UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. — health Complaints in Texas

Detailed analysis of 245 health insurance complaints filed against UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 245
Total health Complaints (All States): 245
Texas Share: 100.0%
NAIC Complaint Ratio: 0
AI Risk Score: 29/100

Analysis: UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. health in Texas

UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. has accumulated 245 health insurance complaints from consumers in Texas. Across all states, UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. has 245 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 118 complaints. Other common issues include Delayed payment (65), Unsatisfactory Settle/Offer | No Jurisdiction (22), Premium or billing dispute (5).

The most active year was 2021 with 16 complaints filed.

Consumers in Texas who have health disputes with UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Claim denial	118	48.2%
Delayed payment	65	26.5%
Unsatisfactory Settle/Offer \| No Jurisdiction	22	9.0%
Premium or billing dispute	5	2.0%
Recoupment Of Claims Payment \| No Jurisdiction	5	2.0%
Policy cancellation	3	1.2%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer \| No Jurisdiction	2	0.8%
Coverage dispute	2	0.8%
Unsatisfactory Settle/Offer \| Information Furnished; No Jurisdiction	2	0.8%
Not Within TDI Jurisdiction	2	0.8%
Misrepresentation \| No Jurisdiction	2	0.8%
Misleading sales	1	0.4%
Recoupment Of Claims Payment \| Referred To; No Jurisdiction	1	0.4%
Recoupment Of Claims Payment \| Information Furnished; No Jurisdiction; Referred To	1	0.4%
Unsatisfactory Settle/Offer \| No Jurisdiction; Referred To	1	0.4%
Not Within TDI Jurisdiction; Other \| No Jurisdiction; Information Furnished	1	0.4%
Notice Requirements; Other \| No Jurisdiction	1	0.4%
Hlth Care Svcs Covg/Copay/Lmts \| No Jurisdiction; Information Furnished	1	0.4%
Enrllmt/Canc/Rnwl Of Enrollee \| No Jurisdiction	1	0.4%
Access to Care; Unsatisfactory Settle/Offer \| No Jurisdiction	1	0.4%
Not Within TDI Jurisdiction \| No Jurisdiction	1	0.4%
Provider or network dispute	1	0.4%
Cust Service Claim Handling; Recoupment Of Claims Payment \| No Jurisdiction	1	0.4%
Other \| Information Furnished	1	0.4%
Not Within TDI Jurisdiction; Other \| No Jurisdiction	1	0.4%
Access to Care; Cust Service Claim Handling \| No Jurisdiction	1	0.4%
Agent Handling; Misrepresentation \| No Jurisdiction	1	0.4%
Other \| No Jurisdiction; Information Furnished	1	0.4%

Complaints by Year

2021: 16 complaints
2020: 6 complaints
2019: 5 complaints
2018: 24 complaints
2017: 12 complaints
2016: 27 complaints
2015: 29 complaints
2014: 56 complaints
2013: 45 complaints
2012: 25 complaints

Recent health Complaints Against UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. in Texas

health Complaint #TX-323271-f66cc5f3 (2021-10-10) — Premium or billing dispute
health Complaint #TX-322571-e85c553d (2021-09-29) — Claim denial
health Complaint #TX-321656-d3f3049a (2021-09-16) — Claim denial
health Complaint #TX-318967-2c675ab2 (2021-08-11) — Premium or billing dispute
health Complaint #TX-316621-759a8ed8 (2021-07-15) — Claim denial
health Complaint #TX-314889-c992dcff (2021-06-18) — Claim denial
health Complaint #TX-314790-cafab86e (2021-06-17) — Delayed payment
health Complaint #TX-308468-794e5a9b (2021-03-12) — Delayed payment
health Complaint #TX-308333-68ba74bb (2021-03-10) — Misleading sales
health Complaint #TX-308008-7265aca7 (2021-03-07) — Claim denial

Frequently Asked Questions

How many health complaints does UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. have in Texas?

UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. has 245 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 UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. in Texas?

The most common issues are: Claim denial (118), Delayed payment (65), Unsatisfactory Settle/Offer | No Jurisdiction (22), Premium or billing dispute (5), Recoupment Of Claims Payment | No Jurisdiction (5).

How does UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.'s health record in Texas compare to other states?

UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. has 245 health complaints in Texas out of 245 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. 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.