Reputation grade
F
Peer-relative, A–F
Insurer profile · NAIC + CMS
CareSource West Virginia Co.
CareSource West Virginia Co.'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
CareSource West Virginia Co. 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 →CMS marketplace filing
Reported appeal outcomes for CareSource West Virginia Co.
993
appeals filed
65
overturned (reported outcomes)
6.5%
of appeals with a reported outcome
The reported appeals on this profile come from West Virginia (993 filed, 65 overturned).
CMS reports an overturn outcome for 993 of these 993 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 West Virginia Co.
CareSource West Virginia Co. carries a F reputation grade in PlainInsurer's dataset, with a composite score of 14.1 (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 West Virginia Co. 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 CareSource West Virginia Co. 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 F-graded carriers in PlainInsurer's dataset include Kemper Auto and Root Insurance, and the closest overall composite score to CareSource West Virginia Co.'s 14.1 belongs to Moda Health Plan, Inc. (14.6), 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 CareSource West Virginia Co.
Carriers with the nearest overall composite score (14.1)
| Insurer | Composite score |
|---|---|
| Moda Health Plan, Inc. | 14.6 |
| AmeriHealth Caritas Florida, Inc. | 13.5 |
| AmeriHealth Caritas VIP Next, Inc. | 15.1 |
| Tower Hill Insurance | 15.2 |
| Banner Health and Aetna Health Plan Inc. | 12.4 |
Questions about CareSource West Virginia Co.
What does CareSource West Virginia Co.'s grade mean?
CareSource West Virginia Co. received a grade of F, indicating a significantly worse record than peers.
How many complaints does CareSource West Virginia Co. have?
NAIC's public bulk data does not include a complaint-volume estimate for CareSource West Virginia Co. - 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 West Virginia Co.?
File against CareSource West Virginia Co. through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is CareSource West Virginia Co. a good insurance company?
PlainInsurer's F grade for CareSource West Virginia Co. reflects a significantly worse record than peers relative to peers on published complaint and denial data.
What types of insurance does CareSource West Virginia Co. offer?
Detailed line-of-business data isn't currently available for CareSource West Virginia Co.. 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 West Virginia Co. · 2024
Share, download, and related pages for CareSource West Virginia
Download the data behind this page
The full PlainInsurer extract, covering every insurer including CareSource West Virginia Co., 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.