Company Complaint Information
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.
(TOTAL of Categories 1-3)
Complaints found to require corrective action, leading to insurer compromise, or other remedy for the complainant.
Complaints found to be without Merit.
Complaints with Other Outcomes
Violation StudyThe following table represents number and type of violations found, by reference to the line of insurance and law allegedly violated.
|Year||Line of Coverage||Law||Section||Summarized Description of Law||# of Alleged Violations|
|2014||Disability||CCR||2694a3||In contravention of own rules, policies, procedures, guidelines||2|
|2014||Disability||CCR||2694a5||Failed to respond or did not provide a complete response||2|
|2014||Disability||CIC||10123.13c||Contested claims become payable in 30 days or interest at 10% per year is due, after receipt of all required information.||1|
|2014||Disability||CIC||10123.13a||Claim must be paid, contested, or denied in 30 days to insured and provider. If contested written notice must contain DOI language||2|
|2014||Disability||CIC||790.03h1||Misrepresenting facts or policy provisions.||1|
|2014||Disability||CIC||790.03h2||Failing to acknowledge and act promptly upon communications.||1|
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.