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The NAIC - http://naic.org has released 2006 complaint ratios. 1.0 is the median. Here they are from best to worst: Humana - .13 Unicare - ...


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Old 03-23-2007, 08:14 AM   #1
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healthagent on 2006 complaint ratios - Insurance Agent Forum
 
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The NAIC - http://naic.org has released 2006 complaint ratios. 1.0 is the median. Here they are from best to worst:

Humana - .13
Unicare - .16
United American - .56
Continental General - .65
Golden Rule - 1.27
Time Insurance - 1.35
World - 1.46
American Medical Security - 2.13
Celtic - 3.85
Mega Life & Health - 5.1

Interesting that Aetna's numbers aren't published nor are numbers for any Blue Cross - even searching Anthem, Wellpoint, Carefirst, etc....zero results.
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Old 03-23-2007, 09:14 AM   #2
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Peelerinsurance.com on 2006 complaint ratios - Insurance Agent Forum
 
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I show aetna at .92
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Old 03-23-2007, 09:23 AM   #3
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healthagent on 2006 complaint ratios - Insurance Agent Forum
 
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That because you ran rates for group, not individual.
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Old 03-23-2007, 10:17 AM   #4
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BKrocko on 2006 complaint ratios - Insurance Agent Forum
 
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The United American numbers are a shocker - hard to believe!
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Old 03-23-2007, 10:23 AM   #5
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Peelerinsurance.com on 2006 complaint ratios - Insurance Agent Forum
 
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Good point john....... then i revise my number to .14
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Old 03-23-2007, 10:45 AM   #6
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healthagent on 2006 complaint ratios - Insurance Agent Forum
 
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Wrong company. You're choosing Aetna Life, not Aetna life and health. Click the 1st company and it's not available.
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Old 03-23-2007, 11:05 AM   #8
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Peelerinsurance.com on 2006 complaint ratios - Insurance Agent Forum
 
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Check your marketing booklet
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Old 03-23-2007, 11:08 AM   #10
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joshril on 2006 complaint ratios - Insurance Agent Forum
 
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I am shocked at United American as well... I wonder if it has anything to do with that consumer form that started using?
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Old 03-23-2007, 12:06 PM   #12
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CHUMPS FROM OXFORD on 2006 complaint ratios - Insurance Agent Forum
 
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United American has a high ratio in Ohio too...

http://www.ins.state.oh.us/ConsumSer...Complaints.pdf
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Old 03-23-2007, 12:11 PM   #13
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Frank Stastny on 2006 complaint ratios - Insurance Agent Forum
 
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Although the numbers may be a good indication of how well the company is doing I would not place a lot of stock in the numbers themselves without more information. Some of that may be due to agents selling those products not communicating well with their prospects. In other words, not telling the prospect everything they need to know about what is and is not covered.

A more important bench mark of how well a company is doing would be to know the nature of the complaints they are receiving. A lot of prospects only hear what they want to hear and that usually consists of "how much does it cost". The details of a policy that the agent dutifully explained to them are not often remembered, especially when a claim is denied.

United American policies are not major med policies, but they don't cost a lot either. I am guessing that a lot of their complaints are because people assumed they were buying a poicy with more coverage because they weren't paying attention and then when a claim was denied or the policy didn't "pay enough" they filed a complaint. It may be a lot of "agent error" also as opposed to the company doing a substandard job.

Statistics and numbers can be used to come up with whatever results the person compiling them wants. For example, one out of three traffic accidents are caused by someone who has been drinking. Assuming that is true, then statistically the odds of getting in an accident are less if you are driving drunk than if you are driving sober. However, I would not recommend counting on that.
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Old 03-23-2007, 12:25 PM   #14
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The one nice thing about the NAIC search: http://www.naic.org/cis/codeReport.do is you can click "complaints by code" and see how all the complaints are broken down.
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Old 03-23-2007, 12:27 PM   #15
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CHUMPS FROM OXFORD on 2006 complaint ratios - Insurance Agent Forum
 
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I understand what you are saying Frank. But the vast majority of UA policyholders I talk to are not happy about their UA policy and want out as quickly as possible.

Naturally, the uninsuarble amy be a good fit for UA.
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Old 03-23-2007, 12:31 PM   #16
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healthagent on 2006 complaint ratios - Insurance Agent Forum
 
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The UA complaint ratio actually doesn't make sense. Especially when Mega's is over 5.0. The reason Mega's is over 5.0 is because most of the plans have limited benefits and it's natural to file a complaint when you hit a cap. So why aren't UA's numbers higher?
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Old 03-23-2007, 12:35 PM   #17
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salpro22 on 2006 complaint ratios - Insurance Agent Forum
 
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Originally Posted by john_petrowski View Post
The UA complaint ratio actually doesn't make sense. Especially when Mega's is over 5.0. The reason Mega's is over 5.0 is because most of the plans have limited benefits and it's natural to file a complaint when you hit a cap. So why aren't UA's numbers higher?

Perhaps most of UA's policy holders use Vonage and could not call in.
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Old 03-23-2007, 12:39 PM   #18
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johnrocks on 2006 complaint ratios - Insurance Agent Forum
 
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Many years ago i got suckered into farm and ranch healthcare who are located in Mckinley Tx. who sell this UA crap. the most successful manager there made over a mil a year. He reminded me of one of those hair slicked back $5000 suit tele-evangelical type people. you go out on a presentation with him and by the time he finished the people would be fighting over who was gonna sign the app first.
United American is a fine company,they are one of or were one of the largest players in the medicare supp market,but when your company gets shanghied by a bunch of "less than scrupulous" characters, you can just imagine what happens.
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Old 03-23-2007, 12:43 PM   #19
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And by the way, credit where credit is due for Mega. '04 was 7.06%, '03 was 6.14% and this past year was 5.01%. That's a almost a 20% decrease in complaints in just two years time. At least it's heading in the right direction.
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Old 03-23-2007, 11:26 PM   #20
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Originally Posted by BKrocko View Post
The United American numbers are a shocker - hard to believe!
Yeah, that was my first thought. Maybe their guys sell it with more ethics that most NASE reps and the people are aware they're buying a limited benefit policy.
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