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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
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107 values
reason
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4 values
subreason
stringclasses
205 values
disposition
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14 values
conclusion
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54 values
recovery
float64
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753k
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27 values
complaint_key
stringlengths
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105
complaint_line_count
int64
1
108
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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.

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