Reputation grade
B
Peer-relative, A–F
Insurer profile · NAIC + CMS
Florida Health Care Plan, Inc.'s complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
The verdict
Florida Health Care Plan, Inc. earns a B reputation grade - a better-than-average record versus peers, according to CMS Transparency in Coverage filings, 18.5% of its marketplace claims were denied across 1 state.
Reputation grade
B
Peer-relative, A–F
NAIC complaint index
N/A
1.0 = market average; lower is better
Claim denial rate
18.5%
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
The reported appeals on this profile come from Florida (1,024 filed, 281 overturned).
CMS reports an overturn outcome for 1,024 of these 1,024 filed appeals; missing outcomes are excluded from the percentage. These filing totals are not a prediction for an individual appeal. View the CMS source ↗
Florida Health Care Plan, Inc. carries a B reputation grade in PlainInsurer's dataset, with a composite score of 65.4 (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 Florida Health Care Plan, Inc. denied 18.5% of marketplace claims across 1 reporting state - a moderate rate that still varies by plan design and network.
See where Florida Health Care Plan, 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.
Other B-graded carriers in PlainInsurer's dataset include UnitedHealthcare and Travelers Insurance, and the closest overall composite score to Florida Health Care Plan, Inc.'s 65.4 belongs to Medica Community Health Plan (64.9), each rescaled across the measures that carrier reports.
Carriers with the same peer-relative reputation grade
| Insurer | Grade |
|---|---|
| UnitedHealthcare | B |
| Travelers Insurance | B |
| Humana Health | B |
| John Hancock Life | B |
| Openly Insurance | B |
Carriers with the nearest overall composite score (65.4)
| Insurer | Composite score |
|---|---|
| Medica Community Health Plan | 64.9 |
| Network Health Plan | 65.9 |
| Progressive Insurance | 64.4 |
| American Family Homeowners | 66.4 |
Source: NAIC published complaint index + CMS Transparency in Coverage PY2026 Complaint index, reputation grade and per-state claim denial rates for Florida Health Care Plan, Inc. · 2024
The full PlainInsurer extract, covering every insurer including Florida Health Care Plan, Inc., 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.