State profile · AL · CMS + NAIC
Insurance in Alabama
How health insurers handle claims in Alabama, and what drivers pay for auto cover — measured from CMS Transparency-in-Coverage and NAIC data.
- 35.5%
- Avg claims denied
- #1
- denial rank of 31
- $1081
- Avg auto / yr
- +17%
- Auto, 5-yr
- 3
- Insurers w/ data
The verdict
Marketplace insurers in Alabama deny 35.5% of claims — above the 21% national average, the 1st-highest of 31 states, and drivers pay an average $1081 a year for auto cover, less than the $1191 national average.
- 35.5%
- avg claims denied
- #1
- of 31 states
- $1081
- avg auto / yr
- 49%
- highest (UnitedHealthcare I)
Denial rates are aggregate marketplace figures from CMS filings; auto figures are NAIC average expenditures. State regulation, risk pool and plan design all shape these numbers.
Highest claim-denial rates in Alabama
Health insurers by share of marketplace claims denied (≥1,000 claims on file)
- UnitedHealthcare
UnitedHealthcare Insurance Company: 48.6% denied (508,004 of 1,044,392)
48.6 % of claims denied
- Blue Cross and Blue Shie
Blue Cross and Blue Shield of Alabama: 35.8% denied (4,749,335 of 13,274,014)
35.8 % of claims denied
- Celtic 17.8
Celtic Insurance Company: 17.8% denied (174,013 of 979,497)
17.8 % of claims denied
What this shows These carriers deny the largest share of marketplace claims filed in Alabama. Denial rates reflect plan design and network rules as much as carrier behaviour.
Health insurers in Alabama, by denial rate
3 insurers reporting marketplace claims in Alabama
| # | Insurer | Claim denial rate | Claims |
|---|---|---|---|
| 1 | UnitedHealthcare Insurance Company F | 1,044,392 | |
| 2 | Blue Cross and Blue Shield of Alabama F | 13,274,014 | |
| 3 | Celtic Insurance Company B | 979,497 |
Auto insurance in Alabama
Auto premiums in Alabama are climbing
Average annual auto-insurance expenditure by year (NAIC)
- 2019
2019: $928 average expenditure
$928 avg expenditure
- 2020
2020: $919 average expenditure
$919 avg expenditure
- 2021
2021: $928 average expenditure
$928 avg expenditure
- 2022
2022: $966 average expenditure
$966 avg expenditure
- 2023
2023: $1081 average expenditure
$1,081 avg expenditure
What this shows Alabama drivers' average auto cost rose 16% between 2019 and 2023.
What the data shows for Alabama
Alabama's marketplace insurers denied 35.5% of submitted claims in the CMS data, the 1st-highest rate of the 31 states with federal marketplace filings. Denial rates this far above the 21% national average usually reflect the state's mix of plan types and risk pool rather than any single carrier — Medicaid managed-care and narrow-network plans route more claims through utilization review.
On the auto side, drivers in Alabama pay an average $1081 a year — less than the $1191 national average — split across $576 liability, $452 collision and $241 comprehensive premiums. That figure has moved up 16% since 2019, tracking the national surge in repair and medical-claim costs.
Because rate regulation, licensing and guaranty-fund coverage are set state by state, an insurer's record in Alabama can differ from its national average — which is why the state view matters for local consumers. Source: CMS Transparency in Coverage PUF PY2025, cms.gov. Source: NAIC 2023 Auto Insurance Database; state commissioner registry, NAIC member directory.
For Alabama residents
Use the state view before you buy or appeal a denial here.
- Check a specific carrier's full national and per-state record. Browse insurers
- Compare Alabama's auto costs against the rest of the country. Auto rankings
- Denied a claim in this state? Walk through the appeal process. Appeal a denial
Verify coverage availability and terms directly with any insurer or a licensed agent. Informational only — not insurance advice.
Data: CMS Transparency in Coverage PUF PY2025 (per-state claim denials) · NAIC 2023 Auto Insurance Database. State commissioner links from the NAIC member directory. Not affiliated with NAIC or CMS. Read our methodology.