Reputation grade
F
Peer-relative, A–F
Insurer profile · CVS Health · NAIC + CMS
Banner Health and Aetna Health Plan Inc.
Banner Health and Aetna Health Plan Inc.'s complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
- F
- Reputation grade
- 30.5%
- Claims denied
- 1
- States (CMS data)
The verdict
Banner Health and Aetna Health Plan Inc. earns a F reputation grade - a significantly worse record than peers, according to CMS Transparency in Coverage filings, 30.5% of its marketplace claims were denied across 1 state.
- F
- reputation grade
- 30.5%
- claims denied (CMS)
NAIC complaint index
N/A
1.0 = market average; lower is better
Claim denial rate
30.5%
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 Banner Health and Aetna Health Plan Inc.'s 12.4 belongs to Cigna HealthCare of Illinois, Inc. (11.9), each rescaled across the measures that carrier reports.
Banner Health and Aetna Health Plan Inc. is part of the CVS Health family, alongside Aetna (CVS Health), Aetna Health Inc. (a FL corp.), 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 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 Banner Health and Aetna Health Plan Inc.
Carriers with the nearest overall composite score (12.4)
| Insurer | Composite score |
|---|---|
| Cigna HealthCare of Illinois, Inc. | 11.9 |
| AmeriHealth Caritas North Carolina, Inc. | 11.4 |
| AmeriHealth Caritas Florida, Inc. | 13.5 |
| CareSource West Virginia Co. | 14.1 |
| Oscar Health Plan of North Carolina, Inc | 10.3 |
These claim figures are from plan year 2025, not 2026. Banner Health and Aetna Health Plan Inc. does not appear in the CMS Transparency in Coverage file for plan year 2026, so the most recent figures CMS has published for this insurer are the ones shown here. Illinois carriers left that file when the state moved to its own health-insurance marketplace for 2026; other insurers stop appearing when they exit the individual marketplace. The numbers below are unchanged and still describe the period they cover. They are simply not current-year, and are excluded from every national and state average on this site. See our methodology.
CMS marketplace filing
Reported appeal outcomes for Banner Health and Aetna Health Plan Inc.
278
appeals filed
128
overturned (reported outcomes)
46.0%
of appeals with a reported outcome
The reported appeals on this profile come from Arizona (278 filed, 128 overturned).
CMS reports an overturn outcome for 278 of these 278 filed appeals; missing outcomes are excluded from the percentage. These filing totals are not a prediction for an individual appeal. View the CMS source ↗
What the data shows for Banner Health and Aetna Health Plan Inc.
Banner Health and Aetna Health Plan Inc., part of CVS Health, carries a F reputation grade in PlainInsurer's dataset, with a composite score of 12.4 (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 Banner Health and Aetna Health Plan Inc. denied 30.5% of marketplace claims across 1 reporting state - an elevated rate that warrants checking the plan's appeal-success record before enrolling.
See where Banner Health and Aetna Health Plan 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 (PY2025), cms.gov.
Aggregates only, not advice. Full terms on the disclaimer.
Questions about Banner Health and Aetna Health Plan Inc.
What does Banner Health and Aetna Health Plan Inc.'s grade mean?
Banner Health and Aetna Health Plan Inc. received a grade of F, indicating a significantly worse record than peers.
How many complaints does Banner Health and Aetna Health Plan Inc. have?
NAIC's public bulk data does not include a complaint-volume estimate for Banner Health and Aetna Health Plan 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 Banner Health and Aetna Health Plan Inc.?
File against Banner Health and Aetna Health Plan Inc. through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Banner Health and Aetna Health Plan Inc. a good insurance company?
PlainInsurer's F grade for Banner Health and Aetna Health Plan Inc. reflects a significantly worse record than peers relative to peers on published complaint and denial data.
What types of insurance does Banner Health and Aetna Health Plan Inc. offer?
Detailed line-of-business data isn't currently available for Banner Health and Aetna Health Plan Inc.. The carrier is licensed in 0 states.
Source: NAIC published complaint index + CMS Transparency in Coverage PY2025 Complaint index, reputation grade and per-state claim denial rates for Banner Health and Aetna Health Plan Inc. · 2024
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Download the data behind this page
The full PlainInsurer extract, covering every insurer including Banner Health and Aetna Health Plan 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 PY2025. 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.