MISSOURI COMPLAINT REPORT - Missouri Department Of Insurance

Transcription

2020MISSOURICOMPLAINT REPORTSTATISTICS SECTION

The Missouri Department of Commerce & Insurance (DCI) investigates complaints made by Missouriconsumers who feel they have been treated unfairly by an insurance company. This report presents data oncomplaints against insurance companies received by DCI between 2018 and 2020. Three years of complaintsare pooled for each report to ensure that data are statistically credible. All complaints are included, regardlessof how the complaint was resolved.Complaint data are presented in four sections: Complaints by line of businessComplaints by reasonComplaint indices reported for the top 40 writers by line of businessComplaint indices for all companies, by line of businessSeven business lines are included: Private passenger automobileHomeowners (including farm, mobile home, and personal fire and allied lines)Life and annuityAccident and healthLong term careMedicare supplementHMOsComplaint indices compare the ratio of complaints to premium for each company to the industry average, foreach line of business:Company complaintsCompany premium*100Industry-wide complaintsIndustry-wide premiumAn index of 100 indicates that a company received complaints at a rate equal to the industry average. An indexof 10 indicates that a company’s complaint ratio is only 10 percent of the industry average, while an index of235 indicates a complaint ratio is 135 percent greater than the industry average. Indices are capped at 9,999.

Also Available from DCI Missouri Market Share ReportMissouri Real Estate Malpractice (Closed Claim Report)Missouri Legal Malpractice (Closed Claim Report)Missouri Products Liability (Closed Claim Report)Missouri Medical Malpractice Insurance ReportMissouri Health Maintenance Organization ReportMissouri Life, Accident & Health Supplement ReportMissouri Property and Casualty Supplement ReportMissouri Commercial Liability ReportMissouri Mortgage Guaranty ReportDatabases: for data requests, contact the Statistics Section at 573-751-3163. Some data are available for a fee. Medicare Supplement Experience DataProperty and Casualty Supplement DataMissouri Zip Code data for homeowners/dwelling fire, farm-owners (dwelling only, mobile home, earthquake, and privatepassenger automobile insurance.Many reports, including this complaint report, are available on the DCI website, at:http://www.insurance.mo.gov/reports/The Department of Commerce & Insurance is an Equal Opportunity Employer.

Table of ContentsDescriptionComplaints by Line of BusinessComplaints by ReasonPageNumber37Complaint Indices, Top 40 Writers (In Descending Order of Market Share)Private Passenger Automobile InsuranceHomeowners, Farmowners, Mobile Home, and Fire & Allied LinesAccident and Health Insurance (Excluding HMOs)Long Term Care InsuranceMedicare Supplement InsuranceLife Insurance and AnnuitiesHealth Maintenance Organizations20212223242526Complaint Indices, Top 40 Writers (Alphabetically by Company)Private Passenger Automobile InsuranceHomeowners, Farmowners, Mobile Home, and Fire & Allied LinesAccident and Health Insurance (Excluding HMOs)Long Term Care InsuranceMedicare Supplement InsuranceLife Insurance and AnnuitiesHealth Maintenance Organizations28293031323334Complaint Indices, All CompaniesPrivate Passenger Automobile InsuranceHomeowners, Farmowners, Mobile Home, and Fire & Allied LinesAccident and Health Insurance (Excluding HMOs)Long Term Care InsuranceMedicare Supplement InsuranceLife Insurance and AnnuitiesHealth Maintenance Organizations35414859636879

Complaints by Line of Business

Line of BusinessPrivate Passenger AutoHomeownersOther P&CTotal P&C ComplaintsLong Term CareMedicare SupplementHMOAll Other A&HTotal A&H ComplaintsLife and AnnuitiesTotalTotal Complaints by 85652471679796145199961,1213002,400Complaint Resolution by Line, 2016-2020% of Complaints Resolved with Consumer ReliefLine of Business2016201720182019Private Passenger 7.5%Other P&C42.9%42.4%50.3%40.0%Total P&C Complaints34.3%30.9%35.0%35.3%Long Term Care23.6%28.6%27.9%35.8%Medicare .All Other A&H43.4%38.1%34.5%40.5%Total A&H Complaints42.6%38.8%34.9%39.6%Life and Annuities41.2%29.3%33.7%32.7%Total38.9%34.2%34.8% %2020471254168893552877268162181,942

Line of BusinessAircraftCommercial AutoCommercial Multi-PerilCredit PropertyFidelity & SuretyFire, Allied LinesGeneral LiabilityHomeownersInland MarineMortgage GuarantyOtherPrivate Passenger AutoProducts LiabilityProfessional E & OTravelUmbrellaWarranty ContractWatercraftWorkers CompensationTotalTotal Property & Casualty ComplaintsExcluding 0447111750314893%Change,2018-2020-100.0%- 6%0.0%0.0%- 1.3%-100.0%.-50.0%-69.2%- 8.8%%Change,2019-2020.40.0%- 16.8%.167.9%-100.0%200.0%-66.7%-71.4%- 9.6%

Line ofBusinessIndividual A&HGroup A&HHMOTotalAccident and Health InsuranceComplaints by Line, 637816%Change,2018-2020-38.4%- 4.0%-63.2%-27.2%%Change,2019-2020-25.0%- 3.7%-41.7%-17.1%

Line ofBusinessIndividual LifeGroup LifeAnnuitiesCredit LifeTotalLife and AnnuitiesComplaints by Line, 3%%Change,2019-2020-29.1%4.0%-35.7%.-26.6%

Complaints by Reason7

ReasonAdjuster HandlingAssignment of BenefitsComparative NegligenceDelaysDenial of ClaimFraudPost-Claim UnderwritingRecoupmentState sual, Customary, ReasonableSubtotalPrivate Passenger Automobile InsuranceComplaints by Reason, -2020Claim 77711011537466.7%.- .8%-23.0%-47.0%.0.0%25.0%200.0%- 5.1%044904713371.-17.4%.-21.2%111122Policy entationState SpecificSubtotalCoverage QuestionDelays/No ResponseNotice RequirementsPayment Not CreditedPolicy DeliveryPremium Notice/BillingPremium RefundPremium SubsidyState SpecificSubtotalCLUE ReportsCancellationCredit ReportDelays8

ReasonEndorsement/RiderNonrenewalPremium & RatingRefusal to InsureState SpecificSurchargeSubtotalTotalPrivate Passenger Automobile InsuranceComplaints by Reason, %-35.1%-16.6%%Change,2019-2020300.0%150.0%- 5.7%-100.0%-100.0%-100.0%- 7.4%-16.8%

ReasonAdjuster HandlingCoordination of BenefitsDelaysDenial of ClaimPost-Claim UnderwritingRecoupmentState SpecificSubrogationUnsatisfactory SettlementSubtotalNotice RequirementsPayment Not CreditedPremium Notice/BillingPremium RefundState SpecificSubtotalCLUE alPremium & RatingRefusal to InsureState SpecificSubtotalTotalHomeowners InsuranceComplaints by Reason, 2018-2020201820192020Claim Handling010053827499100287104843185234Policy 046504124728710%Change,2018-2020% -100.0%-66.7%-33.3%.-100.0%-48.8%-11.5% 3.8%

ReasonAmbulatory Patient ServicesAppeal Non-ComplianceAssignment of BenefitsClaim Recoding/BundlingCoordination of BenefitsCopay IssuesCost ContainmentDelaysDenial of ClaimEmergency ServicesEssential Health BenefitExternal ReviewFraudHospitalizationInternal AppealLaboratory ServicesMaternity and Newborn CareMaximum Out of PocketMedical NecessityMental Health ParityNo PreauthorizationOut-Of-Network BenefitsPCP ReferralsPediatric CarePharmacy BenefitsPost-Claim UnderwritingPreexisting ConditionPreventive CarePrompt PayProvider AvailabilityRecoupmentRehabilitative CareState ccident and Health InsuranceComplaints by Reason, -2020Claim 0180003-60.0%.200.0%- .0%- -23.1%.-50.0%-46.7%-100.0%-100.0%.0.0%11

ReasonUsual, Customary, ReasonableSubtotalAccident and Health InsuranceComplaints by Reason, licy 3.8%-60.7%50.0%-71.4%-52.8%33.3%.0.0%-50.0%-30.4%- %-10.0%MarketingFailure to Submit ApplicationFraud/ForgeryMisleading AdvertisingMisrepresentationOther Violation of InsuranceLaw/RSummary of BenefitsSubtotalAbusive ServiceAccess to CareAccess to Fee Schedule/RatesCash ValueProvider DiscriminationContinuity of CareCoverage QuestionCredentialing DelayDelayed AuthorizationDecisionDelays/No ResponseDisabled Individuals' AccessExchangeInadequate ReimbursementRatesInvoluntary TerminationNotice RequirementsPayment Not CreditedPolicy DeliveryPremium Notice/BillingPremium RefundPremium SubsidyProvider Listing DisputeSubtotal10200210112

ReasonCancellationContinuation of BenefitsDelaysDependent AgeEndorsement/RiderNonrenewalPre-Existing ConditionPremium & RatingRefusal to InsureRescissionState SpecificWaiting PeriodsSubtotalTotalAccident and Health InsuranceComplaints by Reason, .3%-26.6%%Change,2019-2020- %-100.0%-100.0%- 9.3%-16.8%

ReasonAssignment of BenefitsDelaysDenial of ClaimMedical NecessitySubtotalSummary of BenefitsSubtotalContinuity of CareCoverage QuestionDelayed AuthorizationDecisionInadequate ReimbursementRatesInvoluntary Termination byPlanPremium Notice/BillingPremium walPremium & RatingState SpecificSubtotalTotalLong Term Care InsuranceComplaints by Reason, 2018-2020201820192020Claim Handling1010131510022625Marketing1010Policy Service016700% Change,2018-2020% Change,2019-2020112120250.0%20.0%-20.0%.- 3.8%.- 1755-50.0%.16.7%.6.3%- 9.8%-66.7%.-100.0%- 6.7%-100.0%-26.1%-17.9%400120166114

ReasonCoordination of BenefitsCopay IssuesDelaysDenial of ClaimEmergency ServicesPharmacy BenefitsRecoupmentSubtotalCoverage QuestionDelayed AuthorizationDecisionInvoluntary Termination byPlanPayment Not CreditedPolicy DeliveryPremium Notice/BillingPremium RefundSubtotalCancellationNonrenewalPreExisting ConditionPremium & RatingRefusal to InsureSubtotalTotalMedicare Supplement InsuranceComplaints by Reason, 2018-2020201820192020Claim Handling30001373000012128Policy Service4501% Change,2018-2020% 00.0%0.0%71.4%- 3.4%90143174515

ReasonAssignment of BenefitsCoordination of BenefitsCost ContainmentDelaysDenial of ClaimFraudPrompt lLife and AnnuitiesComplaints by Reason, -2020Claim 12.5%.-100.0%.-20.0%-100.0%-100.0%.- 34.9%23.5%( olicy ud/ForgeryMisappropriation of PremiumMisleading AdvertisingMisrepresentationState SpecificSummary of BenefitsSubtotalAbusive ServiceAccess to Fee Schedule/RatesCash ValueCoverage QuestionDelays/No ResponseInadequate ReimbursementRatesNotice RequirementsPayment Not CreditedPolicy DeliveryPremium Notice/BillingPremium RefundPremium SubsidySurrender g16

ReasonAudit DisputeCancellationDelaysDependent AgeGroup ConversionNonrenewalPreExisting ConditionPremium & RatingSubtotalTotalLife and AnnuitiesComplaints by Reason, 0.0%-72.7%-100.0%.-100.0%.-100.0%-80.0%-26.6%

ReasonAmbulatory Patient ServicesCoordination of BenefitsDelaysDenial of ClaimEmergency ServicesExternal ReviewHospitalizationInternal AppealMaximum Out of PocketMedical NecessityNo PreauthorizationSubtotalCoverage QuestionCredentialing DelayPremium lth Maintenance OrganizationsComplaints by Reason, 2018-2020201820192020013613000121710120019Claim Handling1003040100110Policy Service1001Underwriting111218% Change,2018-2020% 0.0%.0.0%007.-63.2%-100.0%-100.0%-41.7%

Complaint IndicesTop 40 WritersBy Market Share19

7834Private Passenger Automobile Insurance Complaint IndicesTop Forty Writers by Market ShareNameComplaints Average Annual2018-2020Premium 20182020State Farm Mutual Automobile Insurance Co234 846,447,322American Family Mutual Insurance Company, S.i.70 309,293,623GEICO Casualty Company104 279,598,570Progressive Casualty Insurance Company91 246,005,663Progressive Advanced Insurance Company87 225,848,292Shelter Mutual Insurance Company64 223,870,177Farmers Insurance Company, Inc.54 193,056,543Safeco Insurance Company Of Illinois85 185,743,072American Family Insurance Company62 174,727,862Automobile Club Inter-Insurance Exchange85 159,984,339Allstate Fire & Casualty Insurance Company57 129,686,286Farm Bureau Town & Country In Co Of MO41 107,300,701The Standard Fire Insurance Company21 85,035,416United Services Automobile Association20 61,052,192LM General Insurance Company37 53,453,222AMCO Insurance Company20 51,989,939USAA General Indemnity Company8 51,626,869USAA Casualty Insurance Company21 50,649,552State Farm Fire & Casualty Company30 49,740,541Allied Property & Casualty Insurance Company10 30,849,063Esurance Property & Casualty Insurance Co20 30,149,186Owners Insurance Company13 28,130,616Grinnell Select Insurance Company7 27,423,463Cameron Mutual Insurance Company7 26,341,641Garrison Property & Casualty Insurance Co9 23,872,170Traders Insurance Company23 22,895,391Twin City Fire Insurance Company11 21,197,130GEICO General Insurance Company7 20,904,840Country Preferred Insurance Company7 20,622,880American National Property & Casualty Co5 18,865,187Root Insurance Company11 17,676,818Nationwide Insurance Company Of America4 16,456,512Auto-owners Insurance Company5 15,880,574State Automobile Mutual Insurance Company5 14,447,244The Cincinnati Insurance Company3 13,053,810Progressive Northwestern Insurance Company7 12,538,977Viking Insurance Company Of Wisconsin7 12,155,948American Standard Insurance Co of WI7 11,325,593Columbia Mutual Insurance Company0 11,278,808Progressive Preferred Insurance Company5 11,024,239Top 40 Writers1,364 3,892,200,269Total1,602 1601471511620119.

9232Homeowners Insurance Complaint IndicesTop Forty Writers by Market ShareNameComplaints Average Annual2018-2020Premium 20182020State Farm Fire & Casualty Company157 590,945,463American Family Mutual Insurance Company84 268,889,855Shelter Mutual Insurance Company33 168,829,162Farm Bureau Town & Country Ins Co Of MO37 133,630,190Safeco Insurance Company Of America24 128,319,993Farmers Insurance Exchange29 120,179,954American Family Insurance Company27 79,944,968Auto Club Family Insurance Company43 76,710,139United Services Automobile Association13 50,556,905The Travelers Home & Marine Insurance Co17 49,383,747Nationwide Affinity Insurance Co Of America13 48,563,809Allstate Vehicle & Property Insurance Company20 45,818,665Auto-owners Insurance Company20 41,828,402American Strategic Insurance Corp10 40,738,685Travelers Personal Insurance Company10 32,639,942USAA Casualty Insurance Company7 30,086,110USAA General Indemnity Company11 28,182,500Foremost Insurance Company Grand Rapids, MI8 26,936,736Liberty Insurance Corporation17 25,469,104Nationwide Agribusiness Insurance Company0 23,404,794Country Mutual Insurance Company7 22,214,845State Automobile Mutual Insurance Company7 18,457,882American Modern Property & Casualty InsCo15 18,159,313The Cincinnati Insurance Company0 16,442,591American National Property & Casualty Co6 15,974,207Homesite Insurance Company Of The Midwest6 15,907,173Liberty Mutual Personal Insurance Company3 15,022,283Cameron Mutual Insurance Company3 14,233,454Mid-century Insurance Company4 13,987,017Bankers Standard Insurance Company0 13,221,790Fire Insurance Exchange8 12,988,789American Economy Insurance Company1 12,890,160Allstate Property & Casualty Insurance Company7 12,854,399Allstate Indemnity Company5 12,489,044Standard Guaranty Insurance Company1 12,235,904Nationwide Mutual Insurance Company1 10,794,469Crestbrook Insurance Company0 10,668,647Garrison Property & Casualty Insurance Co3 10,252,887Nationwide Insurance Company Of America5 9,826,918Allstate Insurance Company5 9,332,449Top 40 Writers667 2,289,013,343Total788 312730095166175.

Accident & Health Insurance Complaint IndicesTop Forty Writers by Market 3156214661263Healthy Alliance Life Insurance CompanyUnitedHealthcare Insurance CompanyBlue Cross & Blue Shield Of Kansas CityCIGNA Health & Life Insurance CompanyAetna Life Insurance CompanyCeltic Insurance CompanyHumana Insurance CompanyCox Health Systems Insurance CompanyMetropolitan Life Insurance CompanyMutual Of Omaha Insurance CompanyVision Service Plan Insurance CompanyAmerican Family Life Assurance Co Of ColumbusSilverscript Insurance CompanyUnited States Branch Of The Sun Life AssuranceGolden Rule Insurance CompanyUnum Life Insurance Company Of AmericaGuardian Life Insurance Company Of AmericaAll Savers Insurance CompanyHartford Life & Accident Insurance CompanyHCC Life Insurance CompanyLife Insurance Company Of North AmericaTransamerica Life Insurance CompanyGenworth Life Insurance CompanyWellcare Prescription Insurance IncOmaha Insurance CompanyPrincipal Life Insurance CompanyUnited Of Omaha Life Insurance CompanyMissouri Valley Life & Health Insurance CoStandard Insurance CompanyCompanion Life Insurance CompanyCoventry Health & Life Insurance CompanyState Farm Mutual Automobile Insurance CoJohn Hancock Life Insurance Company (usaThe Northwestern Mutual Life Insurance CoReliastar Life Insurance CompanyThe Prudential Insurance Company Of AmericaMedco Containment Life Insurance CompanyLincoln Life Assurance Company Of BostonCombined Insurance Company Of AmericaBankers Life & Casualty CompanyTop 40 WritersTotal22Complaints2018-2020Average AnnualPremium 5056222,5112,883 1,690,676,087 1,361,190,129 798,236,633 681,702,052 383,773,493 302,757,098 199,094,361 144,289,868 130,876,724 123,136,952 112,202,763 99,571,520 90,632,646 84,340,303 69,703,012 69,464,959 65,514,623 64,381,982 56,798,786 55,684,286 49,110,202 48,701,389 48,248,030 47,520,859 46,014,617 45,786,777 39,815,800 39,072,751 38,468,924 34,727,959 32,786,952 30,695,046 29,552,895 29,236,003 26,496,604 25,458,716 25,058,825 24,893,031 23,942,233 22,489,156 7,292,105,046 28135005605771278.

9477Long Term Care Insurance Complaint IndicesTop Forty Writers by Market ShareNameComplaints Average Annual2018-2020Premium 20182020Genworth Life Insurance Company33 48,242,765John Hancock Life Insurance Company14 29,511,371Metropolitan Life Insurance Company11 17,946,393Northwestern Long Term Care Insurance Co1 17,548,945Bankers Life & Casualty Company17 16,735,760Unum Life Insurance Company Of America5 12,348,790Transamerica Life Insurance Company30 12,226,129Mutual Of Omaha Insurance Company2 11,190,762State Farm Mutual Automobile Insurance Co3 9,329,919Continental Casualty Company6 7,389,712Thrivent Financial For Lutherans1 7,198,117Silac Insurance Company5 6,090,736New York Life Insurance Company0 5,104,414The Prudential Insurance Company Of America3 4,917,336Allianz Life Insurance Co Of North America6 4,666,959Knights Of Columbus1 3,748,305Riversource Life Insurance Company4 3,663,992Massachusetts Mutual Life Insurance Company2 2,466,424Ability Insurance Company2 2,190,942United Of Omaha Life Insurance Company0 1,782,252Union Security Insurance Company0 1,669,026Brighthouse Life Insurance Company3 1,468,079Lincoln Benefit Life Company4 1,457,618Continental General Insurance Company1 1,177,822Senior Health Insurance Company of PA3 1,098,830CMFG Life Insurance Company3 1,059,186MedAmerica Insurance Company0 1,055,903United Security Assurance Company Of PA1 1,049,824Physicians Mutual Insurance Company1 942,506American Family Mutual Insurance Company, S.i.6 887,133Guarantee Trust Life Insurance Company0 781,512LifeSecure Insurance Co.0 759,289Country Life Insurance Company0 644,908Forethought Life Insurance Company0 628,563The State Life Insurance Company3 564,393Blue Cross & Blue Shield Of Kansas City0 529,106Provident Life & Accident Insurance Company0 500,340Washington National Insurance Company2 495,860Auto-owners Life Insurance Company0 447,937Time Insurance Company0 447,142Top 40 Writers173 241,965,004Total183 600.

1121Medicare Supplement Insurance Complaint IndicesTop Forty Writers by Market ShareNameComplaints Average Annual2018-2020Premium 20182020UnitedHealthcare Insurance Company14 189,381,985Mutual Of Omaha Insurance Company6 104,164,904Healthy Alliance Life Insurance Company16 88,670,794Omaha Insurance Company1 46,014,617Blue Cross & Blue Shield Of Kansas City4 38,397,446Transamerica Life Insurance Company1 28,717,581CIGNA Health & Life Insurance Company7 25,472,242United Of Omaha Life Insurance Company0 20,253,563The Manhattan Life Insurance Company5 18,343,017Old Surety Life Insurance Company0 15,055,999Everest Reinsurance Company10 13,888,038Humana Insurance Company4 12,715,500American Republic Insurance Company0 9,585,602State Farm Mutual Automobile Insurance Co0 9,561,162Individual Assur Co Life Hlth & Acc1 9,312,457Companion Life Insurance Company3 9,110,520American Continental Insurance Company6 8,655,487Colonial Penn Life Insurance Company6 8,107,705USAA Life Insurance Company2 5,679,910Hartford Life & Accident Insurance Company0 5,426,621American Family Mutual Insurance Company, S.i.0 4,954,132Bankers Life & Casualty Company1 4,879,084American Republic Corp Insurance Company0 4,424,565Americo Financial Life & Annuity Ins Co1 4,062,993Combined Insurance Company Of America3 4,027,696Christian Fidelity Life Insurance Company0 3,814,191Continental Life Ins Co Of Brentwood, TN0 2,969,466Thrivent Financial For Lutherans0 2,955,098Physicians Mutual Insurance Company0 2,846,964Humana Dental Insurance Company0 2,664,092Sterling Life Insurance Company0 2,406,280Loyal American Life Insurance Company2 2,347,200United World Life Insurance Company0 2,157,763United American Insurance Company2 2,156,388American Retirement Life Insurance Company1 2,103,408Silac Insurance Company0 2,068,719Lumico Life Insurance Company1 1,974,147Reserve National Insurance Company0 1,966,468Health Care Service Corporation,0 1,746,890Unified Life Insurance Company0 1,493,421Top 40 Writers97 724,534,114Total102 24351254626000151018255000000062906853510374000.

6974Life and Annuity Complaint IndicesTop Forty Writers by Market ShareNameComplaints Average Annual2018-2020Premium 20182020American General Life Insurance Company71 762,026,478Berkshire Hathaway Life Insurance Co of NE0 722,319,690The Lincoln National Life Insurance Company15 410,038,285The Northwestern Mutual Life Insurance Co3 296,013,864Forethought Life Insurance Company0 293,797,557Jackson National Life Insurance Company45 293,192,508Pacific Life Insurance Company0 275,231,708New York Life Insurance & Annuity Corporation3 259,064,593Great American Life Insurance Company0 226,337,030PRUCO Life Insurance Company2 214,198,820Metropolitan Life Insurance Company59 209,636,372Allianz Life Insurance Co Of North America7 201,632,474Athene Annuity & Life Company24 199,046,651Teachers Ins & Annuity Assn of America0 188,532,327Transamerica Life Insurance Company30 173,906,131Voya Retirement Insurance & Annuity Company1 171,568,169Massachusetts Mutual Life Insurance Company2 169,696,683American United Life Insurance Company1 163,551,713Equitable Financial Life Insurance Company9 148,919,168The Prudential Insurance Company Of America16 147,552,611State Farm Life Insurance Company12 139,875,900American Equity Investment Life Ins Co0 137,283,683Protective Life Insurance Company11 135,580,114Great-West Life & Annuity Insurance Company0 129,600,068Thrivent Financial For Lutherans3 126,875,805Minnesota Life Insurance Company5 116,457,455Principal Life Insurance Company1 115,092,723New York Life Insurance Company12 105,968,641Brighthouse Life Insurance Company6 104,711,077Nationwide Life Insurance Company1 104,047,424Fidelity & Guaranty Life Insurance Company1 76,785,245Riversource Life Insurance Company2 70,476,302United Of Omaha Life Insurance Company12 69,621,728Delaware Life Insurance Company0 67,896,014John Hancock Life Insurance Company (usa2 66,198,379American Family Life Insurance Company3 53,627,565Variable Annuity Life Insurance Company1 52,687,019Standard Insurance Company5 49,150,276Nationwide Life & Annuity Insurance Company1 47,618,527North American Co For Life & Health Insurance4 47,600,610Top 40 Writers370 7,343,417,386Total815 %1.8%1.6%1.6%1.5%1.5%1.

Medicare Supplement Insurance 24 Life Insurance and Annuities 25 Health Maintenance Organizations 26 Complaint Indices, Top 40 Writers (Alphabetically by Company) Private Passenger Automobile Insurance 28 Homeowners, Farmowners, Mobile Home, and Fire & Allied Lines 29 Accident and Health Insurance (Excluding HMOs) 30