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)
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 A · 87.6
GRADE-A · INDEX-UNK · DENIAL-MID · RANK-UNK · PHOTO-SOLO · LINES-0 · BOOK-MID
- GRADE-A A · 87.6
- INDEX-UNK Index blank
- DENIAL-MID 12.3% 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.
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.
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 NAIC filing desk shows for Health Alliance Medical Plans, Inc.
Health Alliance Medical Plans, Inc.'s filing desk summarizes the NAIC complaint record and any CMS marketplace denial data on file.
See where Health Alliance Medical Plans, Inc. sits against every reporting carrier in the claim-denial rate ranking. Appeal notes for Health Alliance Medical Plans.
Nationwide insurers with similar scores or complaint volume
Two corpus-wide peer sets for Health Alliance Medical Plans, Inc.: 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 (87.6 here). Floored at 50+ complaints and 5+ states.
Questions about Health Alliance Medical Plans, Inc.
What does Health Alliance Medical Plans, Inc.'s grade mean?
How many complaints does Health Alliance Medical Plans, Inc. have?
How do I file a complaint against Health Alliance Medical Plans, Inc.?
Is Health Alliance Medical Plans, Inc. a good insurance company?
What types of insurance does Health Alliance Medical Plans, Inc. offer?
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.
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.