Insurer profile · Cigna · NAIC + CMS

Cigna HealthCare of North Carolina, Inc.

Cigna HealthCare of North Carolina, Inc.'s complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.

C
Reputation grade
21.0%
Claims denied
1
States (CMS data)

The verdict

Cigna HealthCare of North Carolina, Inc. earns a C reputation grade - a record near the industry median, according to CMS Transparency in Coverage filings, 21.0% of its marketplace claims were denied across 1 state.

C
reputation grade
21.0%
claims denied (CMS)
CCC
Reputation grade C (composite score 50.3) - 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 →

NAIC CIS filing desk

NAIC NAIC C · 50.3

GRADE-C · INDEX-UNK · DENIAL-ELEV · RANK-UNK · PHOTO-SOLO · LINES-0 · BOOK-MID

  • GRADE-C C · 50.3
  • INDEX-UNK Index blank
  • DENIAL-ELEV 21.0% denied
  • RANK-UNK Rank pending
  • PHOTO-SOLO No peer gap
  • LINES-0 No lines
  • BOOK-MID 3/7 fields

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.

Cigna HealthCare of North Carolina, Inc. is part of the Cigna family, alongside Cigna Health, Cigna Health and Life Insurance Company, Cigna HealthCare of Texas, Inc., Cigna HealthCare of Arizona, Inc, 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.

CMS marketplace filing

Reported appeal outcomes for Cigna HealthCare of North Carolina, Inc.

150
appeals filed
39
overturned (reported outcomes)
26.0%
of appeals with a reported outcome

The reported appeals on this profile come from North Carolina (150 filed, 39 overturned).

CMS reports an overturn outcome for 150 of these 150 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 NAIC filing desk shows for Cigna HealthCare of North Carolina, Inc.

Cigna HealthCare of North Carolina, Inc.'s filing desk summarizes the NAIC complaint record and any CMS marketplace denial data on file.

See where Cigna HealthCare of North Carolina, Inc. sits against every reporting carrier in the claim-denial rate ranking. Appeal notes for Cigna HealthCare of North Carolina.

Nationwide insurers with similar scores or complaint volume

Two corpus-wide peer sets for Cigna HealthCare of North Carolina, Inc.: 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 (50.3 here). Floored at 50+ complaints and 5+ states.

Molina Healthcare 50.4 AIG Homeowners 50.8 Allstate Insurance 51.6 Allstate Property 46.4
Aggregates only, not advice. Full terms on the disclaimer.

Questions about Cigna HealthCare of North Carolina, Inc.

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

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The full PlainInsurer extract, covering every insurer including Cigna HealthCare of North Carolina, 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.