Insurer profile · NAIC + CMS

HMO Louisiana, Inc.

HMO Louisiana, Inc.'s complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.

B
Reputation grade
16.6%
Claims denied
1
States (CMS data)

The verdict

HMO Louisiana, Inc. earns a B reputation grade - a better-than-average record versus peers, according to CMS Transparency in Coverage filings, 16.6% of its marketplace claims were denied across 1 state.

B
reputation grade
16.6%
claims denied (CMS)

Reputation grade

B

Peer-relative, A–F

NAIC complaint index

N/A

1.0 = market average; lower is better

Claim denial rate

16.6%

CMS, 1 states

BBB
Reputation grade B (composite score 74.6) - 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 →

CMS marketplace filing

Reported appeal outcomes for HMO Louisiana, Inc.

1,813
appeals filed
602
overturned (reported outcomes)
33.2%
of appeals with a reported outcome

The reported appeals on this profile come from Louisiana (1,813 filed, 602 overturned).

CMS reports an overturn outcome for 1,813 of these 1,813 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 HMO Louisiana, Inc.

HMO Louisiana, Inc. carries a B reputation grade in PlainInsurer's dataset, with a composite score of 74.6 (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 HMO Louisiana, Inc. denied 16.6% of marketplace claims across 1 reporting state - a moderate rate that still varies by plan design and network.

See where HMO Louisiana, 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 (PY2026), cms.gov.

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 HMO Louisiana, Inc.'s 74.6 belongs to HMO Partners, Inc. (74.1), each rescaled across the measures that carrier reports.

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 HMO Louisiana, Inc.

Carriers with the nearest overall composite score (74.6)

Insurer Composite score
HMO Partners, Inc. 74.1
Ambetter of Magnolia Inc. 75.1
PacificSource Health Plans 73.5
Primewell Health Services of Mississippi, Inc. 73.5
USAble HMO, Inc. 75.7

Questions about HMO Louisiana, Inc.

What does HMO Louisiana, Inc.'s grade mean?
HMO Louisiana, Inc. received a grade of B, indicating a better-than-average record versus peers.
How many complaints does HMO Louisiana, Inc. have?
NAIC's public bulk data does not include a complaint-volume estimate for HMO Louisiana, 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 HMO Louisiana, Inc.?
File against HMO Louisiana, Inc. through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is HMO Louisiana, Inc. a good insurance company?
PlainInsurer's B grade for HMO Louisiana, Inc. reflects a better-than-average record versus peers relative to peers on published complaint and denial data.
What types of insurance does HMO Louisiana, Inc. offer?
Detailed line-of-business data isn't currently available for HMO Louisiana, Inc.. 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 HMO Louisiana, Inc. · 2024

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The full PlainInsurer extract, covering every insurer including HMO Louisiana, 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 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.