Insurer profile · Elevance Health · NAIC + CMS

Anthem / Elevance Health

Anthem / Elevance Health's complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.

B
Reputation grade
0.94
Complaint index
14
States active

The verdict

Anthem / Elevance Health earns a B reputation grade - a better-than-average record versus peers, according to the NAIC's published complaint index, its ratio runs 0.94, near the 1.0 market average.

B
reputation grade
0.94
NAIC complaint index
BBB
Reputation grade B (composite score 70.1) - A=Excellent, F=Failing. Based on NAIC complaint ratios and CMS denial data.

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 60052 B · 70.1

GRADE-B · INDEX-MID · DENIAL-NONE · RANK-MID · PHOTO-FINISH · LINES-1 · BOOK-RICH

  • GRADE-B B · 70.1
  • INDEX-MID 0.94
  • DENIAL-NONE No CMS file
  • RANK-MID #34/72
  • PHOTO-FINISH Unum Life · C
  • LINES-1 1 line
  • BOOK-RICH 6/7 fields

Nearest complaint-index peer: Unum Life (±0.01 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 Anthem / Elevance Health

Quietest and hottest poles plus nearest index peers, not a full NAIC corpus board reprint.

Anthem / Elevance Health - complaint index neighbourhood

complaint index

What this shows According to PlainInsurer's dataset, Anthem / Elevance Health has a lower (better) NAIC complaint index than 53% of the 72 rated insurers it tracks and ranks #8 of 18 carriers by complaint ratio in Health Insurance (Individual).

Source NAIC published complaint index (2024) As of 2026

Where Anthem / Elevance Health sits on complaints

complaint index

What this shows Anthem / Elevance Health's complaint index of 0.94 is 6% below the 1.0 market average for a carrier of its size.

Source NAIC published complaint index (2024) As of 2024

Anthem / Elevance Health vs. the full rated-insurer dataset

94% Among the most affordable more affordable than 53% of 72 rated insurers

Anthem / Elevance Health 0% 425% all rated insurers, bucketed by value

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

NAIC complaint counts with PlainInsurer composite scores (multi-vintage: NAIC MCAS + CMS TiC/MA when present), 72 rated insurers 2×2 strategic matrix plotting 30 entities by Total complaints → (X) and Composite score (higher = more friction) → (Y), with a crosshair dividing the plot into four quadrants. Large, high frictionSmall, high frictionLarge, low frictionSmall, low friction 02,0004,0006,0008,000 60708090100 Total complaints → Composite score (higher = more friction) →
NAIC complaint counts with PlainInsurer composite scores (multi-vintage: NAIC MCAS + CMS TiC/MA when present), 72 rated insurers

Complaint record by line of business

Line Est. complaints Complaint index States active
Health Insurance (Individual) ~1,660 0.94 14

Health insurance market share

National ranking by direct written premiums, NAIC 2024

#5
Market share
6.44%
Direct written premiums
$108,176M
See the full market-share ranking →

What the NAIC filing desk shows for Anthem / Elevance Health

According to PlainInsurer's dataset, Anthem / Elevance Health has a lower (better) NAIC complaint index than 53% of the 72 rated insurers it tracks and ranks #8 of 18 carriers by complaint ratio in Health Insurance (Individual).

Anthem / Elevance 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 Anthem / Elevance Health.

Nationwide insurers with similar scores or complaint volume

Two corpus-wide peer sets for Anthem / Elevance 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 (70.1 here). Floored at 50+ complaints and 5+ states.

John Hancock Life 70.4 American Family Insurance 69.6 Cigna Health 69.6 State Farm Fire & Casualty 71.2

Similar complaint volume

Nearest carriers by NAIC complaint count (1,660 here). Deduped against the score peers so the two sets stay distinct.

MassMutual 1,783 complaints Guardian Life 1,834 complaints Northwestern Mutual Life 1,431 complaints New York Life 1,922 complaints
Aggregates only, not advice. Full terms on the disclaimer.

Anthem / Elevance Health is part of the Elevance Health family, alongside Anthem Ins Companies Inc(Anthem BCBS), Community Insurance Company(Anthem BCBS), Healthy Alliance Life Co(Anthem BCBS), Compcare Health Serv Ins Co(Anthem BCBS), 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 Anthem / Elevance Health

What does Anthem / Elevance Health's grade mean?
Anthem / Elevance Health received a grade of B, indicating a better-than-average record versus peers.
How many complaints does Anthem / Elevance Health have?
PlainInsurer estimates Anthem / Elevance Health's complaint volume at roughly 1,660 across 14 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 Anthem / Elevance Health?
File against Anthem / Elevance Health through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Anthem / Elevance Health a good insurance company?
PlainInsurer's B grade for Anthem / Elevance Health reflects a better-than-average record versus peers relative to peers on published complaint and denial data.
What types of insurance does Anthem / Elevance Health offer?
Based on NAIC filing data, Anthem / Elevance Health reports activity in 1 line of business: Health Insurance (Individual). Availability varies by state.

Verify Anthem / Elevance Health

Anthem / Elevance Health is filed with the NAIC under company number 60052. 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 Source

Source: NAIC published complaint index data Complaint index, reputation grade for Anthem / Elevance Health · 2024

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The full PlainInsurer extract, covering every insurer including Anthem / Elevance Health, is available as CSV and JSON. Underlying federal data is public domain; see our methodology for the compilation and grading method.

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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.