Insurer profile · NAIC + CMS

Molina Healthcare

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

C
Reputation grade
1.67
Complaint index
19
States active

The verdict

Molina Healthcare earns a C reputation grade - a record near the industry median, according to the NAIC's published complaint index, its ratio runs 1.67, above the 1.0 market average.

C
reputation grade
1.67
NAIC complaint index
CCC
Reputation grade C (composite score 50.4) - 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 →

NAIC CIS filing desk

NAIC 96271 C · 50.4

GRADE-C · INDEX-HOT · DENIAL-NONE · RANK-LOWER · PHOTO-FINISH · LINES-1 · BOOK-RICH

  • GRADE-C C · 50.4
  • INDEX-HOT 1.67
  • DENIAL-NONE No CMS file
  • RANK-LOWER #52/72
  • PHOTO-FINISH Farmers Property · D
  • LINES-1 1 line
  • BOOK-RICH 6/7 fields

Nearest complaint-index peer: Farmers Property (±0.00 index pts)

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.

Complaint-index neighbourhood around Molina Healthcare

Quietest and hottest poles plus nearest index peers, not a full NAIC corpus board reprint.

Molina Healthcare - complaint index neighbourhood

complaint index

What this shows According to PlainInsurer's dataset, Molina Healthcare has a lower (better) NAIC complaint index than 25% of the 72 rated insurers it tracks and ranks #15 of 18 carriers by complaint ratio in Health Insurance (Individual).

Source NAIC published complaint index (2024) As of 2026

Where Molina Healthcare sits on complaints

complaint index

What this shows Molina Healthcare's complaint index of 1.67 is 67% above the 1.0 market average for a carrier of its size.

Source NAIC published complaint index (2024) As of 2024

Molina Healthcare vs. the full rated-insurer dataset

167% 25th percentile more affordable than 25% of 72 rated insurers

Molina Healthcare 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 02,0004,0006,0008,000 60708090100 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) ~3,893 1.67 19

Health insurance market share

National ranking by direct written premiums, NAIC 2024

#9
Market share
2.14%
Direct written premiums
$35,843.7M
See the full market-share ranking →

What the NAIC filing desk shows for Molina Healthcare

According to PlainInsurer's dataset, Molina Healthcare has a lower (better) NAIC complaint index than 25% of the 72 rated insurers it tracks and ranks #15 of 18 carriers by complaint ratio in Health Insurance (Individual).

Molina Healthcare is outside the CMS marketplace file, but the claim-denial rate ranking shows what that data reports for the carriers it does cover. How complaint indexes place Molina Healthcare.

Nationwide insurers with similar scores or complaint volume

Two corpus-wide peer sets for Molina Healthcare: 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 (50.4 here). Floored at 50+ complaints and 5+ states.

AIG Homeowners 50.8 Allstate Insurance 51.6 Allstate Property 46.4 Liberty Mutual 46.4

Similar complaint volume

Nearest carriers by NAIC complaint count (3,893 here). Deduped against the score peers so the two sets stay distinct.

State Farm 4,136 complaints Prudential Financial 4,148 complaints Cigna Health 4,151 complaints Chubb Property 4,168 complaints
Aggregates only, not advice. Full terms on the disclaimer.

Molina Healthcare's corporate family in PlainInsurer's dataset also includes Molina Healthcare of Utah, Molina Healthcare of South Carolina, Inc, Molina Healthcare of Texas, Inc., Molina Healthcare of Florida, Inc, and 2 more -- a shared parent doesn't mean shared performance, so check each subsidiary's own record before assuming they behave alike.

Questions about Molina Healthcare

What does Molina Healthcare's grade mean?
Molina Healthcare received a grade of C, indicating a record near the industry median.
How many complaints does Molina Healthcare have?
PlainInsurer estimates Molina Healthcare's complaint volume at roughly 3,893 across 19 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 Molina Healthcare?
File against Molina Healthcare through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Molina Healthcare a good insurance company?
PlainInsurer's C grade for Molina Healthcare reflects a record near the industry median relative to peers on published complaint and denial data.
What types of insurance does Molina Healthcare offer?
Based on NAIC filing data, Molina Healthcare reports activity in 1 line of business: Health Insurance (Individual). Availability varies by state.

Verify Molina Healthcare

Molina Healthcare is filed with the NAIC under company number 96271. 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 Molina Healthcare · 2024

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Download the data behind this page

The full PlainInsurer extract, covering every insurer including Molina Healthcare, is available as CSV and JSON. Underlying federal data is public domain; see our methodology for the compilation and grading method.

Complaint-index dataset Download CSV Download JSON Read the data documentation
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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.