NAIC · CMS · 2024–2025 Data
NAIC MCAS 2024 229 insurers 51 states
Public dataset

Is Your Insurer Getting Complaints?

Look up any U.S. insurer's complaint ratio, claim denial rate, and reputation grade — drawn from NAIC Market Conduct Annual Statement data and CMS Transparency in Coverage filings.

Insurance made plain: Compare rates, decode jargon, uncover hidden fees in everyday language.

Insurance company complaint ratios, claim denial rates, and reputation grades — free, public data from NAIC and CMS.

229 insurers across 51 states

229
Insurers Tracked
43
A-Grade Companies
41
F-Grade Companies
37
Medicare Advantage Plans
206
Denial Rate Records

How Insurers Are Graded

Reputation grade B (composite score 35.0) — A=Excellent, F=Failing. Based on NAIC complaint ratios and CMS denial data.

BBB
Reputation grade B (composite score 35.0) — A=Excellent, F=Failing. Based on NAIC complaint ratios and CMS denial data.

Our A–F grading system combines NAIC complaint ratios, CMS claim denial data, and Medicare Advantage prior authorization records. See methodology →

Auto Insurance Rates by State

NAIC 2023 — average premiums & expenditures for all 51 states

View all states →
Most Expensive
Florida
$1863.82/yr
Cheapest
North Dakota
$807.77/yr
National Average
$1190.78
per vehicle/yr
5-Year Change
+17.4%
2019 → 2023

Browse by State

All states →

Find insurers by state and see complaint data for your region.

View all 51 states →

Medicare Advantage Prior Auth

See which Medicare Advantage plans have the highest prior authorization denial rates — a major barrier to care access.

View PA Scorecard (37 plans) →
Why this matters

Prior authorization requires pre-approval before certain treatments or drugs. High denial rates can delay or block necessary care. CMS data shows significant variation across plans.

Frequently Asked Questions

What is a complaint ratio?

A complaint ratio measures the number of justified complaints filed against an insurer per $1 million in earned premiums. A ratio above 1.0 indicates more complaints than average; a ratio below 1.0 is better than average.

Where does this data come from?

Data comes from the National Association of Insurance Commissioners (NAIC) Market Conduct Annual Statement (MCAS) 2024, the CMS Transparency in Coverage PUF PY2025, and CMS Medicare Advantage analysis. All are public domain sources.

What do the letter grades mean?

Grades (A–F) reflect a composite score combining complaint ratios, claim denial rates, and prior authorization data. A = excellent (few complaints, low denials), F = poor (high complaints, high denials). The grade is a relative ranking across the insurer population, not a legal certification.

Is a high complaint ratio illegal?

No. A high complaint ratio is a signal worth investigating, not proof of wrongdoing. Large insurers naturally receive more complaints due to volume. The complaint ratio normalizes by premium size, but other factors — like the complexity of claims or state-specific regulations — also influence complaint rates.