Insurer profile · NAIC + CMS

Harvard Pilgrim Health Care of NE

Harvard Pilgrim Health Care of NE's complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.

F
Reputation grade
28.8%
Claims denied
1
States (CMS data)

The verdict

Harvard Pilgrim Health Care of NE earns a F reputation grade - a significantly worse record than peers, according to CMS Transparency in Coverage filings, 28.8% of its marketplace claims were denied across 1 state.

F
reputation grade
28.8%
claims denied (CMS)

Reputation grade

F

Peer-relative, A–F

NAIC complaint index

N/A

1.0 = market average; lower is better

Claim denial rate

28.8%

CMS, 1 states

FFF
Reputation grade F (composite score 18.4) - 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 F-graded carriers in PlainInsurer's dataset include Kemper Auto and Root Insurance, and the closest overall composite score to Harvard Pilgrim Health Care of NE's 18.4 belongs to AvMed, Inc. (18.9), 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 Harvard Pilgrim Health Care of NE

Carriers with the nearest overall composite score (18.4)

Insurer Composite score
AvMed, Inc. 18.9
UnitedHealthcare Insurance Company 18.9
Summa Insurance Company, Inc. 17.8
Aetna Health Inc. (a TX corp.) 16.8
UnitedHealthcare of Arizona, Inc. 20.0

What the data shows for Harvard Pilgrim Health Care of NE

Harvard Pilgrim Health Care of NE carries a F reputation grade in PlainInsurer's dataset, with a composite score of 18.4 (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 Harvard Pilgrim Health Care of NE denied 28.8% of marketplace claims across 1 reporting state - an elevated rate that warrants checking the plan's appeal-success record before enrolling.

See where Harvard Pilgrim Health Care of NE 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 Harvard Pilgrim Health Care of NE

What does Harvard Pilgrim Health Care of NE's grade mean?
Harvard Pilgrim Health Care of NE received a grade of F, indicating a significantly worse record than peers.
How many complaints does Harvard Pilgrim Health Care of NE have?
NAIC's public bulk data does not include a complaint-volume estimate for Harvard Pilgrim Health Care of NE - 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 Harvard Pilgrim Health Care of NE?
File against Harvard Pilgrim Health Care of NE through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Harvard Pilgrim Health Care of NE a good insurance company?
PlainInsurer's F grade for Harvard Pilgrim Health Care of NE reflects a significantly worse record than peers relative to peers on published complaint and denial data.
What types of insurance does Harvard Pilgrim Health Care of NE offer?
Detailed line-of-business data isn't currently available for Harvard Pilgrim Health Care of NE. 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 Harvard Pilgrim Health Care of NE · 2024

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The full PlainInsurer extract, covering every insurer including Harvard Pilgrim Health Care of NE, 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.