints: 516
- Total Complaints (All Types): 562
- workers-compensation Share: 91.8%
- NAIC Complaint Ratio: 1.72
- AI Risk Score: 68/100
workers-compensation Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 301 | 58.3% |
| Delayed payment | 60 | 11.6% |
| Provider or network dispute | 16 | 3.1% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 14 | 2.7% |
| Premium or billing dispute | 13 | 2.5% |
| Policy cancellation | 6 | 1.2% |
| DWC Quality Of Care | Contract Language/Legal Issue | 5 | 1.0% |
| DWC Medical Benefit Delivery | Contract Language/Legal Issue | 3 | 0.6% |
| DWC Medical Benefit Delivery; Timely Filing Deficiency | Contract Language/Legal Issue | 3 | 0.6% |
| DWC Medical Benefit Delivery | Information Furnished | 3 | 0.6% |
| DWC Quality Of Care | Information Furnished; Company Position Upheld | 2 | 0.4% |
| Cust Service Claim Handling | Information Furnished; Contract Language/Legal Issue | 2 | 0.4% |
| Cust Service Claim Handling | Contract Language/Legal Issue; Information Furnished | 2 | 0.4% |
| Access to Care; Continuity of Treatment | Information Furnished | 2 | 0.4% |
| Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Language/Legal Issue | 2 | 0.4% |
| DWC Communications | Information Furnished | 2 | 0.4% |
| Other | Insufficient Information | 2 | 0.4% |
| DWC Quality Of Care; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 2 | 0.4% |
| Timely Filing Deficiency; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 2 | 0.4% |
| Access to Care; Cust Srvc Policy Holder Srvcs | Information Furnished; Question of Fact; Contract Language/Legal Issue | 1 | 0.2% |
| Cust Srvc Policy Holder Srvcs | Information Furnished; Corrective Action Taken | 1 | 0.2% |
| Cust Service Claim Handling | Company Position Upheld; Question of Fact; Information Furnished | 1 | 0.2% |
| Cust Srvc Policy Holder Srvcs | Company Position Upheld; Information Furnished; Contract Language/Legal Issue | 1 | 0.2% |
| Access to Care; Cust Srvc Policy Holder Srvcs | Information Furnished; Referred To; Contract Language/Legal Issue | 1 | 0.2% |
| Continuity of Treatment | Information Furnished; Contract Language/Legal Issue | 1 | 0.2% |
| Coordination of Benefits; Cust Service Claim Handling | Contract Language/Legal Issue; Information Furnished | 1 | 0.2% |
| Cust Service Claim Handling; Other | Information Furnished; Question of Fact | 1 | 0.2% |
| Den/N-Pymt MD Nec Trmt N-Emrg | Contract Language/Legal Issue; Information Furnished; Company Position Upheld | 1 | 0.2% |
| Access to Care | Corrective Action Taken; Information Furnished | 1 | 0.2% |
| Access to Care | Company Position Upheld; Information Furnished | 1 | 0.2% |
| Cust Service Claim Handling | Contract Language/Legal Issue | 1 | 0.2% |
| Other | Company Position Upheld; Information Furnished | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished | 1 | 0.2% |
| Access to Care | Information Furnished; Company Position Upheld | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Company Position Upheld | 1 | 0.2% |
| DWC Medical Benefit Delivery | Information Furnished; Company Position Upheld | 1 | 0.2% |
| Access to Care; Continuity of Treatment | Company Position Upheld | 1 | 0.2% |
| Access to Care | Insufficient Information | 1 | 0.2% |
| DWC Quality Of Care | Company Position Upheld; Information Furnished | 1 | 0.2% |
| DWC Quality Of Care | Question of Fact; Information Furnished; Contract Language/Legal Issue | 1 | 0.2% |
| DWC Quality Of Care | Information Furnished; Question of Fact | 1 | 0.2% |
| DWC Quality Of Care | Question of Fact; Information Furnished | 1 | 0.2% |
| Access to Care; Continuity of Treatment; Cust Service Claim Handling; DWC Quality Of Care | Question of Fact; Informatio | 1 | 0.2% |
| Timely Filing Deficiency; Unsatisfactory Settle/Offer | Company Position Upheld | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue | 1 | 0.2% |
| Access to Care; Continuity of Treatment; Cust Service Claim Handling; DWC Quality Of Care; Unsatisfactory Settle/Offer | | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished; Failure to Timely Respond | 1 | 0.2% |
| DWC Medical Benefit Delivery; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.2% |
| DWC Quality Of Care; Unsatisfactory Settle/Offer | Information Furnished | 1 | 0.2% |
| DWC Quality Of Care | Information Furnished | 1 | 0.2% |
| Access to Care | Contract Language/Legal Issue | 1 | 0.2% |
| Access to Care; Continuity of Treatment; Unsatisfactory Settle/Offer | Question of Fact; Information Furnished; Contract | 1 | 0.2% |
| DWC Quality Of Care | Company Position Upheld | 1 | 0.2% |
| Access to Care; DWC Communications | Company Position Upheld | 1 | 0.2% |
| Cust Service Claim Handling; DWC Medical Benefit Delivery | Contract Language/Legal Issue | 1 | 0.2% |
| Coordination of Benefits | Contract Language/Legal Issue | 1 | 0.2% |
| DWC Indemnity Benefit Delivery | Company Position Upheld | 1 | 0.2% |
| Access to Care; Other | Information Furnished | 1 | 0.2% |
| Access to Care; Continuity of Treatment; Primary Care Providr Selection | Information Furnished; Contract Language/Legal | 1 | 0.2% |
| Timely Filing Deficiency | Contract Language/Legal Issue | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld; Information Furnished | 1 | 0.2% |
| DWC Medical Benefit Delivery; Unsatisfactory Settle/Offer | Information Furnished | 1 | 0.2% |
| Continuity of Treatment; DWC Medical Benefit Delivery | Contract Language/Legal Issue | 1 | 0.2% |
| Continuity Of Treatment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Question of Fact | 1 | 0.2% |
| DWC Medical Benefit Delivery | Contract Language/Legal Issue; Information Furnished; Company Position Upheld | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished; Complainant Retained Attorney | 1 | 0.2% |
| DWC Medical Benefit Delivery | Insufficient Information; Low Priority | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Insufficient Information | 1 | 0.2% |
| DWC Quality Of Care | Information Furnished; Contract Language/Legal Issue; Corrective Action Taken | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished; Other | 1 | 0.2% |
| DWC Medical Benefit Delivery; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Information Furnished | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Other; Information Furnished | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Other | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished; Claim Settled; Contract Language/Legal Issue | 1 | 0.2% |
| Other | 1 | 0.2% |
| Den/N-Pymt MD Nec Trmt N-Emrg; IRO Notice Of Review | Information Furnished; Referred To | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Claim Settled | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Failure to Timely Respond; Information Furnished | 1 | 0.2% |
| Other | Information Furnished | 1 | 0.2% |
| DWC Medical Benefit Delivery | Question of Fact; Contract Language/Legal Issue; Information Furnished | 1 | 0.2% |
| DWC Medical Benefit Delivery | Referred for Disciplinary Actn; Information Furnished | 1 | 0.2% |
| Continuity Of Treatment | Contract Language/Legal Issue | 1 | 0.2% |
| Agent Handling | Information Furnished | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Insufficient Information; Information Furnished | 1 | 0.2% |
| DWC Medical Benefit Delivery | Other | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 1 | 0.2% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished | 1 | 0.2% |
| Refusal to Insure | Information Furnished; No Jurisdiction | 1 | 0.2% |
| DWC Medical Benefit Delivery | Information Furnished; Additional Monies Received | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished | 1 | 0.2% |
| Coordination of Benefits | Record Only | 1 | 0.2% |
workers-compensation Complaints by State
| State | Complaints |
|---|---|
| Texas | 516 |
Recent workers-compensation Complaints Against TEXAS MUTUAL INSURANCE COMPANY
- workers-compensation Complaint #TX-452002-2763ca9f — Texas (2026-03-30)
- workers-compensation Complaint #TX-451700-e89282c9 — Texas (2026-03-26)
- workers-compensation Complaint #TX-451588-4c925b1a — Texas (2026-03-25)
- workers-compensation Complaint #TX-449753-4c925b1a — Texas (2026-03-09)
- workers-compensation Complaint #TX-448911-95c02349 — Texas (2026-03-02)
- workers-compensation Complaint #TX-448327-7374e527 — Texas (2026-02-23)
- workers-compensation Complaint #TX-447914-09bbb7e3 — Texas (2026-02-18)
- workers-compensation Complaint #TX-444036-d7695c25 — Texas (2026-01-07)
- workers-compensation Complaint #TX-443611-f1951751 — Texas (2026-01-02)
- workers-compensation Complaint #TX-442144-92ed736d — Texas (2025-12-11)
Frequently Asked Questions
How many workers-compensation complaints does TEXAS MUTUAL INSURANCE COMPANY have?
TEXAS MUTUAL INSURANCE COMPANY has 516 workers-compensation insurance complaints on file, according to NAIC and state DOI data.
What are the most common workers-compensation complaint issues with TEXAS MUTUAL INSURANCE COMPANY?
The most common workers-compensation complaint issues for TEXAS MUTUAL INSURANCE COMPANY are: Claim denial (301), Delayed payment (60), Provider or network dispute (16), Unsatisfactory Settle/Offer | Contract Language/Legal Issue (14), Premium or billing dispute (13).
Which states have the most workers-compensation complaints against TEXAS MUTUAL INSURANCE COMPANY?
The states with the most workers-compensation complaints against TEXAS MUTUAL INSURANCE COMPANY are: Texas (516).
workers-compensation Complaints by State
- workers-compensation Complaints in California
- workers-compensation Complaints in Texas
- workers-compensation Complaints in New York
- workers-compensation Complaints in Florida
- workers-compensation Complaints in Illinois
- workers-compensation Complaints in Pennsylvania
- workers-compensation Complaints in Ohio
- workers-compensation Complaints in Georgia
- workers-compensation Complaints in North Carolina
- workers-compensation Complaints in New Jersey
TEXAS MUTUAL INSURANCE COMPANY Complaints by State
- TEXAS MUTUAL INSURANCE COMPANY Complaints in California
- TEXAS MUTUAL INSURANCE COMPANY Complaints in Texas
- TEXAS MUTUAL INSURANCE COMPANY Complaints in New York
- TEXAS MUTUAL INSURANCE COMPANY Complaints in Florida
- TEXAS MUTUAL INSURANCE COMPANY Complaints in Illinois
- TEXAS MUTUAL INSURANCE COMPANY Complaints in Pennsylvania
- TEXAS MUTUAL INSURANCE COMPANY Complaints in Ohio
- TEXAS MUTUAL INSURANCE COMPANY Complaints in Georgia
- TEXAS MUTUAL INSURANCE COMPANY Complaints in North Carolina
- TEXAS MUTUAL INSURANCE COMPANY Complaints in New Jersey