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)

Reputation grade

C

Peer-relative, A–F

NAIC complaint index

N/A

1.0 = market average; lower is better

Claim denial rate

21.0%

CMS, 1 states

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 →

Other C-graded carriers in PlainInsurer's dataset include Liberty Mutual and Aetna (CVS Health), and the closest overall composite score to Cigna HealthCare of North Carolina, Inc.'s 50.3 belongs to Molina Healthcare (50.4), each rescaled across the measures that carrier reports.

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.

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 Cigna HealthCare of North Carolina, Inc.

Carriers with the nearest overall composite score (50.3)

Insurer Composite score
Molina Healthcare 50.4
Ambetter of North Carolina Inc. 49.7
Blue Cross Blue Shield of Illinois 49.2
Ambetter Health of Louisiana, Inc. 51.4

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 data shows for Cigna HealthCare of North Carolina, Inc.

Cigna HealthCare of North Carolina, Inc., part of Cigna, carries a C reputation grade in PlainInsurer's dataset, with a composite score of 50.3 (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 Cigna HealthCare of North Carolina, Inc. denied 21.0% of marketplace claims across 1 reporting state - an elevated rate that warrants checking the plan's appeal-success record before enrolling.

See where Cigna HealthCare of North Carolina, 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.

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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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.