Reputation grade
B
Peer-relative, A–F
Insurer profile · Highmark · NAIC + CMS
Highmark Health
Highmark Health's complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
- B
- Reputation grade
- 0.89
- Complaint index
- 4
- States active
The verdict
Highmark Health earns a B reputation grade - a better-than-average record versus peers, according to the NAIC's published complaint index, its ratio runs 0.89, near the 1.0 market average.
- B
- reputation grade
- 0.89
- NAIC complaint index
NAIC complaint index
0.89
1.0 = market average; lower is better
Est. complaint volume
~483
across 4 states, index-derived
Graded on 2 of 3 measures: NAIC complaints, prior authorisation. 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 →Where Highmark Health sits on complaints
- Best in data 0
Lowest complaint index in PlainInsurer's dataset: 0.23
0 complaint index
- Market avg 1
Market average complaint index = 1.0 (NAIC benchmark)
1 complaint index
- Highmark Health 1
Highmark Health: complaint index 0.89
1 complaint index
- Worst in data
Highest complaint index in PlainInsurer's dataset: 3.87
4 complaint index
What this shows Highmark Health's complaint index of 0.89 is 11% below the 1.0 market average for a carrier of its size.
Highmark Health vs. the full rated-insurer dataset
89% Among the most affordable more affordable than 57% of 72 rated insurers
Each bar is a band; taller bars hold more rated insurers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source NAIC published complaint index (2024) · 2024
Scale vs. complaint-adjusted score
Complaint record by line of business
| Line | Est. complaints | Complaint index | States active |
|---|---|---|---|
| Health Insurance (Individual) | ~483 | 0.89 | 4 |
Health insurance market share
National ranking by direct written premiums, NAIC 2024
Market share
1.29%
Direct written premiums
$21,666.1M
What the data shows for Highmark Health
According to PlainInsurer's dataset, Highmark Health has a lower (better) NAIC complaint index than 57% of the 72 rated insurers it tracks and ranks #7 of 18 carriers by complaint ratio in Health Insurance (Individual).
Highmark Health, part of Highmark, carries a B reputation grade in PlainInsurer's dataset, with a composite score of 71.9 (higher means more consumer friction relative to size). Its NAIC complaint index of 0.89 sits below the 1.0 market average, meaning policyholders escalate fewer disputes to regulators than is typical for a carrier of its premium volume.
Highmark Health does not appear in the CMS marketplace claim-denial file, which covers individual-market health issuers, common for auto, home and life carriers. The carrier reports activity across 1 line of business.
Highmark Health is outside the CMS marketplace file, but the claim-denial rate ranking shows what that data reports for the carriers it does cover.
Source: NAIC Consumer Information Source complaint data (2024). See methodology.
Aggregates only, not advice. Full terms on the disclaimer.
Other B-graded carriers in PlainInsurer's dataset include UnitedHealthcare and Travelers Insurance, and the closest overall composite score to Highmark Health's 71.9 belongs to Medical Health Insuring Corp. of Ohio (71.9), each rescaled across the measures that carrier reports.
Highmark Health is part of the Highmark family, alongside Highmark Blue Cross Blue Shield West Virginia and Highmark BCBSD Inc. in PlainInsurer's dataset -- a shared parent doesn't mean shared performance, so check each subsidiary's own record before assuming they behave alike.
Other B-graded insurers
Carriers with the same peer-relative reputation grade
| Insurer | Grade |
|---|---|
| UnitedHealthcare | B |
| Travelers Insurance | B |
| Humana Health | B |
| John Hancock Life | B |
| Openly Insurance | B |
Closest composite score to Highmark Health
Carriers with the nearest overall composite score (71.9)
| Insurer | Composite score |
|---|---|
| Medical Health Insuring Corp. of Ohio | 71.9 |
| Blue Cross and Blue Shield of South Carolina | 72.4 |
| Wellmark of South Dakota | 71.4 |
| State Farm Fire & Casualty | 71.2 |
Questions about Highmark Health
What does Highmark Health's grade mean?
Highmark Health received a grade of B, indicating a better-than-average record versus peers.
How many complaints does Highmark Health have?
PlainInsurer estimates Highmark Health's complaint volume at roughly 483 across 4 states, derived from its published NAIC complaint index and market footprint (NAIC does not release exact per-company complaint counts via public bulk data).
How do I file a complaint against Highmark Health?
File against Highmark Health through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Highmark Health a good insurance company?
PlainInsurer's B grade for Highmark Health reflects a better-than-average record versus peers relative to peers on published complaint and denial data.
What types of insurance does Highmark Health offer?
Based on NAIC filing data, Highmark Health reports activity in 1 line of business: Health Insurance (Individual). Availability varies by state.
Verify Highmark Health
Highmark Health is filed with the NAIC under company number 35601. Search that number directly in the NAIC's own public consumer-information tool to cross-check this page against the primary source.
Verify on NAIC Consumer Information SourceSource: NAIC published complaint index data Complaint index, reputation grade for Highmark Health · 2024
Share, download, and related pages for Highmark Health
Download the data behind this page
The full PlainInsurer extract, covering every insurer including Highmark Health, 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). 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.