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Arizona Health Insurance Company Complaints


This is our page on the Arizona health insurance companies which shows membership numbers and a list of the amounts of complaints that each health insurance company received in 2008.  And finally a list of the appeals and how many were found in favor of the claimant.

The two largest health insurance companies are United Health Care and Blue Cross Blue Shield of Arizona and the winner or loser of the most amount of complaints is Blue Cross Blue Shield of Arizona who has also one of the largest market shares.  The most important number of course is the ratio of premium to complaints and the worst company is Unicare who recently left Arizona.

www.id.state.az.us

Health Insurers with 2,000 or More Enrollees as of 12/31/07 (including HMO’s) Small Employer Group (2-50) Other Group Health Individual Health Total Health Insurance1 Market Share Complaints to Insurance Department during 2007 Enforcement Actions by Insurance Department Health Care Appeals 7/1/07 – 6/30/08
Enrollees as of 12/31/07 Enrollees as of 12/31/07 Enrollees as of 12/31/07 Enrollees as of 12/31/07 Based on written premium # of Complaints Ratio: # of Complaints to # of Policies 1/1/03 – 6/30/08 Total Enrollee Appeals Appeals Resolved in Enrollee’s Favor
AETNA HEALTH, INC 23,037 73,195 85 96,317 3.61% 12 0.077 717 286
AETNA LIFE INSURANCE CO 26,764 56,066 12,559 95,389 2.66% 32 0.152 1 ($7,500 Fines) 1,152 590
AMERICAN COMMUNITY MUTUAL INSURANCE CO 3,394 661 822 4,877 0.41% 2 0.163 1 ($90,000 Fines) 23 9
AMERICAN MEDICAL SECURITY LIFE INSURANCE CO 4,714 4,714 0.18% 4 0.849 22 11
AMERICAN REPUBLIC INSURANCE CO 2,180 116 2,296 0.28% 5 0.532 25 16
BLUE CROSS AND BLUE SHIELD OF ARIZONA, INC 83,162 85,585 142,097 310,844 15.35% 41 0.126 2,417 1,080
CIGNA HEALTHCARE OF ARIZONA 4,174 53,155 8,269 65,598 7.44% 20 0.206 2 ($130,000 Fines) 476 236
CONNECTICUT GENERAL LIFE INSURANCE CO 7,090 63,235 70,325 2.67% 20 0.197 2 ($206,000 Fines) 564 291
GOLDEN RULE INSURANCE CO 15,185 57 15,242 0.58% 11 0.704 116 39
HEALTH NET LIFE INSURANCE CO 25,536 31,037 19,906 76,479 2.86% 27 0.335 3 ($63,600 Fines) 474 282
HEALTH NET OF ARIZONA, INC 4,262 50,902 4,227 59,391 7.18% 30 0.282 3 ($80,000 Fines) 436 303
HUMANA HEALTH PLAN, INC 10,726 11,316 22,042 1.81% 11 0.341 1 ($44,375 Fines) 118 76
HUMANA INSURANCE CO 28,803 22,373 4,866 56,042 4.03% 47 0.628 2 ($83,625 Fines) 312 172
JOHN ALDEN LIFE INSURANCE CO 2,893 2,068 554 5,515 0.24% 4 0.679 1 ($120,000 Fines) 37 10
LIFEWISE HEALTH PLAN OF ARIZONA, INC 8,394 13,330 4,435 26,159 0.80% 6 0.229 123 106
MEGA LIFE AND HEALTH INSURANCE CO, THE 827 12,705 36 13,568 0.36% 5 0.191 18 1
MID-WEST NATIONAL LIFE INSURANCE CO OF TN 2,800 16 2,816 0.09% 3 0.615 5 0
PACIFICARE LIFE ASSURANCE CO 85,151 26,647 794 112,592 0.51% 39 0.345 3 ($61,000 Fines) 107 75
PACIFICARE OF ARIZONA, INC 7,093 46,175 53,268 15.09% 75 0.493 1 ($35,000 Fines) 186 109
PRINCIPAL LIFE INSURANCE CO 4,030 1 4,031 0.56% 2 0.018 1 ($24,000 Fines) 122 47
TIME INSURANCE CO 543 16,670 1,981 19,194 0.48% 11 0.497 150 61
TRUSTMARK LIFE INSURANCE CO 2,321 2,058 4,379 0.43% 3 0.446 1 ($150,000 Back Taxes) 218 92
UNICARE LIFE & HEALTH INSURANCE CO 2,045 3 2,048 0.35% 7 2.461 10 6
UNITED HEALTHCARE INSURANCE CO 71,763 89,059 160,822 11.69% 90 0.120 1 ($121,250 Fines) 1,969 971
UNITED HEALTHCARE OF ARIZONA, INC 15,261 26 15,287 1.28% 34 1.671 1 ($243,250 Fines) 241 93
UNITED SECURITY LIFE & HEALTH INSURANCE CO 3,377 3,377 0.08% 4 1.129 87 16
WORLD INSURANCE CO 2,163 157 2,320 0.07% 3 1.176 17 8

The Arizona Department of Insurance is an Equal Employment Opportunity agency that complies with the Americans with Disabilities Act (ADA) and the Arizonans with Disabilities Act. Persons with disabilities may request materials in an alternative format by contacting the ADA Coordinator at (602) 364-3100. Requests should be made as early as possible to allow reasonable time to make necessary arrangements to obtain materials in an alternate format.

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Insurers supply Enrollment and Appeals figures. This list does not represent an endorsement of any particular insurer. Does not include Medicare or other Limited Benefit policies.

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