Reputation grade
F
Peer-relative, A–F
Insurer profile · NAIC + CMS
AmeriHealth Caritas North Carolina, Inc.
AmeriHealth Caritas North Carolina, Inc.'s complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
- F
- Reputation grade
- 30.6%
- Claims denied
- 1
- States (CMS data)
The verdict
AmeriHealth Caritas North Carolina, Inc. earns a F reputation grade - a significantly worse record than peers, according to CMS Transparency in Coverage filings, 30.6% of its marketplace claims were denied across 1 state.
- F
- reputation grade
- 30.6%
- claims denied (CMS)
NAIC complaint index
N/A
1.0 = market average; lower is better
Claim denial rate
30.6%
CMS, 1 states
Graded on 1 of 3 measures: claim denials. 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 →Other F-graded carriers in PlainInsurer's dataset include Kemper Auto and Root Insurance, and the closest overall composite score to AmeriHealth Caritas North Carolina, Inc.'s 11.4 belongs to Cigna HealthCare of Illinois, Inc. (11.9), each rescaled across the measures that carrier reports.
Other F-graded insurers
Carriers with the same peer-relative reputation grade
| Insurer | Grade |
|---|---|
| Kemper Auto | F |
| Root Insurance | F |
| Dairyland Insurance (Sentry) | F |
| Hippo Insurance | F |
| Esurance (Allstate) | F |
Closest composite score to AmeriHealth Caritas North Carolina, Inc.
Carriers with the nearest overall composite score (11.4)
| Insurer | Composite score |
|---|---|
| Cigna HealthCare of Illinois, Inc. | 11.9 |
| Banner Health and Aetna Health Plan Inc. | 12.4 |
| Oscar Health Plan of North Carolina, Inc | 10.3 |
| Oscar Health Plan, Inc. | 9.7 |
| AmeriHealth Caritas Florida, Inc. | 13.5 |
What the data shows for AmeriHealth Caritas North Carolina, Inc.
AmeriHealth Caritas North Carolina, Inc. carries a F reputation grade in PlainInsurer's dataset, with a composite score of 11.4 (higher means more consumer friction relative to size). It does not yet carry enough NAIC complaint history for a normalized complaint index.
On the claims side, CMS Transparency-in-Coverage filings show AmeriHealth Caritas North Carolina, Inc. denied 30.6% of marketplace claims across 1 reporting state - an elevated rate that warrants checking the plan's appeal-success record before enrolling.
See where AmeriHealth Caritas North Carolina, Inc. sits against every reporting carrier in the claim-denial rate ranking.
Source: NAIC Consumer Information Source complaint data (2024). Source: CMS Transparency in Coverage PUF (PY2026), cms.gov.
Aggregates only, not advice. Full terms on the disclaimer.
Questions about AmeriHealth Caritas North Carolina, Inc.
What does AmeriHealth Caritas North Carolina, Inc.'s grade mean?
AmeriHealth Caritas North Carolina, Inc. received a grade of F, indicating a significantly worse record than peers.
How many complaints does AmeriHealth Caritas North Carolina, Inc. have?
NAIC's public bulk data does not include a complaint-volume estimate for AmeriHealth Caritas North Carolina, Inc. - the carrier may be new, small, or file under a parent company. Absence of an estimate is missing data, not evidence of zero complaints.
How do I file a complaint against AmeriHealth Caritas North Carolina, Inc.?
File against AmeriHealth Caritas North Carolina, Inc. through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is AmeriHealth Caritas North Carolina, Inc. a good insurance company?
PlainInsurer's F grade for AmeriHealth Caritas North Carolina, Inc. reflects a significantly worse record than peers relative to peers on published complaint and denial data.
What types of insurance does AmeriHealth Caritas North Carolina, Inc. offer?
Detailed line-of-business data isn't currently available for AmeriHealth Caritas North Carolina, Inc.. The carrier is licensed in 0 states.
Source: NAIC published complaint index + CMS Transparency in Coverage PY2026 Complaint index, reputation grade and per-state claim denial rates for AmeriHealth Caritas North Carolina, Inc. · 2024
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The full PlainInsurer extract, covering every insurer including AmeriHealth Caritas North Carolina, Inc., 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) · CMS Transparency in Coverage PUF PY2026. 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.