Insurer profile · NAIC + CMS

Health Alliance Medical Plans, Inc.

Health Alliance Medical Plans, Inc.'s complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.

A
Reputation grade
12.3%
Claims denied
1
States (CMS data)

The verdict

Health Alliance Medical Plans, Inc. earns a A reputation grade - far fewer consumer problems than peers of its size, according to CMS Transparency in Coverage filings, 12.3% of its marketplace claims were denied across 1 state.

A
reputation grade
12.3%
claims denied (CMS)

Reputation grade

A

Peer-relative, A–F

NAIC complaint index

N/A

1.0 = market average; lower is better

Claim denial rate

12.3%

CMS, 1 states

AAA
Reputation grade A (composite score 87.6) - 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 A-graded carriers in PlainInsurer's dataset include Lincoln National Life and Principal Financial, and the closest overall composite score to Health Alliance Medical Plans, Inc.'s 87.6 belongs to New York Life (87.6), each rescaled across the measures that carrier reports.

Other A-graded insurers

Carriers with the same peer-relative reputation grade

Insurer Grade
Lincoln National Life A
Principal Financial A
TIAA Life A
Mutual of Omaha A
USAA Homeowners A

Closest composite score to Health Alliance Medical Plans, Inc.

Carriers with the nearest overall composite score (87.6)

Insurer Composite score
New York Life 87.6
Aspirus Health Plan, Inc. 87.0
Guardian Life 88.4
Community Insurance Company(Anthem BCBS) 86.5
USAA 86.4

These claim figures are from plan year 2025, not 2026. Health Alliance Medical Plans, Inc. does not appear in the CMS Transparency in Coverage file for plan year 2026, so the most recent figures CMS has published for this insurer are the ones shown here. Illinois carriers left that file when the state moved to its own health-insurance marketplace for 2026; other insurers stop appearing when they exit the individual marketplace. The numbers below are unchanged and still describe the period they cover. They are simply not current-year, and are excluded from every national and state average on this site. See our methodology.

CMS marketplace filing

Reported appeal outcomes for Health Alliance Medical Plans, Inc.

221
appeals filed
88
overturned (reported outcomes)
39.8%
of appeals with a reported outcome

The reported appeals on this profile come from Illinois (221 filed, 88 overturned).

CMS reports an overturn outcome for 221 of these 221 filed appeals; missing outcomes are excluded from the percentage. These filing totals are not a prediction for an individual appeal. View the CMS source ↗

What the data shows for Health Alliance Medical Plans, Inc.

Health Alliance Medical Plans, Inc. carries a A reputation grade in PlainInsurer's dataset, with a composite score of 87.6 (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 Health Alliance Medical Plans, Inc. denied 12.3% of marketplace claims across 1 reporting state - a moderate rate that still varies by plan design and network.

See where Health Alliance Medical Plans, 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 (PY2025), cms.gov.

Aggregates only, not advice. Full terms on the disclaimer.

Questions about Health Alliance Medical Plans, Inc.

What does Health Alliance Medical Plans, Inc.'s grade mean?
Health Alliance Medical Plans, Inc. received a grade of A, indicating far fewer consumer problems than peers of its size.
How many complaints does Health Alliance Medical Plans, Inc. have?
NAIC's public bulk data does not include a complaint-volume estimate for Health Alliance Medical Plans, Inc. - 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 Health Alliance Medical Plans, Inc.?
File against Health Alliance Medical Plans, Inc. through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Health Alliance Medical Plans, Inc. a good insurance company?
PlainInsurer's A grade for Health Alliance Medical Plans, Inc. reflects far fewer consumer problems than peers of its size relative to peers on published complaint and denial data.
What types of insurance does Health Alliance Medical Plans, Inc. offer?
Detailed line-of-business data isn't currently available for Health Alliance Medical Plans, Inc.. The carrier is licensed in 0 states.

Source: NAIC published complaint index + CMS Transparency in Coverage PY2025 Complaint index, reputation grade and per-state claim denial rates for Health Alliance Medical Plans, Inc. · 2024

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The full PlainInsurer extract, covering every insurer including Health Alliance Medical Plans, Inc., 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 PY2025. 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.