Insurer profile · Humana · NAIC + CMS

Humana Health

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

B
Reputation grade
0.87
Complaint index
48
States active

The verdict

Humana Health earns a B reputation grade - a better-than-average record versus peers, according to the NAIC's published complaint index, its ratio runs 0.87, near the 1.0 market average.

B
reputation grade
0.87
NAIC complaint index

Reputation grade

B

Peer-relative, A–F

NAIC complaint index

0.87

1.0 = market average; lower is better

Est. complaint volume

~5,175

across 48 states, index-derived

BBB
Reputation grade B (composite score 72.1) - A=Excellent, F=Failing. Based on NAIC complaint ratios and CMS denial data.

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 Humana Health sits on complaints

complaint index

What this shows Humana Health's complaint index of 0.87 is 13% below the 1.0 market average for a carrier of its size.

Source NAIC published complaint index (2024) As of 2024

Humana Health vs. the full rated-insurer dataset

87% Among the most affordable more affordable than 61% of 72 rated insurers

Humana Health 0% 425% all rated insurers, bucketed by value

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

NAIC complaint counts with PlainInsurer composite scores (multi-vintage: NAIC MCAS + CMS TiC/MA when present), 72 rated insurers 2×2 strategic matrix plotting 30 entities by Total complaints → (X) and Composite score (higher = more friction) → (Y), with a crosshair dividing the plot into four quadrants. Large, high frictionSmall, high frictionLarge, low frictionSmall, low friction 02,0004,0006,0008,00010,000 020406080100 Total complaints → Composite score (higher = more friction) →
NAIC complaint counts with PlainInsurer composite scores (multi-vintage: NAIC MCAS + CMS TiC/MA when present), 72 rated insurers

Complaint record by line of business

Line Est. complaints Complaint index States active
Health Insurance (Individual) ~5,175 0.87 48

Health insurance market share

National ranking by direct written premiums, NAIC 2024

#4
Market share
6.59%
Direct written premiums
$110,551.5M
See the full market-share ranking →

What the data shows for Humana Health

According to PlainInsurer's dataset, Humana Health has a lower (better) NAIC complaint index than 61% of the 72 rated insurers it tracks and ranks #6 of 18 carriers by complaint ratio in Health Insurance (Individual).

Humana Health, part of Humana, carries a B reputation grade in PlainInsurer's dataset, with a composite score of 72.1 (higher means more consumer friction relative to size). Its NAIC complaint index of 0.87 sits below the 1.0 market average, meaning policyholders escalate fewer disputes to regulators than is typical for a carrier of its premium volume.

Humana 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.

Humana 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 Humana Health's 72.1 belongs to Highmark Health (71.9), 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
John Hancock Life B
Openly Insurance B
State Farm Fire & Casualty B

Closest composite score to Humana Health

Carriers with the nearest overall composite score (72.1)

Insurer Composite score
Highmark Health 71.9
Medical Health Insuring Corp. of Ohio 71.9
Blue Cross and Blue Shield of South Carolina 72.4
Wellmark of South Dakota 71.4

Questions about Humana Health

What does Humana Health's grade mean?
Humana Health received a grade of B, indicating a better-than-average record versus peers.
How many complaints does Humana Health have?
PlainInsurer estimates Humana Health's complaint volume at roughly 5,175 across 48 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 Humana Health?
File against Humana Health through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Humana Health a good insurance company?
PlainInsurer's B grade for Humana Health reflects a better-than-average record versus peers relative to peers on published complaint and denial data.
What types of insurance does Humana Health offer?
Based on NAIC filing data, Humana Health reports activity in 1 line of business: Health Insurance (Individual). Availability varies by state.

Verify Humana Health

Humana Health is filed with the NAIC under company number 73288. 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 Source

Source: NAIC published complaint index data Complaint index, reputation grade for Humana Health · 2024

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Download the data behind this page

The full PlainInsurer extract, covering every insurer including Humana Health, 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). 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.