Reputation grade
D
Peer-relative, A–F
Insurer profile · Molina Healthcare · NAIC + CMS
Molina Healthcare of Wisconsin, Inc.
Molina Healthcare of Wisconsin, Inc.'s complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
- D
- Reputation grade
- 24.2%
- Claims denied
- 1
- States (CMS data)
The verdict
Molina Healthcare of Wisconsin, Inc. earns a D reputation grade - a worse-than-average record versus peers, according to CMS Transparency in Coverage filings, 24.2% of its marketplace claims were denied across 1 state.
- D
- reputation grade
- 24.2%
- claims denied (CMS)
NAIC complaint index
N/A
1.0 = market average; lower is better
Claim denial rate
24.2%
CMS, 1 states
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 Wisconsin, Inc.'s 36.2 belongs to Cigna HealthCare of Texas, Inc. (36.8), each rescaled across the measures that carrier reports.
Molina Healthcare of Wisconsin, 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 Wisconsin, Inc.
Carriers with the nearest overall composite score (36.2)
| Insurer | Composite score |
|---|---|
| Cigna HealthCare of Texas, Inc. | 36.8 |
| UnitedHealthcare of Texas, Inc. | 37.3 |
| Health Options, Inc. | 35.1 |
| Aetna Health Inc. (a PA corp.) | 35.1 |
These claim figures are from plan year 2025, not 2026. Molina Healthcare of Wisconsin, 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 Wisconsin, Inc.
127
appeals filed
72
overturned (reported outcomes)
56.7%
of appeals with a reported outcome
The reported appeals on this profile come from Wisconsin (127 filed, 72 overturned).
CMS reports an overturn outcome for 127 of these 127 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 Wisconsin, Inc.
Molina Healthcare of Wisconsin, Inc., part of Molina Healthcare, carries a D reputation grade in PlainInsurer's dataset, with a composite score of 36.2 (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 Wisconsin, Inc. denied 24.2% 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 Wisconsin, 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 Wisconsin, Inc.
What does Molina Healthcare of Wisconsin, Inc.'s grade mean?
Molina Healthcare of Wisconsin, Inc. received a grade of D, indicating a worse-than-average record versus peers.
How many complaints does Molina Healthcare of Wisconsin, Inc. have?
NAIC's public bulk data does not include a complaint-volume estimate for Molina Healthcare of Wisconsin, 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 Wisconsin, Inc.?
File against Molina Healthcare of Wisconsin, Inc. through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Molina Healthcare of Wisconsin, Inc. a good insurance company?
PlainInsurer's D grade for Molina Healthcare of Wisconsin, 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 Wisconsin, Inc. offer?
Detailed line-of-business data isn't currently available for Molina Healthcare of Wisconsin, 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 Wisconsin, Inc. · 2024
Share, download, and related pages for Molina Healthcare of Wisconsin
Download the data behind this page
The full PlainInsurer extract, covering every insurer including Molina Healthcare of Wisconsin, Inc., 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) · 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.