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
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 →NAIC CIS filing desk
NAIC 60054 C · 61.9
GRADE-C · INDEX-ELEV · DENIAL-NONE · RANK-LOWER · PHOTO-FINISH · LINES-1 · BOOK-RICH
- GRADE-C C · 61.9
- INDEX-ELEV 1.31
- DENIAL-NONE No CMS file
- RANK-LOWER #45/72
- PHOTO-FINISH Allstate Property · C
- LINES-1 1 line
- BOOK-RICH 6/7 fields
Nearest complaint-index peer: Allstate Property (±0.03 index pts)
Instrument codes from this carrier’s NAIC Consumer Information Source filing: grade band, complaint index, CMS denial band, corpus rank, photo-finish peer, line book, and field completeness. Not an official NAIC rating.
Complaint-index neighbourhood around Aetna (CVS Health)
Quietest and hottest poles plus nearest index peers, not a full NAIC corpus board reprint.
Aetna (CVS Health) - complaint index neighbourhood
- Northwestern Mutual… · quietest 0
Northwestern Mutual… · quietest
0 complaint index
- Florida Blue (BCBS FL) · near 1
Florida Blue (BCBS FL) · near
1 complaint index
- AIG Homeowners · near 1
AIG Homeowners · near
1 complaint index
- Aetna (CVS Health) · this carrier 1
Aetna (CVS Health) · this carrier
1 complaint index
- Allstate Property · near 1
Allstate Property · near
1 complaint index
- Liberty Mutual · near 1
Liberty Mutual · near
1 complaint index
- Gainsco Insurance · hottest
Gainsco Insurance · hottest
4 complaint index
What this shows 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).
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 NAIC filing desk 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) is outside the CMS marketplace file, but the claim-denial rate ranking shows what that data reports for the carriers it does cover. How complaint indexes place Aetna (CVS Health).
Nationwide insurers with similar scores or complaint volume
Two corpus-wide peer sets for Aetna (CVS Health): nearest national-scale carriers by composite score and by NAIC complaint volume. These are cross-market neighborhoods, not the corporate-family list or same-grade chips above.
Similar composite score
Nearest carriers by composite score (61.9 here). Floored at 50+ complaints and 5+ states.
Similar complaint volume
Nearest carriers by NAIC complaint count (8,053 here). Deduped against the score peers so the two sets stay distinct.
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.
Questions about Aetna (CVS Health)
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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
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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.