Datasets:
company stringclasses 822
values | file_no stringlengths 7 7 | opened timestamp[ns]date 2015-11-02 00:00:00 2026-10-29 00:00:00 | closed timestamp[ns]date 2018-01-09 00:00:00 2026-10-30 00:00:00 ⌀ | coverage stringclasses 56
values | subcoverage stringclasses 107
values | reason stringclasses 4
values | subreason stringclasses 205
values | disposition stringclasses 14
values | conclusion stringclasses 54
values | recovery float64 0 753k | status stringclasses 27
values | complaint_key stringlengths 18 105 | complaint_line_count int64 1 108 | is_complaint_primary_line bool 2
classes | opened_year int64 2.02k 2.03k | days_open int64 0 1.39k ⌀ | is_closed bool 2
classes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Workers' Compensation Trust | 7059031 | 2023-11-11T00:00:00 | 2023-12-21T00:00:00 | Workers' Compensation | null | Underwriting | Audit Dispute | Company Position Substantiated | null | 0 | Closed | Workers' Compensation Trust | 7059031 | 1 | true | 2,023 | 40 | true |
Esurance Insurance Company | 7046807 | 2022-07-26T00:00:00 | 2022-08-29T00:00:00 | Individual Private Passenger | Collision | Claim Handling | Adjuster Handling | Company Position Substantiated | Company Position Upheld | 0 | Closed | Esurance Insurance Company | 7046807 | 2 | true | 2,022 | 34 | true |
Anthem Health Plans, Inc | 7076333 | 2025-07-03T00:00:00 | 2025-07-29T00:00:00 | A & H | A & H | Underwriting | Premium & Rating | Question of Fact/Contract/Provision/Legal Issue | Contract Provision | 0 | Closed | Anthem Health Plans, Inc | 7076333 | 8 | true | 2,025 | 26 | true |
ConnectiCare Benefits, Inc. | 7047814 | 2022-09-09T00:00:00 | 2022-10-06T00:00:00 | Individual | Exchange | Claim Handling | Unsatisfactory Settlement/Offer | Company Position Substantiated | Company Position Upheld | 0 | Closed | ConnectiCare Benefits, Inc. | 7047814 | 32 | true | 2,022 | 27 | true |
Anthem Health Plans, Inc | 7068138 | 2024-09-18T00:00:00 | 2024-10-09T00:00:00 | A & H | Self Funded/ERISA | Claim Handling | Claim Denial | Company Position Substantiated | Provider Issue | 0 | Closed | Anthem Health Plans, Inc | 7068138 | 108 | true | 2,024 | 21 | true |
State Farm Fire & Casualty Company | 7072893 | 2025-02-26T00:00:00 | 2025-04-08T00:00:00 | Individual Private Passenger | Liability | Claim Handling | Loss of Use | Claim Settled | null | 0 | Closed | State Farm Fire & Casualty Company | 7072893 | 4 | true | 2,025 | 41 | true |
Liberty Mutual Personal Insurance Company | 7072122 | 2025-02-03T00:00:00 | 2025-02-28T00:00:00 | Homeowners | Hazard | PolicyHolder Service | Premium Refund Delay | null | Corrective Action | 329 | Closed | Liberty Mutual Personal Insurance Company | 7072122 | 2 | true | 2,025 | 25 | true |
Anthem Health Plans, Inc | 7064570 | 2024-05-21T00:00:00 | 2024-06-18T00:00:00 | A & H | Health Only | Claim Handling | Claim Denial | Company Position Substantiated | Company Position Upheld | 0 | Closed | Anthem Health Plans, Inc | 7064570 | 48 | true | 2,024 | 28 | true |
State Farm Mutual Automobile Insurance Company | 7071230 | 2025-01-02T00:00:00 | 2025-02-18T00:00:00 | Individual Private Passenger | Liability | Claim Handling | Adjuster Handling | null | Justified | 0 | Closed | State Farm Mutual Automobile Insurance Company | 7071230 | 6 | true | 2,025 | 47 | true |
Anthem Health Plans, Inc | 7077391 | 2025-08-14T00:00:00 | 2025-10-14T00:00:00 | Group | A & H | Claim Handling | External Review | null | null | 0 | Closed | Anthem Health Plans, Inc | 7077391 | 18 | true | 2,025 | 61 | true |
Anthem Health Plans, Inc | 7087533 | 2026-07-21T00:00:00 | 2026-08-31T00:00:00 | Group | Health Only | Claim Handling | UR MEDICALLY NECESSARY DENIAL | null | External Review Info Sent | 0 | Closed | Anthem Health Plans, Inc | 7087533 | 4 | true | 2,026 | 41 | true |
Liberty Mutual Personal Insurance Company | 7048430 | 2022-10-04T00:00:00 | 2022-10-28T00:00:00 | Individual Private Passenger | Collision | Claim Handling | Claim Denial | null | Claim Paid | 654.63 | Closed | Liberty Mutual Personal Insurance Company | 7048430 | 3 | true | 2,022 | 24 | true |
Anthem Health Plans, Inc | 7067161 | 2024-08-14T00:00:00 | 2024-08-19T00:00:00 | A & H | A & H | Claim Handling | Medical Necessity | Company Position Overturned | Coverage Denied | 0 | Closed | Anthem Health Plans, Inc | 7067161 | 8 | true | 2,024 | 5 | true |
GEICO General Insurance Company | 7076263 | 2025-07-01T00:00:00 | 2025-08-06T00:00:00 | Individual Private Passenger | Towing | Claim Handling | Unsatisfactory Settlement/Offer | Claim Settled | null | 0 | Closed | GEICO General Insurance Company | 7076263 | 1 | true | 2,025 | 36 | true |
CaremarkPCS Health, L.L.C. dba CVS Caremark | 7076981 | 2025-07-30T00:00:00 | 2025-08-15T00:00:00 | A & H | A & H | Claim Handling | Medical Necessity Denial | null | null | 0 | Closed | CaremarkPCS Health, L.L.C. dba CVS Caremark | 7076981 | 12 | true | 2,025 | 16 | true |
Anthem Health Plans, Inc | 7045574 | 2022-05-31T00:00:00 | 2022-08-08T00:00:00 | Individual | Exchange | Claim Handling | Denial | Claim Settled | Claim Paid | 1,939.36 | Closed | Anthem Health Plans, Inc | 7045574 | 12 | true | 2,022 | 69 | true |
ReliaStar Life Insurance Company of New York | 7075810 | 2025-06-11T00:00:00 | 2025-07-25T00:00:00 | Individual Life | Universal | Marketing & Sales | Fraud/Forgery | Company Position Substantiated | Contract Provision | 0 | Closed | ReliaStar Life Insurance Company of New York | 7075810 | 1 | true | 2,025 | 44 | true |
Aetna Health and Life Insurance Company | 7047493 | 2022-08-25T00:00:00 | 2022-08-29T00:00:00 | Group | A & H | Claim Handling | Claim Handling Other | null | Company Position Upheld | 0 | Closed | Aetna Health and Life Insurance Company | 7047493 | 24 | true | 2,022 | 4 | true |
Anthem Health Plans, Inc | 7047891 | 2022-09-13T00:00:00 | 2022-10-04T00:00:00 | Individual | Dental | Claim Handling | UR Procedure | null | Claim Paid | 7,933.19 | Closed | Anthem Health Plans, Inc | 7047891 | 16 | true | 2,022 | 21 | true |
ConnectiCare Benefits, Inc. | 7061622 | 2024-02-10T00:00:00 | 2024-02-20T00:00:00 | A & H | Health Only | Claim Handling | Unsatisfactory Settlement | Question of Fact/Contract/Provision/Legal Issue | Contract Provision | 0 | Closed | ConnectiCare Benefits, Inc. | 7061622 | 8 | true | 2,024 | 10 | true |
Aetna Health Inc | 7065757 | 2024-07-03T00:00:00 | 2024-07-08T00:00:00 | A & H | Health Only | Claim Handling | Medical Necessity Denial | Company Position Substantiated | Coverage Denied | 0 | Closed | Aetna Health Inc | 7065757 | 8 | true | 2,024 | 5 | true |
Cigna Health and Life Insurance Company | 7078673 | 2025-09-29T00:00:00 | 2025-11-28T00:00:00 | A & H | Health Only | Claim Handling | Medical Necessity | Company Position Substantiated | Coverage Denied | 0 | Closed | Cigna Health and Life Insurance Company | 7078673 | 8 | true | 2,025 | 60 | true |
Anthem Health Plans, Inc | 7079902 | 2025-11-10T00:00:00 | 2025-12-12T00:00:00 | A & H | A & H | Claim Handling | Claim Delays | Company Position Substantiated | Provider Issue | 0 | Closed | Anthem Health Plans, Inc | 7079902 | 12 | true | 2,025 | 32 | true |
Homesite Insurance Company | 7087061 | 2026-07-03T00:00:00 | 2026-08-06T00:00:00 | Homeowners | null | Claim Handling | Unsatisfactory Settlement/Offer | Company Position Substantiated | Company Position Upheld | 0 | Closed | Homesite Insurance Company | 7087061 | 2 | true | 2,026 | 34 | true |
Genworth Life Insurance Company | 7084236 | 2026-03-30T00:00:00 | 2026-05-07T00:00:00 | Individual | Long Term Care | Claim Handling | Claim Delay | null | Claim Paid | 20,696.89 | Closed | Genworth Life Insurance Company | 7084236 | 3 | true | 2,026 | 38 | true |
ConnectiCare Insurance Company, Inc | 7064047 | 2024-05-04T00:00:00 | 2024-05-16T00:00:00 | A & H | A & H | Claim Handling | Claim Denial | Claim Settled | Claim Paid | 1,391.78 | Closed | ConnectiCare Insurance Company, Inc | 7064047 | 12 | true | 2,024 | 12 | true |
MedAmerica Insurance Company | 7083787 | 2026-03-16T00:00:00 | 2026-03-31T00:00:00 | Individual | Health Only | Underwriting | Premium/Rate Increase | null | Rate Increase Explained | 0 | Closed | MedAmerica Insurance Company | 7083787 | 12 | true | 2,026 | 15 | true |
Cigna Health and Life Insurance Company | 7072305 | 2025-02-07T00:00:00 | 2025-03-10T00:00:00 | A & H | A & H | PolicyHolder Service | Involuntary Termination by Plan | Claim Settled | Provider Issue | 109.57 | Closed | Cigna Health and Life Insurance Company | 7072305 | 16 | true | 2,025 | 31 | true |
ConnectiCare Benefits, Inc. | 7052262 | 2023-03-06T00:00:00 | 2023-03-06T00:00:00 | null | null | null | null | null | null | 0 | Closed | ConnectiCare Benefits, Inc. | 7052262 | 1 | true | 2,023 | 0 | true |
Obsidian Specialty Insurance Company | 7065451 | 2024-06-24T00:00:00 | 2024-07-19T00:00:00 | General | null | Claim Handling | Claim Denial | Question of Fact/Contract/Provision/Legal Issue | Refer-Judicial/Attorney | 0 | Closed | Obsidian Specialty Insurance Company | 7065451 | 1 | true | 2,024 | 25 | true |
GEICO Secure Insurance Company | 7085762 | 2026-05-18T00:00:00 | 2026-06-30T00:00:00 | Individual Private Passenger | Collision | Claim Handling | Unsatisfactory Settlement/Offer | Claim Settled | Additional Money Received | 6,722.77 | Closed | GEICO Secure Insurance Company | 7085762 | 4 | true | 2,026 | 43 | true |
Anthem Health Plans, Inc | 7072514 | 2025-02-13T00:00:00 | 2025-07-23T00:00:00 | A & H | Health Only | PolicyHolder Service | Unprofessional Conduct | Claim Settled | Claim Paid With Interest | 5,464.28 | Closed | Anthem Health Plans, Inc | 7072514 | 24 | true | 2,025 | 160 | true |
ConnectiCare Benefits, Inc. | 7079908 | 2025-11-11T00:00:00 | 2026-02-10T00:00:00 | A & H | Health Exchange | Claim Handling | Unsatisfactory Settlement | Claim Settled | Claim Paid | 338,964.51 | Closed | ConnectiCare Benefits, Inc. | 7079908 | 24 | true | 2,025 | 91 | true |
UnitedHealthcare Insurance Company | 7075597 | 2025-06-02T00:00:00 | 2025-06-24T00:00:00 | A & H | A & H | Claim Handling | Denial | Question of Fact/Contract/Provision/Legal Issue | Contract Provision | 0 | Closed | UnitedHealthcare Insurance Company | 7075597 | 8 | true | 2,025 | 22 | true |
Lemonade Insurance Company | 7049986 | 2022-12-08T00:00:00 | 2022-12-29T00:00:00 | Pet Insurance | null | Claim Handling | Denial | Claim Settled | Claim Paid | 51.52 | Closed | Lemonade Insurance Company | 7049986 | 6 | true | 2,022 | 21 | true |
UnitedHealthcare Insurance Company | 7076109 | 2025-06-24T00:00:00 | 2025-07-21T00:00:00 | Group | Health Only | Claim Handling | Contract Provision | Company Position Substantiated | Contract Provision | 0 | Closed | UnitedHealthcare Insurance Company | 7076109 | 8 | true | 2,025 | 27 | true |
Generali - U.S. Branch | 7071027 | 2024-12-21T00:00:00 | 2025-01-30T00:00:00 | Travel | null | Claim Handling | Claim Denial | Company Position Substantiated | null | 0 | Closed | Generali - U.S. Branch | 7071027 | 1 | true | 2,024 | 40 | true |
Health Care Service Corporation, A Mutual Legal Reserve Company | 7081895 | 2026-01-22T00:00:00 | 2026-02-18T00:00:00 | A & H | A & H | PolicyHolder Service | Delays/No Response | null | Furnished Information | 0 | Closed | Health Care Service Corporation, A Mutual Legal Reserve Company | 7081895 | 36 | true | 2,026 | 27 | true |
Oxford Health Plans (CT), Inc | 7054984 | 2023-06-08T00:00:00 | 2023-06-13T00:00:00 | Group | Health Only | Claim Handling | Medical Necessity | Company Position Substantiated | Coverage Denied | 0 | Closed | Oxford Health Plans (CT), Inc | 7054984 | 8 | true | 2,023 | 5 | true |
Anthem Health Plans, Inc | 7058699 | 2023-10-31T00:00:00 | 2023-11-21T00:00:00 | A & H | Health Only | Claim Handling | Claim Delay | Company Position Substantiated | Cancellation Upheld | 0 | Closed | Anthem Health Plans, Inc | 7058699 | 32 | true | 2,023 | 21 | true |
Anthem Health Plans, Inc | 7076623 | 2025-07-17T00:00:00 | 2025-09-24T00:00:00 | A & H | Health Only | Claim Handling | Unsatisfactory Settlement/Offer | Claim Settled | Claim Paid With Interest | 11,702.2 | Closed | Anthem Health Plans, Inc | 7076623 | 8 | true | 2,025 | 69 | true |
Anthem Health Plans, Inc | 7068116 | 2024-09-17T00:00:00 | 2024-10-17T00:00:00 | Group | Health Only | Claim Handling | Provider Contract Issue | Claim Settled | Provider Issue | 1,059.14 | Closed | Anthem Health Plans, Inc | 7068116 | 48 | true | 2,024 | 30 | true |
Anthem Health Plans, Inc | 7049214 | 2022-11-07T00:00:00 | 2023-01-09T00:00:00 | A & H | A & H | Claim Handling | Medical Necessity Denial | Company Position Substantiated | Company Position Upheld | 0 | Closed | Anthem Health Plans, Inc | 7049214 | 16 | true | 2,022 | 63 | true |
Anthem Health Plans, Inc | 7084317 | 2026-04-01T00:00:00 | 2026-04-08T00:00:00 | Individual | A & H | Claim Handling | Medical Necessity Denial | null | null | 0 | Closed | Anthem Health Plans, Inc | 7084317 | 8 | true | 2,026 | 7 | true |
Indemnity Insurance Company of North America | 7050728 | 2023-01-12T00:00:00 | 2023-02-28T00:00:00 | Inland Marine | null | Claim Handling | Claim Denial | Company Position Substantiated | Company Position Upheld | 0 | Closed | Indemnity Insurance Company of North America | 7050728 | 1 | true | 2,023 | 47 | true |
United American Insurance Company | 7070942 | 2024-12-18T00:00:00 | 2025-01-07T00:00:00 | Individual | Medicare Supplement(Policies or Certs) | Underwriting | Misc Underwriting | null | Justified | 0 | Closed | United American Insurance Company | 7070942 | 4 | true | 2,024 | 20 | true |
Wilton Reassurance Life Company of New York | 7070577 | 2024-12-06T00:00:00 | 2024-12-11T00:00:00 | null | null | null | null | No Jurisdiction | Policy not written in CT | 0 | Closed | Wilton Reassurance Life Company of New York | 7070577 | 1 | true | 2,024 | 5 | true |
Anthem Health Plans, Inc | 7087124 | 2026-07-07T00:00:00 | 2026-08-17T00:00:00 | A & H | Exchange | Claim Handling | Co-pay, Deductible, and Co-Insurance Issues | Claim Settled | Additional Money Received | 965.55 | Closed | Anthem Health Plans, Inc | 7087124 | 32 | true | 2,026 | 41 | true |
Harvard Pilgrim Health Care, Inc. | 7045720 | 2022-06-07T00:00:00 | 2022-08-08T00:00:00 | Group | A & H | Claim Handling | Claims Other | Claim Settled | Claim Paid | 50 | Closed | Harvard Pilgrim Health Care, Inc. | 7045720 | 16 | true | 2,022 | 62 | true |
Aetna Health Inc | 7063861 | 2024-04-29T00:00:00 | 2024-05-01T00:00:00 | A & H | A & H | Claim Handling | Medical Necessity Denial | null | null | 0 | Closed | Aetna Health Inc | 7063861 | 8 | true | 2,024 | 2 | true |
Liberty Mutual Personal Insurance Company | 7065470 | 2024-06-24T00:00:00 | 2024-07-11T00:00:00 | Individual Private Passenger | null | Underwriting | Premium & Rating | Company Position Substantiated | null | 0 | Closed | Liberty Mutual Personal Insurance Company | 7065470 | 1 | true | 2,024 | 17 | true |
Allstate Fire and Casualty Insurance Company | 7077383 | 2025-08-14T00:00:00 | 2025-09-11T00:00:00 | Individual Private Passenger | Liability | Claim Handling | Claim Delay | Company Position Substantiated | null | 0 | Closed | Allstate Fire and Casualty Insurance Company | 7077383 | 1 | true | 2,025 | 28 | true |
ConnectiCare Benefits, Inc. | 7084684 | 2026-04-15T00:00:00 | 2026-09-01T00:00:00 | Individual | Health Only | Claim Handling | Co-pay, Deductible, and Co-Insurance Issues | Claim Settled | Furnished Information | 322.39 | Closed | ConnectiCare Benefits, Inc. | 7084684 | 32 | true | 2,026 | 139 | true |
Cigna HealthCare of Connecticut, Inc | 7050774 | 2023-01-13T00:00:00 | 2023-02-01T00:00:00 | Group | Prescription | Claim Handling | UR Procedure | null | External Review Info Sent | 0 | Closed | Cigna HealthCare of Connecticut, Inc | 7050774 | 4 | true | 2,023 | 19 | true |
LM General Insurance Company | 7057461 | 2023-09-13T00:00:00 | 2023-11-07T00:00:00 | Individual Private Passenger | null | PolicyHolder Service | Payment Not Credited | Company Position Substantiated | null | 0 | Closed | LM General Insurance Company | 7057461 | 1 | true | 2,023 | 55 | true |
Permanent General Assurance Corporation | 7040828 | 2021-11-13T00:00:00 | 2022-05-17T00:00:00 | Individual Private Passenger | Liability | Claim Handling | Claim Delay | Company Position Overturned | Corrective Action | 0 | Closed | Permanent General Assurance Corporation | 7040828 | 2 | true | 2,021 | 185 | true |
Genworth Life Insurance Company | 7041651 | 2021-12-22T00:00:00 | 2022-01-03T00:00:00 | Individual | A & H | Underwriting | Premium & Rating | null | Rate Increase Explained | 0 | Closed | Genworth Life Insurance Company | 7041651 | 8 | true | 2,021 | 12 | true |
State Farm Mutual Automobile Insurance Company | 7062867 | 2024-03-22T00:00:00 | 2024-04-15T00:00:00 | Individual Private Passenger | Collision | PolicyHolder Service | Premium Refund Delay | null | Corrective Action | 1,455.35 | Closed | State Farm Mutual Automobile Insurance Company | 7062867 | 4 | true | 2,024 | 24 | true |
Anthem Health Plans, Inc | 7057649 | 2023-09-20T00:00:00 | 2023-10-05T00:00:00 | A & H | Health Only | PolicyHolder Service | Provider Listing Dispute | Claim Settled | Provider Issue | 104.34 | Closed | Anthem Health Plans, Inc | 7057649 | 24 | true | 2,023 | 15 | true |
Anthem Health Plans, Inc | 7056820 | 2023-08-16T00:00:00 | 2023-09-15T00:00:00 | A & H | Self Funded/ERISA | Claim Handling | Medical Necessity Denial | null | null | 0 | Closed | Anthem Health Plans, Inc | 7056820 | 18 | true | 2,023 | 30 | true |
Stewart Title Guaranty Company | 7064135 | 2024-05-07T00:00:00 | 2024-06-25T00:00:00 | Title | null | Claim Handling | Claim Denial | null | Refer-Judicial/Attorney | 0 | Closed | Stewart Title Guaranty Company | 7064135 | 1 | true | 2,024 | 49 | true |
Northwestern Mutual Life Insurance Company | 7079173 | 2025-10-18T00:00:00 | 2025-11-12T00:00:00 | Individual Life | null | Claim Handling | Appeal Non-Compliance | Company Position Substantiated | Furnished Information | 0 | Closed | Northwestern Mutual Life Insurance Company | 7079173 | 1 | true | 2,025 | 25 | true |
UnitedHealthcare Insurance Company | 7053372 | 2023-04-12T00:00:00 | 2023-04-28T00:00:00 | A & H | Dental | Claim Handling | Denial | Question of Fact/Contract/Provision/Legal Issue | Satisfactory Explanation | 0 | Closed | UnitedHealthcare Insurance Company | 7053372 | 16 | true | 2,023 | 16 | true |
Anthem Health Plans, Inc | 7065471 | 2024-06-24T00:00:00 | 2024-07-09T00:00:00 | Group | A & H | Claim Handling | Claim Denial | Claim Settled | Claim Paid | 0 | Closed | Anthem Health Plans, Inc | 7065471 | 12 | true | 2,024 | 15 | true |
Cigna Health and Life Insurance Company | 7069889 | 2024-11-13T00:00:00 | 2024-12-17T00:00:00 | A & H | Health Only | Claim Handling | Medical Necessity Denial | Company Position Overturned | Coverage Granted | 0 | Closed | Cigna Health and Life Insurance Company | 7069889 | 12 | true | 2,024 | 34 | true |
Anthem Health Plans, Inc | 7079430 | 2025-10-28T00:00:00 | 2025-11-17T00:00:00 | A & H | A & H | Claim Handling | Claim Denial | Claim Settled | Claim Paid | 0 | Closed | Anthem Health Plans, Inc | 7079430 | 8 | true | 2,025 | 20 | true |
Anthem Health Plans, Inc | 7070392 | 2024-12-03T00:00:00 | 2024-12-23T00:00:00 | A & H | Health Only | Underwriting | CT Continuation 38a-512a | null | Claim Paid | 109.99 | Closed | Anthem Health Plans, Inc | 7070392 | 16 | true | 2,024 | 20 | true |
Allstate Fire and Casualty Insurance Company | 7055516 | 2023-07-04T00:00:00 | 2023-07-25T00:00:00 | Individual Private Passenger | null | PolicyHolder Service | Delivery of Policy | null | Policy Issued | 0 | Closed | Allstate Fire and Casualty Insurance Company | 7055516 | 3 | true | 2,023 | 21 | true |
Cigna Health and Life Insurance Company | 7074161 | 2025-04-11T00:00:00 | 2025-05-05T00:00:00 | A & H | Health Only | Claim Handling | Medical Necessity | Company Position Substantiated | Coverage Denied | 0 | Closed | Cigna Health and Life Insurance Company | 7074161 | 8 | true | 2,025 | 24 | true |
State Farm Mutual Automobile Insurance Company | 7059659 | 2023-12-06T00:00:00 | 2023-12-27T00:00:00 | Individual Private Passenger | Collision | Claim Handling | Unsatisfactory Settlement/Offer | Company Position Substantiated | null | 0 | Closed | State Farm Mutual Automobile Insurance Company | 7059659 | 1 | true | 2,023 | 21 | true |
UnitedHealthcare Insurance Company | 7070217 | 2024-11-22T00:00:00 | 2025-01-02T00:00:00 | Individual | Health Only | Marketing & Sales | Duplication of Coverage | Compromised Settlement/Resolution | Premium Refund | 1,301.08 | Closed | UnitedHealthcare Insurance Company | 7070217 | 8 | true | 2,024 | 41 | true |
ConnectiCare Insurance Company, Inc | 7041669 | 2021-12-23T00:00:00 | 2022-02-15T00:00:00 | Individual | Health Only | PolicyHolder Service | Policy Information | null | Policy Restored/Reinstated | 0 | Closed | ConnectiCare Insurance Company, Inc | 7041669 | 16 | true | 2,021 | 54 | true |
Anthem Health Plans, Inc | 7080461 | 2025-11-25T00:00:00 | 2025-12-22T00:00:00 | A & H | Health Exchange | Claim Handling | Denial | Claim Settled | Claim Paid | 481.8 | Closed | Anthem Health Plans, Inc | 7080461 | 16 | true | 2,025 | 27 | true |
MedAmerica Insurance Company | 7070009 | 2024-11-18T00:00:00 | 2025-02-20T00:00:00 | Individual | Long Term Care | PolicyHolder Service | Coverage Question | Company Position Substantiated | Company Position Upheld | 0 | Closed | MedAmerica Insurance Company | 7070009 | 36 | true | 2,024 | 94 | true |
Anthem Health Plans, Inc | 7086407 | 2026-06-10T00:00:00 | 2026-07-09T00:00:00 | Group | Health Only | Claim Handling | External Review | null | null | 0 | Closed | Anthem Health Plans, Inc | 7086407 | 12 | true | 2,026 | 29 | true |
Cigna Health and Life Insurance Company | 7077171 | 2025-08-06T00:00:00 | 2025-11-13T00:00:00 | A & H | Dental | Claim Handling | Claim Denial | Company Position Substantiated | Company Position Upheld | 0 | Closed | Cigna Health and Life Insurance Company | 7077171 | 8 | true | 2,025 | 99 | true |
ConnectiCare Benefits, Inc. | 7087027 | 2026-07-01T00:00:00 | 2026-08-06T00:00:00 | Individual | Health Exchange | Claim Handling | Claim Delay | Company Position Substantiated | Provider Issue | 0 | Closed | ConnectiCare Benefits, Inc. | 7087027 | 32 | true | 2,026 | 36 | true |
Century-National Insurance Company | 7084369 | 2026-04-03T00:00:00 | 2026-06-16T00:00:00 | Individual Private Passenger | Liability | Claim Handling | Loss of Use | null | Corrective Action | 0 | Closed | Century-National Insurance Company | 7084369 | 4 | true | 2,026 | 74 | true |
Bankers Life and Casualty Company | 7078024 | 2025-09-05T00:00:00 | 2025-09-16T00:00:00 | null | null | null | null | null | null | 0 | Closed | Bankers Life and Casualty Company | 7078024 | 1 | true | 2,025 | 11 | true |
AXIS Insurance Company | 7051971 | 2023-02-22T00:00:00 | 2023-03-16T00:00:00 | Watercraft | null | Claim Handling | Adjuster Handling | null | Justified | 0 | Closed | AXIS Insurance Company | 7051971 | 4 | true | 2,023 | 22 | true |
Cigna Health and Life Insurance Company | 7067707 | 2024-09-03T00:00:00 | 2024-10-30T00:00:00 | Group | Health Only | Claim Handling | Eligibility of Provider | Claim Settled | Provider Issue | 0 | Closed | Cigna Health and Life Insurance Company | 7067707 | 48 | true | 2,024 | 57 | true |
Investors Life Insurance Company of North America | 7063747 | 2024-04-25T00:00:00 | 2024-05-15T00:00:00 | Individual Life | Universal | PolicyHolder Service | Delays/No Response | Company Position Substantiated | Contract Provision | 0 | Closed | Investors Life Insurance Company of North America | 7063747 | 1 | true | 2,024 | 20 | true |
Aetna Life Insurance Company | 7063472 | 2024-04-16T00:00:00 | 2024-06-11T00:00:00 | Group | Health Only | Claim Handling | Mandated Benefit | null | Claim Paid | 405.28 | Closed | Aetna Life Insurance Company | 7063472 | 2 | true | 2,024 | 56 | true |
ConnectiCare Insurance Company, Inc | 7052858 | 2023-03-23T00:00:00 | 2023-04-18T00:00:00 | Group | Health Only | Claim Handling | Co-pay, Deductible, and Co-Insurance Issues | Company Position Substantiated | null | 0 | Closed | ConnectiCare Insurance Company, Inc | 7052858 | 1 | true | 2,023 | 26 | true |
Progressive Direct Insurance Company | 7075888 | 2025-06-13T00:00:00 | 2025-07-08T00:00:00 | Individual Private Passenger | Liability | Claim Handling | Claim Handling Other | Question of Fact/Contract/Provision/Legal Issue | Refer-Judicial/Attorney | 0 | Closed | Progressive Direct Insurance Company | 7075888 | 2 | true | 2,025 | 25 | true |
Cigna Health and Life Insurance Company | 7057878 | 2023-10-02T00:00:00 | 2023-10-26T00:00:00 | Group | A & H | Claim Handling | Co-pay, Deductible, and Co-Insurance Issues | Claim Settled | Claim Paid | 19.77 | Closed | Cigna Health and Life Insurance Company | 7057878 | 8 | true | 2,023 | 24 | true |
Anthem Health Plans, Inc | 7076629 | 2025-07-17T00:00:00 | 2025-08-22T00:00:00 | A & H | A & H | Claim Handling | Unsatisfactory Settlement | Claim Settled | Provider Issue | 8,111.01 | Closed | Anthem Health Plans, Inc | 7076629 | 12 | true | 2,025 | 36 | true |
Anthem Health Plans, Inc | 7078965 | 2025-10-10T00:00:00 | 2026-01-27T00:00:00 | A & H | A & H | Claim Handling | CPT Code Issue | Company Position Substantiated | Provider Issue | 0 | Closed | Anthem Health Plans, Inc | 7078965 | 8 | true | 2,025 | 109 | true |
Progressive Direct Insurance Company | 7040991 | 2021-11-19T00:00:00 | 2022-01-07T00:00:00 | Individual Private Passenger | null | Underwriting | Premium & Rating | Company Position Substantiated | Company Position Upheld | 0 | Closed | Progressive Direct Insurance Company | 7040991 | 2 | true | 2,021 | 49 | true |
Oxford Health Plans (CT), Inc | 7085345 | 2026-05-06T00:00:00 | 2026-06-11T00:00:00 | A & H | Health Only | Claim Handling | UR MEDICALLY NECESSARY DENIAL | Company Position Overturned | Coverage Granted | 0 | Closed | Oxford Health Plans (CT), Inc | 7085345 | 8 | true | 2,026 | 36 | true |
CSAA General Insurance Company | 7080387 | 2025-11-22T00:00:00 | 2025-12-29T00:00:00 | Homeowners | Fire-Real Property | Claim Handling | Adjuster Handling | Claim Settled | Corrective Action | 77,000 | Closed | CSAA General Insurance Company | 7080387 | 6 | true | 2,025 | 37 | true |
CaremarkPCS Health, L.L.C. dba CVS Caremark | 7088824 | 2026-09-01T00:00:00 | 2026-09-08T00:00:00 | A & H | A & H | Claim Handling | UR MEDICALLY NECESSARY DENIAL | null | null | 0 | Closed | CaremarkPCS Health, L.L.C. dba CVS Caremark | 7088824 | 18 | true | 2,026 | 7 | true |
Anthem Health Plans, Inc | 7069326 | 2024-10-28T00:00:00 | 2025-01-16T00:00:00 | Group | A & H | Claim Handling | Provider Contract Issue | Company Position Substantiated | Provider Issue | 0 | Closed | Anthem Health Plans, Inc | 7069326 | 24 | true | 2,024 | 80 | true |
Pruco Life Insurance Company | 7062020 | 2024-02-27T00:00:00 | 2024-04-08T00:00:00 | Individual Life | Term | Underwriting | Cancellation | null | Policy Restored/Reinstated | 0 | Closed | Pruco Life Insurance Company | 7062020 | 2 | true | 2,024 | 41 | true |
Farmers Group Property and Casualty Insurance Company | 7085320 | 2026-05-05T00:00:00 | 2026-06-18T00:00:00 | Homeowners | null | Claim Handling | Unsatisfactory Settlement/Offer | Company Position Substantiated | null | 0 | Closed | Farmers Group Property and Casualty Insurance Company | 7085320 | 2 | true | 2,026 | 44 | true |
National Life Insurance Company | 7062887 | 2024-03-23T00:00:00 | 2024-04-16T00:00:00 | Individual Life | Term | PolicyHolder Service | Delays/No Response | Compromised Settlement/Resolution | Premium Refund | 0 | Closed | National Life Insurance Company | 7062887 | 2 | true | 2,024 | 24 | true |
ConnectiCare Inc | 7051930 | 2023-02-22T00:00:00 | 2023-04-21T00:00:00 | Group | Health Only | Claim Handling | Claim Procedure | null | Furnished Information | 0 | Closed | ConnectiCare Inc | 7051930 | 2 | true | 2,023 | 58 | true |
Anthem Health Plans, Inc | 7075689 | 2025-06-04T00:00:00 | 2025-06-09T00:00:00 | Individual | Health Only | Claim Handling | Medical Necessity Denial | Company Position Overturned | Coverage Granted | 0 | Closed | Anthem Health Plans, Inc | 7075689 | 8 | true | 2,025 | 5 | true |
Anthem Health Plans, Inc | 7064212 | 2024-05-08T00:00:00 | 2024-05-23T00:00:00 | Individual | Health Exchange | Claim Handling | Medical Necessity Denial | Company Position Substantiated | Company Position Upheld | 0 | Closed | Anthem Health Plans, Inc | 7064212 | 24 | true | 2,024 | 15 | true |
ConnectiCare Benefits, Inc. | 7081690 | 2026-01-15T00:00:00 | 2026-03-31T00:00:00 | A & H | Health Only | PolicyHolder Service | Policy Issue Delay | Question of Fact/Contract/Provision/Legal Issue | Policy Issued | 0 | Closed | ConnectiCare Benefits, Inc. | 7081690 | 8 | true | 2,026 | 75 | true |
End of preview. Expand in Data Studio
ct_doi_complaints — mirror
A convenience mirror of a public dataset, pushed by propensity.data.hf_mirror so that benchmark runs do not depend on a flaky upstream origin.
This is a mirror, not a grant of rights
Copyright and licence remain with the original source named below. Mirroring moves bytes; it does not and cannot change the terms they arrived under. If you intend to redistribute this further, or to use it commercially, read the original terms — not this card, and not the license: field above, which is our best reading and may be wrong.
Provenance
- Source: Insurance Company Complaints, Resolutions, Status, and Recoveries -- Connecticut Insurance Department, via data.ct.gov view t64r-mt64. Attribution: 'Department of Insurance' (the publisher's own string; it travels as a courtesy, not a licence condition). Declared as other + ct-open-data-public-domain, NOT cc0-1.0 (CC0 is a waiver only a rights holder can execute and this repository is not one) and NOT us-public-domain (17 U.S.C. 105 covers FEDERAL works only and a US state may hold copyright). The basis is Connecticut's own written open-data policy, which calls the portal's Public Domain field an act of DEDICATION, plus CGS 4-67o defining open data as data that 'does not have restrictions governing use'. The portal's actual Terms of Use (data.ct.gov/terms) is purely a warranty disclaimer and reserves no rights. WHAT THIS IS: 90,138 rows x 12 published columns -- every consumer complaint against an insurer licensed in Connecticut, with the regulator's adjudication and the dollars recovered. 25,566 distinct complaints over 822 insurers, opened 2015-11-02 to 2026-10-29. Five candidate outcomes: disposition (14 values), conclusion (54), recovery (continuous USD), status (27), days_open. WHY IT IS HERE: the only complaint-grain, prose-licensed, anonymously downloadable insurance asset the sweeps found in North America -- nearly everything else in the lane is an insurer-year aggregate. A monetary severity target on an individual complaint is rare. FIVE MEASURED CAVEATS. (1) A ROW IS A COMPLAINT LINE, NOT A COMPLAINT, and this changes every headline number. file_no has 25,025 distinct values over 90,138 rows and 497 are reused by up to 7 different companies, so it is a per-company filing number, not a key; the complaint is (company, file_no) -- 25,566 groups, median 2 lines, max 108, and 46.1% have exactly one line, which is why the duplication is easy to miss on a sample. recovery, status, closed and opened are CONSTANT across every line of a complaint, so a row-wise recovery.sum() returns $161,582,427.73 against a true $27,696,271.96 -- a 5.83x overstatement. complaint_key is the real key, and is_complaint_primary_line / complaint_line_count are provided. (2) 'Temporal Coverage: 2015-Present' is true and useless: 2015-2020 is 313 of 90,138 rows (0.35%) and the series effectively begins 2022. (3) status is a CENSORING indicator, not an outcome -- 87,789 rows read Closed and the label space collapses with cohort age (2 distinct statuses in the 2024 cohort, 27 in 2026), so predicting it predicts recency. days_open is missing not at random. (4) The two adjudication taxonomies are mostly null -- disposition on 42.9% of rows, conclusion on 27.6% -- and they are DIFFERENT taxonomies, not refinements: disposition is the regulator's finding, conclusion the mechanism. reason has only FOUR values; the resolution is in subreason's 205. (5) The entity key is a NAME with no NAIC code anywhere in the view, so it does not join out without a fuzzy match -- though the strings are hygienic (0 collisions after case/punctuation normalisation, no placeholders, no aggregates). NO PERSONAL DATA: the complainant is represented by no column -- no name, address, policy number, age or narrative. All 822 company values are corporate or fraternal insurers and the longest text value is 71 characters. WHAT IT IS NOT: not a claims file (no amount claimed, no policy, no coverage limit), not a complaint RATE (no exposure denominator, so a large insurer's count is not comparable to a small one's), and no target column -- nothing published says which disposition counts as a win.
- Origin URL: https://data.ct.gov/d/t64r-mt64
- Loader:
propensity.data.public_loaders.load_ct_doi_complaints - Extract: full pull from origin
- Reported source:
ct_doi_complaints - Rows pushed: 90,138
- Columns: 18
Licence and redistribution
- Licence as found:
other(ct-open-data-public-domain) - Redistribution verdict:
open - Basis: Connecticut Insurance Department, public domain by Connecticut's own open-data policy. THE PORTAL FIELD IS NOT THE BASIS: data.ct.gov view t64r-mt64 carries licenseId PUBLIC_DOMAIN / license {"name": "Public Domain"} / attribution "Department of Insurance" / provenance official, but US STATE works are not public domain by statute -- 17 U.S.C. 105 reaches only works of the UNITED STATES Government -- so that dropdown is an agency assertion, and this table's audits overturned seven rows for citing a portal field in place of the rights holder. WHAT RAISES IT ABOVE THE FIELD is written Connecticut policy that names the field as an act of dedication. CT Office of Policy and Management, Open Data Publication Guidelines, https://portal.ct.gov/-/media/ct-data/data-publication-guidelines-v1.pdf (HTTP 200, 940,859 bytes, 11 pages, read and re-verified 2026-11-10), verbatim: "Explicitly identify the license of your data. Generally, data should be identified as 'Public Domain.' [...] If applicable law prevents you from DEDICATING your dataset as public domain, you may have to apply for an Open Data license, but first contact the Chief Data Officer." That sentence is load-bearing twice: it calls the field a DEDICATION -- the operative legal act, since no statute performs one for a state -- and it supplies the documented exception path for when law prevents one, so a view carrying Public Domain is an agency that FOLLOWED the policy rather than accepted a default. The same document opens "Open data is data that can be freely used, reused, and REDISTRIBUTED without legal or financial restrictions" and quotes CGS 4-67o, under which open data "(C) does not have restrictions governing use". AND NOTHING RESTRICTS IT. The portal's real Terms of Use is https://data.ct.gov/terms (HTTP 200, 604,490 bytes) and is entirely a warranty/liability disclaimer -- it reserves no rights and says nothing about copying. CT.gov's disclaimer reserves copyright in exactly two things, the CT.gov logo and the state seal under CGS 3-106a, a carve-out structure that would be pointless if everything else were reserved. 17 of 17 sibling data.ct.gov datasets carry the same value, consistent with the policy. A CORRECTION RECORDED ON PURPOSE: this entry was first assessed UNVERIFIED on the premise that "no prose licence exists anywhere findable". That premise was FALSE and the probes were simply at the wrong paths -- /about, /terms-of-use and /dataset/terms-of-use are all HTTP 404, and portal.ct.gov/opendata serves a 404 page under HTTP 200 (a soft 404). The footer links /terms and portal.ct.gov/datapolicy, and prose exists at both. A 404 on a guessed path is not evidence of absence. RESIDUAL WEAKNESS, stated so a stricter reader can downgrade: the prose is OPM's (the Chief Data Officer's unit, which owns the policy, the statutory duty and the portal), not the Insurance Department's own page. The chain is 'state policy directs a dedication -> the rights-holding agency recorded one', not 'the rights holder wrote a grant'. One line from CID or the CT Chief Data Officer would settle it outright. NO PERSONAL DATA, checked rather than assumed: the complainant is represented by no column -- no name, address, policy number, age or narrative. All 822 company values are corporate or fraternal insurers, and the longest value in any text column is 71 characters.
Citation
Connecticut Insurance Department, Insurance Company Complaints, Resolutions, Status, and Recoveries, https://data.ct.gov/d/t64r-mt64, accessed 10 November 2026. Public domain; attribution: Department of Insurance.
Loading
from propensity.data.hf_mirror import load_mirrored
result = load_mirrored("ct_doi_complaints", org="SMVaddadi")
result.frame.head()
load_mirrored falls back to the original loader (origin, then its own offline replica) if this mirror is unreachable, so it is safe to depend on.
- Downloads last month
- 35