Reputation grade
D
Peer-relative, A–F
Insurer profile · NAIC + CMS
Hawaii Medical Service Association's complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
The verdict
Hawaii Medical Service Association earns a D reputation grade - a worse-than-average record versus peers, according to CMS Transparency in Coverage filings, 27.3% of its marketplace claims were denied across 1 state.
Reputation grade
D
Peer-relative, A–F
NAIC complaint index
N/A
1.0 = market average; lower is better
Claim denial rate
27.3%
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 →Other D-graded carriers in PlainInsurer's dataset include Globe Life and Primerica Life Insurance, and the closest overall composite score to Hawaii Medical Service Association's 25.4 belongs to UnitedHealthcare of Mississippi, Inc. (25.9), each rescaled across the measures that carrier reports.
Carriers with the same peer-relative reputation grade
| Insurer | Grade |
|---|---|
| Globe Life | D |
| Primerica Life Insurance | D |
| Liberty Mutual Homeowners | D |
| GEICO | D |
| Farmers Insurance | D |
Carriers with the nearest overall composite score (25.4)
| Insurer | Composite score |
|---|---|
| UnitedHealthcare of Mississippi, Inc. | 25.9 |
| BlueCross BlueShield of Tennessee | 26.5 |
| UnitedHealthcare of North Carolina, Inc | 23.8 |
| Medica Insurance Company | 27.0 |
CMS marketplace filing
The reported appeals on this profile come from Hawaii (104 filed, 52 overturned).
CMS reports an overturn outcome for 104 of these 104 filed appeals; missing outcomes are excluded from the percentage. These filing totals are not a prediction for an individual appeal. View the CMS source ↗
Hawaii Medical Service Association carries a D reputation grade in PlainInsurer's dataset, with a composite score of 25.4 (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 Hawaii Medical Service Association denied 27.3% of marketplace claims across 1 reporting state - an elevated rate that warrants checking the plan's appeal-success record before enrolling.
See where Hawaii Medical Service Association 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.
Source: NAIC published complaint index + CMS Transparency in Coverage PY2026 Complaint index, reputation grade and per-state claim denial rates for Hawaii Medical Service Association · 2024
The full PlainInsurer extract, covering every insurer including Hawaii Medical Service Association, 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.