Insurer profile · NAIC + CMS

Blue Cross and Blue Shield of Florida

Blue Cross and Blue Shield of Florida's complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.

C
Reputation grade
19.4%
Claims denied
1
States (CMS data)

The verdict

Blue Cross and Blue Shield of Florida earns a C reputation grade - a record near the industry median, according to CMS Transparency in Coverage filings, 19.4% of its marketplace claims were denied across 1 state.

C
reputation grade
19.4%
claims denied (CMS)

Reputation grade

C

Peer-relative, A–F

NAIC complaint index

N/A

1.0 = market average; lower is better

Claim denial rate

19.4%

CMS, 1 states

CCC
Reputation grade C (composite score 61.6) - A=Excellent, F=Failing. Based on NAIC complaint ratios and CMS denial data.

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 →

CMS marketplace filing

Reported appeal outcomes for Blue Cross and Blue Shield of Florida

3,012
appeals filed
1,433
overturned (reported outcomes)
47.6%
of appeals with a reported outcome

The reported appeals on this profile come from Florida (3,012 filed, 1,433 overturned).

CMS reports an overturn outcome for 3,012 of these 3,012 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 Blue Cross and Blue Shield of Florida

Blue Cross and Blue Shield of Florida carries a C reputation grade in PlainInsurer's dataset, with a composite score of 61.6 (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 Blue Cross and Blue Shield of Florida denied 19.4% of marketplace claims across 1 reporting state - a moderate rate that still varies by plan design and network.

See where Blue Cross and Blue Shield of Florida 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.

Other C-graded carriers in PlainInsurer's dataset include Liberty Mutual and Aetna (CVS Health), and the closest overall composite score to Blue Cross and Blue Shield of Florida's 61.6 belongs to Blue Cross and Blue Shield of Arizona, Inc. (61.1), each rescaled across the measures that carrier reports.

Other C-graded insurers

Carriers with the same peer-relative reputation grade

Insurer Grade
Liberty Mutual C
Aetna (CVS Health) C
Allstate Property C
AIG Homeowners C
Allstate Insurance C

Closest composite score to Blue Cross and Blue Shield of Florida

Carriers with the nearest overall composite score (61.6)

Insurer Composite score
Blue Cross and Blue Shield of Arizona, Inc. 61.1
Celtic Insurance Company 62.2
BCBS of Illinois 60.8
Nationwide Insurance 60.8

Questions about Blue Cross and Blue Shield of Florida

What does Blue Cross and Blue Shield of Florida's grade mean?
Blue Cross and Blue Shield of Florida received a grade of C, indicating a record near the industry median.
How many complaints does Blue Cross and Blue Shield of Florida have?
NAIC's public bulk data does not include a complaint-volume estimate for Blue Cross and Blue Shield of Florida - 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 Blue Cross and Blue Shield of Florida?
File against Blue Cross and Blue Shield of Florida through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Blue Cross and Blue Shield of Florida a good insurance company?
PlainInsurer's C grade for Blue Cross and Blue Shield of Florida reflects a record near the industry median relative to peers on published complaint and denial data.
What types of insurance does Blue Cross and Blue Shield of Florida offer?
Detailed line-of-business data isn't currently available for Blue Cross and Blue Shield of Florida. 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 Blue Cross and Blue Shield of Florida · 2024

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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.