Insurer profile · Molina Healthcare · NAIC + CMS

Molina Healthcare of Michigan, Inc.

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

D
Reputation grade
26.6%
Claims denied
1
States (CMS data)

The verdict

Molina Healthcare of Michigan, Inc. earns a D reputation grade - a worse-than-average record versus peers, according to CMS Transparency in Coverage filings, 26.6% of its marketplace claims were denied across 1 state.

D
reputation grade
26.6%
claims denied (CMS)

Reputation grade

D

Peer-relative, A–F

NAIC complaint index

N/A

1.0 = market average; lower is better

Claim denial rate

26.6%

CMS, 1 states

DDD
Reputation grade D (composite score 27.6) - 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 →

Other D-graded carriers in PlainInsurer's dataset include Globe Life and Primerica Life Insurance, and the closest overall composite score to Molina Healthcare of Michigan, Inc.'s 27.6 belongs to UnitedHealthcare of Wisconsin, Inc. (28.1), each rescaled across the measures that carrier reports.

Molina Healthcare of Michigan, Inc. is part of the Molina Healthcare family, alongside Molina Healthcare, Molina Healthcare of Utah, Molina Healthcare of South Carolina, Inc, Molina Healthcare of Texas, Inc., and 2 more 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 D-graded insurers

Carriers with the same peer-relative reputation grade

Insurer Grade
Globe Life D
Primerica Life Insurance D
Liberty Mutual Homeowners D
GEICO D
Farmers Insurance D

Closest composite score to Molina Healthcare of Michigan, Inc.

Carriers with the nearest overall composite score (27.6)

Insurer Composite score
UnitedHealthcare of Wisconsin, Inc. 28.1
Medica Insurance Company 27.0
UnitedHealthcare of Florida, Inc. 28.6
BlueCross BlueShield of Tennessee 26.5
Mercury Insurance 28.8

These claim figures are from plan year 2025, not 2026. Molina Healthcare of Michigan, 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 Molina Healthcare of Michigan, Inc.

116
appeals filed
52
overturned (reported outcomes)
44.8%
of appeals with a reported outcome

The reported appeals on this profile come from Michigan (116 filed, 52 overturned).

CMS reports an overturn outcome for 116 of these 116 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 Molina Healthcare of Michigan, Inc.

Molina Healthcare of Michigan, Inc., part of Molina Healthcare, carries a D reputation grade in PlainInsurer's dataset, with a composite score of 27.6 (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 Molina Healthcare of Michigan, Inc. denied 26.6% of marketplace claims across 1 reporting state - an elevated rate that warrants checking the plan's appeal-success record before enrolling.

See where Molina Healthcare of Michigan, 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 (PY2025), cms.gov.

Aggregates only, not advice. Full terms on the disclaimer.

Questions about Molina Healthcare of Michigan, Inc.

What does Molina Healthcare of Michigan, Inc.'s grade mean?
Molina Healthcare of Michigan, Inc. received a grade of D, indicating a worse-than-average record versus peers.
How many complaints does Molina Healthcare of Michigan, Inc. have?
NAIC's public bulk data does not include a complaint-volume estimate for Molina Healthcare of Michigan, 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 Molina Healthcare of Michigan, Inc.?
File against Molina Healthcare of Michigan, Inc. through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Molina Healthcare of Michigan, Inc. a good insurance company?
PlainInsurer's D grade for Molina Healthcare of Michigan, Inc. reflects a worse-than-average record versus peers relative to peers on published complaint and denial data.
What types of insurance does Molina Healthcare of Michigan, Inc. offer?
Detailed line-of-business data isn't currently available for Molina Healthcare of Michigan, Inc.. The carrier is licensed in 0 states.

Source: NAIC published complaint index + CMS Transparency in Coverage PY2025 Complaint index, reputation grade and per-state claim denial rates for Molina Healthcare of Michigan, Inc. · 2024

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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.