Company Profile

Company Profile

Company Complaints

Company Complaints

Additional Information

Additional Information

Company Complaints

Company Complaints

  • METROPOLITAN LIFE INSURANCE COMPANY
  • 200 Park Ave, New York, NY 10166-0005

  • 800-638-5000

Company Performance

Company Performance

In compliance with California Insurance Code § 12921.1, the California Department of Insurance conducted a Consumer Complaint Study of all admitted insurance carriers. The company performance table provides the complaints determined by the department to require that corrective action be taken against the insurer, or leading to insurer compromise, or other remedy for the complainant, those that are found to be without merit, those with other outcomes, and justified complaints. Justified complaints often require additional review, as violations of California insurance laws may exist.

Company Performance Report

YearClosed Complaints (TOTAL of Categories 1-3)
Category 1: Complaints found to require corrective action, leading to insurer compromise, or other remedy for the complainant.
Category 2: Complaints found to be without Merit
Category 3: Complaints with Other Outcomes
Category 4: Justified Complaints
202213653691427
2021203561272023
202011540561919

Violation Study

Violation Study

The following table represents number and type of violations found, by reference to the line of insurance and law allegedly violated

Violation Study Report

YearLine of CoverageLawSectionSummarized Description of Law# of Alleged Violations
2022DisabilityCIC880Failure of insurer to use own name2
2022DisabilityCIC10123.13bFor uncontested claims not paid within 30 days interest is due at 10% per year.2
2022DisabilityCCR2695.5(b)Must provide complete response to claimant inquiries within 15 calendar days.1
2022DisabilityCIC10123.13aClaim must be paid, contested, or denied in 30 days to insured and provider. If contested written notice must contain DOI language5
2022DisabilityCIC790.03h5Not attempting to effectuate prompt, fair, & equitable settlement when liability clear.3
2022DisabilityCCR2695.5(a)Must respond to the California Department of Insurance within 21 calendar days.2
2022Life/AnnuityCCR2694a3In contravention of own rules, policies, procedures, guidelines3
2022DisabilityCIC790.03h1Misrepresenting facts or policy provisions.4
2022DisabilityCCR2695.7(b)(3)Must notify claimant that claim denial can be reviewed by the California Department of Insurance.5
2022Life/AnnuityCCR2695.5(e)(2)Must supply forms, instructions and assistance within 15 calendar days of claim notification.1
2022Life/AnnuityCCR2695.5(a)Must respond to the California Department of Insurance within 21 calendar days.1
2022Life/AnnuityCIC791.12Adverse underwriting decision; prohibited grounds1
2022Life/AnnuityCIC10509.958a1Life insurance illustration delivery requirements must be signed by applicant and agent and a copy must be provided to applicant1
2022DisabilityCIC790.03h3Failing to adopt & implement standards for the prompt investigation & processing of claims12
If complaint data does not appear for this company, this link will provide you with an explanation.
To view the California Insurance Code (CIC), Click here
To view the California Code of Regulations (CCR), Click here

Comparison Data

Comparison Data

The information below is for complaints closed during the study period for this insurance company. The table provides the Justified Complaint Ratio, Market Share, Complaint Share, and Index for this company, grouped by the line of coverage the company was authorized to sell in this study period.

Comparison Data Report