Insurer profile · NAIC + CMS

Harvard Pilgrim Health Care of NE

Name: Harvard Pilgrim Health Care of NE Insurance Complaint & Denial Data
Creator: PlainInsurer
License: https://creativecommons.org/publicdomain/zero/1.0

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.

Compiled by PlainInsurer, Public-data reference publisher · August 11, 2026

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 (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 →

NAIC CIS filing desk

NAIC NAIC F · 18.4

GRADE-F · INDEX-UNK · DENIAL-HOT · RANK-UNK · PHOTO-SOLO · LINES-0 · BOOK-MID

GRADE-F F · 18.4
INDEX-UNK Index blank
DENIAL-HOT 28.8% 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.

What the NAIC filing desk shows for Harvard Pilgrim Health Care of NE

Harvard Pilgrim Health Care of NE's filing desk summarizes the NAIC complaint record and any CMS marketplace denial data on file.

See where Harvard Pilgrim Health Care of NE sits against every reporting carrier in the claim-denial rate ranking. Appeal notes for Harvard Pilgrim Health Care of NE.

Nationwide insurers with similar scores or complaint volume

Two corpus-wide peer sets for Harvard Pilgrim Health Care of NE: 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 (18.4 here). Floored at 50+ complaints and 5+ states.

Esurance (Allstate) 20.8 Globe Life 25.2 Mercury Insurance 28.8 Ambetter (Centene) 6.8

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 Accessed 2026-03-29

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Download the data behind this page

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.

Complaint-index dataset Download CSV Download JSON Read the data documentation

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.