Reputation grade
C
Peer-relative, A–F
Insurer profile · CVS Health · NAIC + CMS
Aetna (CVS Health)
Aetna (CVS Health)'s complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
- C
- Reputation grade
- 1.31
- Complaint index
- 50
- States active
The verdict
Aetna (CVS Health) earns a C reputation grade - a record near the industry median, according to the NAIC's published complaint index, its ratio runs 1.31, above the 1.0 market average.
- C
- reputation grade
- 1.31
- NAIC complaint index
NAIC complaint index
1.31
1.0 = market average; lower is better
Est. complaint volume
~8,053
across 50 states, index-derived
Graded on 2 of 3 measures: NAIC complaints, prior authorisation. The score is rescaled across the measures available, so it is not directly comparable with a carrier graded on more of them.
How we calculated this grade →Where Aetna (CVS Health) sits on complaints
- Best in data 0
Lowest complaint index in PlainInsurer's dataset: 0.23
0 complaint index
- Market avg 1
Market average complaint index = 1.0 (NAIC benchmark)
1 complaint index
- Aetna (CVS Health) 1
Aetna (CVS Health): complaint index 1.31
1 complaint index
- Worst in data
Highest complaint index in PlainInsurer's dataset: 3.87
4 complaint index
What this shows Aetna (CVS Health)'s complaint index of 1.31 is 31% above the 1.0 market average for a carrier of its size.
Aetna (CVS Health) vs. the full rated-insurer dataset
131% 38th percentile more affordable than 38% of 72 rated insurers
Each bar is a band; taller bars hold more rated insurers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source NAIC published complaint index (2024) · 2024
Scale vs. complaint-adjusted score
Complaint record by line of business
| Line | Est. complaints | Complaint index | States active |
|---|---|---|---|
| Health Insurance (Individual) | ~8,053 | 1.31 | 50 |
What the data shows for Aetna (CVS Health)
According to PlainInsurer's dataset, Aetna (CVS Health) has a lower (better) NAIC complaint index than 38% of the 72 rated insurers it tracks and ranks #13 of 18 carriers by complaint ratio in Health Insurance (Individual).
Aetna (CVS Health), part of CVS Health, carries a C reputation grade in PlainInsurer's dataset, with a composite score of 61.9 (higher means more consumer friction relative to size). Its NAIC complaint index of 1.31 sits above the 1.0 market average, meaning policyholders escalate more disputes to regulators than is typical for a carrier of its premium volume.
Aetna (CVS Health) does not appear in the CMS marketplace claim-denial file, which covers individual-market health issuers, common for auto, home and life carriers. The carrier reports activity across 1 line of business.
Aetna (CVS Health) is outside the CMS marketplace file, but the claim-denial rate ranking shows what that data reports for the carriers it does cover.
Source: NAIC Consumer Information Source complaint data (2024). See methodology.
Aggregates only, not advice. Full terms on the disclaimer.
Other C-graded carriers in PlainInsurer's dataset include Liberty Mutual and Allstate Property, and the closest overall composite score to Aetna (CVS Health)'s 61.9 belongs to Blue Cross and Blue Shield of Florida (61.6), each rescaled across the measures that carrier reports.
Aetna (CVS Health) is part of the CVS Health family, alongside Aetna Health Inc. (a FL corp.), Banner Health and Aetna Health Plan Inc., Aetna Life Insurance Company, Aetna Health Inc. (a TX corp.), and 1 more in PlainInsurer's dataset -- a shared parent doesn't mean shared performance, so check each subsidiary's own record before assuming they behave alike.
Other C-graded insurers
Carriers with the same peer-relative reputation grade
| Insurer | Grade |
|---|---|
| Liberty Mutual | C |
| Allstate Property | C |
| AIG Homeowners | C |
| Allstate Insurance | C |
| Transamerica Life | C |
Closest composite score to Aetna (CVS Health)
Carriers with the nearest overall composite score (61.9)
| Insurer | Composite score |
|---|---|
| Blue Cross and Blue Shield of Florida | 61.6 |
| Celtic Insurance Company | 62.2 |
| Blue Cross and Blue Shield of Arizona, Inc. | 61.1 |
| Unum Life | 62.8 |
| BCBS of Illinois | 60.8 |
Questions about Aetna (CVS Health)
What does Aetna (CVS Health)'s grade mean?
Aetna (CVS Health) received a grade of C, indicating a record near the industry median.
How many complaints does Aetna (CVS Health) have?
PlainInsurer estimates Aetna (CVS Health)'s complaint volume at roughly 8,053 across 50 states, derived from its published NAIC complaint index and market footprint (NAIC does not release exact per-company complaint counts via public bulk data).
How do I file a complaint against Aetna (CVS Health)?
File against Aetna (CVS Health) through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Aetna (CVS Health) a good insurance company?
PlainInsurer's C grade for Aetna (CVS Health) reflects a record near the industry median relative to peers on published complaint and denial data.
What types of insurance does Aetna (CVS Health) offer?
Based on NAIC filing data, Aetna (CVS Health) reports activity in 1 line of business: Health Insurance (Individual). Availability varies by state.
Verify Aetna (CVS Health)
Aetna (CVS Health) is filed with the NAIC under company number 60054. Search that number directly in the NAIC's own public consumer-information tool to cross-check this page against the primary source.
Verify on NAIC Consumer Information SourceSource: NAIC published complaint index data Complaint index, reputation grade for Aetna (CVS Health) · 2024
Share, download, and related pages for Aetna (CVS Health)
Download the data behind this page
The full PlainInsurer extract, covering every insurer including Aetna (CVS Health), is available as CSV and JSON. Underlying federal data is public domain; see our methodology for the compilation and grading method.
Data: NAIC published complaint index (2024). Not affiliated with NAIC or CMS.
Every figure on PlainInsurer comes directly from NAIC MCAS and CMS Transparency in Coverage data; no editor types in numbers. See our editorial standards or methodology, or report an error. Data current as of 2026-08-11. Grades measure only the published complaint/denial data; we don't recommend any insurer or policy.