Reputation grade
A
Peer-relative, A–F
Insurer profile · UPMC · NAIC + CMS
UPMC Health Plan
UPMC Health Plan's complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
- A
- Reputation grade
- 0.71
- Complaint index
- 1
- States active
The verdict
UPMC Health Plan earns a A reputation grade - far fewer consumer problems than peers of its size, according to the NAIC's published complaint index, its ratio runs 0.71, below the 1.0 market average.
- A
- reputation grade
- 0.71
- NAIC complaint index
NAIC complaint index
0.71
1.0 = market average; lower is better
Est. complaint volume
~98
across 1 states, index-derived
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 UPMC Health Plan sits on complaints
- Best in data 0
Lowest complaint index in PlainInsurer's dataset: 0.23
0 complaint index
- Market avg 1
Market average complaint index = 1.0 (NAIC benchmark)
1 complaint index
- UPMC Health Plan 1
UPMC Health Plan: complaint index 0.71
1 complaint index
- Worst in data
Highest complaint index in PlainInsurer's dataset: 3.87
4 complaint index
What this shows UPMC Health Plan's complaint index of 0.71 is 29% below the 1.0 market average for a carrier of its size.
UPMC Health Plan vs. the full rated-insurer dataset
71% Among the most affordable more affordable than 75% of 72 rated insurers
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
Complaint record by line of business
| Line | Est. complaints | Complaint index | States active |
|---|---|---|---|
| Health Insurance (Individual) | ~98 | 0.71 | 1 |
Health insurance market share
National ranking by direct written premiums, NAIC 2024
Market share
0.90%
Direct written premiums
$15,107.2M
What the data shows for UPMC Health Plan
According to PlainInsurer's dataset, UPMC Health Plan has a lower (better) NAIC complaint index than 75% of the 72 rated insurers it tracks and ranks #2 of 18 carriers by complaint ratio in Health Insurance (Individual).
UPMC Health Plan, part of UPMC, carries a A reputation grade in PlainInsurer's dataset, with a composite score of 77.6 (higher means more consumer friction relative to size). Its NAIC complaint index of 0.71 sits below the 1.0 market average, meaning policyholders escalate fewer disputes to regulators than is typical for a carrier of its premium volume.
UPMC Health Plan 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.
UPMC Health Plan 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 A-graded carriers in PlainInsurer's dataset include Lincoln National Life and Principal Financial, and the closest overall composite score to UPMC Health Plan's 77.6 belongs to Erie Homeowners (77.6), each rescaled across the measures that carrier reports.
Other A-graded insurers
Carriers with the same peer-relative reputation grade
| Insurer | Grade |
|---|---|
| Lincoln National Life | A |
| Principal Financial | A |
| TIAA Life | A |
| Mutual of Omaha | A |
| USAA Homeowners | A |
Closest composite score to UPMC Health Plan
Carriers with the nearest overall composite score (77.6)
| Insurer | Composite score |
|---|---|
| Erie Homeowners | 77.6 |
| Paramount Insurance Company | 77.3 |
| Independence Blue Cross | 77.2 |
| Nationwide Life | 76.8 |
Questions about UPMC Health Plan
What does UPMC Health Plan's grade mean?
UPMC Health Plan received a grade of A, indicating far fewer consumer problems than peers of its size.
How many complaints does UPMC Health Plan have?
PlainInsurer estimates UPMC Health Plan's complaint volume at roughly 98 across 1 state, 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 UPMC Health Plan?
File against UPMC Health Plan through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is UPMC Health Plan a good insurance company?
PlainInsurer's A grade for UPMC Health Plan reflects far fewer consumer problems than peers of its size relative to peers on published complaint and denial data.
What types of insurance does UPMC Health Plan offer?
Based on NAIC filing data, UPMC Health Plan reports activity in 1 line of business: Health Insurance (Individual). Availability varies by state.
Verify UPMC Health Plan
UPMC Health Plan is filed with the NAIC under company number 40401. 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 SourceSource: NAIC published complaint index data Complaint index, reputation grade for UPMC Health Plan · 2024
Share, download, and related pages for UPMC Health Plan
Download the data behind this page
The full PlainInsurer extract, covering every insurer including UPMC Health Plan, 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). 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.