Insurer profile · NAIC + CMS

CareSource Ohio, Inc.

CareSource Ohio, Inc.'s complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.

D
Reputation grade
23.4%
Claims denied
1
States (CMS data)

The verdict

CareSource Ohio, Inc. earns a D reputation grade - a worse-than-average record versus peers, according to CMS Transparency in Coverage filings, 23.4% of its marketplace claims were denied across 1 state.

D
reputation grade
23.4%
claims denied (CMS)

Reputation grade

D

Peer-relative, A–F

NAIC complaint index

N/A

1.0 = market average; lower is better

Claim denial rate

23.4%

CMS, 1 states

DDD
Reputation grade D (composite score 39.5) - 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 CareSource Ohio, Inc.

5,001
appeals filed
952
overturned (reported outcomes)
19.0%
of appeals with a reported outcome

The reported appeals on this profile come from Ohio (5,001 filed, 952 overturned).

CMS reports an overturn outcome for 5,001 of these 5,001 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 CareSource Ohio, Inc.

CareSource Ohio, Inc. carries a D reputation grade in PlainInsurer's dataset, with a composite score of 39.5 (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 CareSource Ohio, Inc. denied 23.4% of marketplace claims across 1 reporting state - an elevated rate that warrants checking the plan's appeal-success record before enrolling.

See where CareSource Ohio, 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.

Other D-graded carriers in PlainInsurer's dataset include Globe Life and Primerica Life Insurance, and the closest overall composite score to CareSource Ohio, Inc.'s 39.5 belongs to Oscar Health (40.3), each rescaled across the measures that carrier reports.

Other D-graded insurers

Carriers with the same peer-relative reputation grade

Insurer Grade
Globe Life D
Primerica Life Insurance D
Liberty Mutual Homeowners D
GEICO D
Farmers Insurance D

Closest composite score to CareSource Ohio, Inc.

Carriers with the nearest overall composite score (39.5)

Insurer Composite score
Oscar Health 40.3
Aetna Health Inc. (a FL corp.) 40.5
Molina Healthcare of Ohio, Inc. 38.4
Molina Healthcare of Mississippi, Inc 41.1
Molina Healthcare of Utah 37.8

Questions about CareSource Ohio, Inc.

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

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The full PlainInsurer extract, covering every insurer including CareSource Ohio, Inc., 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) · 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.