NAIC MCAS 2024 Grade A 0 states

Group Health Cooperative of South Central Wisconsin

Group Health Cooperative of South Central Wisconsin: 0 justified complaints across 0 states (NAIC MCAS 2024). Reputation grade A.

A

Reputation grade A (composite score 91.4) — A=Excellent, F=Failing. Based on NAIC complaint ratios and CMS denial data.

AAA
Reputation grade A (composite score 91.4) — A=Excellent, F=Failing. Based on NAIC complaint ratios and CMS denial data.

Excellent — very few complaints relative to peers

What This Grade Means for You

Group Health Cooperative of South Central Wisconsin has significantly fewer complaints than the industry average when adjusted for its market size. Consumers who choose this insurer can generally expect responsive service and fair claims handling. This grade reflects a strong track record across all lines of business where Group Health Cooperative of South Central Wisconsin operates.

Group Health Cooperative of South Central Wisconsin's composite score of 91.4 is derived from complaint ratios, claim denial rates, and operational data across 0 states. Scores above 70 indicate above-average consumer issues.

Data note: This data reflects complaints filed with state insurance departments and regulatory filings. A high complaint ratio does not necessarily indicate illegal behavior. Large insurers receive more complaints by volume; complaint ratios normalize by premium size. Always verify coverage decisions with your insurer or a licensed agent. This page is informational and does not constitute financial, legal, or insurance advice.

Group Health Cooperative of South Central Wisconsin appears in PlainInsurer's regulatory database with 0 justified complaints on file across 0 states . The company's composite score of 91.4 translates to a reputation grade of A — this score combines NAIC complaint ratios, available CMS claim denial data, and Medicare Advantage prior authorization metrics where applicable. Lower composite scores indicate fewer consumer problems relative to company size; higher scores indicate more.

Looking at business mix, Group Health Cooperative of South Central Wisconsin does not have a detailed line-of-business breakdown available in the current NAIC filings. A normalized complaint score is not yet available for this insurer. On the health side, the insurer's denial score of 91.5 comes from CMS Transparency in Coverage PY2025 filings, which disclose claim approval and denial rates at the plan level.

For consumers evaluating Group Health Cooperative of South Central Wisconsin, the practical implication is this: complaint ratio and denial data give a comparative view of how this insurer treats policyholders relative to peers, but they cannot predict your individual claim experience. The current A grade suggests fewer consumer problems than at most insurers of similar size, which is a positive signal — though coverage terms, price, and state-specific licensing still matter for any purchase decision. This page is not financial, legal, or insurance advice — verify all coverage terms with a licensed agent and consult your state's Department of Insurance for dispute or complaint procedures.

Total Complaints
0
0 states
Complaint Score N/A
Denial Score 91.5% Industry avg: 17%
Composite Score
91.4
Higher = more complaints

Complaint Score

N/A of 100

Normalized by premium volume across 0 states

Claim Denial Score

91.5 of 100

From CMS Transparency in Coverage PY2025

States Active

0 states

Consumer Risk Level 91.4%
National median

Composite score of 91.4 — lower is better

Source: NAIC Consumer Information Source (CIS) + CMS Medicare Advantage Star Ratings Insurer complaint counts and ratios for Group Health Cooperative of South Central Wisconsin across all reported lines of business and states · 2023 NAIC CIS aggregates state-DOI consumer complaints; complaint ratios normalize against premium volume so absolute counts and ratios can diverge. Reputation grade derived from PlainInsurer methodology applied to NAIC data.

Understanding Your Rights

If you have a dispute with Group Health Cooperative of South Central Wisconsin or any insurer, you have the right to file a complaint with your state's insurance commissioner. State regulators investigate consumer complaints, mediate disputes, and can take enforcement action against companies that violate insurance laws.

The NAIC's complaint filing page provides direct links to every state insurance department. Complaints can typically be filed online and are tracked as part of the public record that informs the complaint ratios shown on this page.

The data presented here covers all lines of business — auto, home, health, and life insurance. Complaint ratios are normalized by premium volume so that larger companies are not penalized simply for writing more policies.

Frequently Asked Questions

What does Group Health Cooperative of South Central Wisconsin's A grade mean?
Group Health Cooperative of South Central Wisconsin received a grade of A, which means "Excellent — very few complaints relative to peers." This grade is calculated from the company's NAIC complaint ratio (normalized by premium volume), CMS claim denial rates where available, and Medicare Advantage prior authorization data. A higher grade indicates fewer consumer problems relative to the size of the insurer.
How many complaints does Group Health Cooperative of South Central Wisconsin have?
Group Health Cooperative of South Central Wisconsin has 0 total complaints on record across 0 states, based on NAIC Market Conduct Annual Statement (MCAS) data. The raw complaint count alone does not tell the full story — larger insurers naturally receive more complaints. PlainInsurer uses complaint ratios (complaints per premium dollar) to compare companies fairly. Additionally, Group Health Cooperative of South Central Wisconsin has CMS Transparency in Coverage data showing its claim denial practices.
How do I file a complaint against Group Health Cooperative of South Central Wisconsin?
To file a complaint against Group Health Cooperative of South Central Wisconsin, contact your state's Department of Insurance. Every state has an insurance commissioner's office that accepts consumer complaints — you can typically file online, by phone, or by mail. The National Association of Insurance Commissioners (NAIC) also provides a central complaint portal at naic.org. Document your policy number, claim number, dates of communication, and the specific issue before filing. Your state regulator can investigate and mediate disputes between you and Group Health Cooperative of South Central Wisconsin.
Is Group Health Cooperative of South Central Wisconsin a good insurance company?
Whether Group Health Cooperative of South Central Wisconsin is a good choice depends on your coverage needs, state, and budget. PlainInsurer gives Group Health Cooperative of South Central Wisconsin a A grade based on complaint ratios and denial data. The above-average composite score suggests more consumer issues than typical insurers — compare alternatives in your state. Always compare quotes from multiple carriers and check complaint data for your specific state and line of coverage.
What types of insurance does Group Health Cooperative of South Central Wisconsin offer?
Detailed line-of-business data is not currently available for Group Health Cooperative of South Central Wisconsin. The company is licensed in 0 states. Contact Group Health Cooperative of South Central Wisconsin directly or check your state's Department of Insurance for available coverage types.
How does Group Health Cooperative of South Central Wisconsin compare to other insurers?
Group Health Cooperative of South Central Wisconsin's complaint data can be compared against other insurers using PlainInsurer's complaint ratio rankings. With a A grade, Group Health Cooperative of South Central Wisconsin ranks better than the industry average for consumer complaints. To compare specific lines of coverage, visit the line-of-business rankings. For state-level comparisons, check the state pages where Group Health Cooperative of South Central Wisconsin operates.

Compare Group Health Cooperative of South Central Wisconsin Against Another Insurer

See a side-by-side complaint ratio and denial rate comparison.

Compare →
Data: NAIC MCAS 2024 industry scorecards · CMS Transparency in Coverage PUF PY2025 · CMS Medicare Advantage analysis (CMS OIG OEI-09-22-00380, KFF 2023). Not affiliated with NAIC or CMS.
All federal data sources used on this page

Related to Group Health Cooperative of South Central Wisconsin

Primary data: NAIC Market Conduct Annual Statement (MCAS) 2024. Medicare Advantage figures: CMS Office of Inspector General audit OEI-09-22-00380 and KFF 2023 Medicare Advantage analysis. Methodology and computation by PlainInsurer Editorial — see methodology.