Health Care Claims Reports

Insurance Law section 345 requires insurers and HMOs (issuers) to submit reports to the Superintendent quarterly and annually on health care claims payment performance for comprehensive health insurance coverage.  The reports provide information on claims received, claims paid, and claims denied and their dollar values, by major category of health care provider.  The reports are due to the Superintendent 45 days after the end of the reporting period.

DFS posts the reports on the DFS website as submitted by the issuers.  The reports have not been reviewed by DFS for accuracy.

NOTE: The reports available on this page are in Excel format.

Questions?

Company Name

NAIC #

2022
Q1 Reports

2022
Q2 Reports

4 Ever Life Insurance Company

80985

Q1

Q2

Aetna Health Insurance Company of New York

84450

Q1

Q2

Aetna Life Insurance Company

60054

Q1

Q2

Capital District Physicians' Health Plan, Inc. (CDPHP)

95491

Q1

Q2

CDPHP Universal Benefits, Inc.

47027

Q1

Q2

Cigna Health and Life Insurance Company

67369

Q1

Q2

Connecticut General Life Insurance Company (Cigna)

62308

Q1

Q2

EmblemHealth Insurance Company

60094

Q1

Q2

Emblem Health Plan, Inc.

55239

Q1

Q2

Empire Healthchoice Assurance, Inc.

55093

Q1

Q2

Empire Healthchoice HMO, Inc.

95433

Q1

Q2

Excellus Health Plan, Inc.

55107

Q1 Group

Q1 Individual

Q2 Group

Q2 Individual

Health Insurance Plan of Greater New York (HIP)

55247

Q1

Q2

Healthfirst Insurance Company, Inc.

16031

Q1

Q2

Healthfirst PHSP, Inc.

15071

Q1

Q2

HealthPlus HP, LLC

16574

Q1

Q2

Highmark Western and Northeastern New York, Inc. (formerly HealthNow New York, Inc.)

55204

Q1

Q2

Independent Health Association, Inc.

95308

Q1

Q2

Independent Health Benefits Corporation

47034

Q1

Q2

MetroPlus Health Plan

95546

Q1

Q2

Molina Healthcare of New York, Inc.

15799

Q1

Q2

MVP Health Plan, Inc.

95521

Q1

Q2

MVP Health Services Corporation

47062

Q1

Q2

Nippon Life Insurance Company of America

81264

Q1

Q2

NYQHC dba Fidelis Care

16352

Q1

Q2

Oscar Insurance Corporation

15281

Q1

Q2

Oxford Health Insurance, Inc.

78026

Q1

Q2

UnitedHealthcare Insurance Company of New York

60093

Q1

Q2

UnitedHealthcare of New York, Inc.

95085

Q1

Q2

Wellfleet New York Insurance Company
(formerly Atlanta International Insurance Company)

20931

Q1

Q2