Georgia response orr # 20780 senior health ins co of pa - complaints for past 5 years

1. 07-19-2018
Problem Reports by Respondent Inquiry Page 1 of 2
Summary
16
PROBLEM REPORTS
Filter Criteria
RESPONSIBLE SECTION: All Responsible Sections
OPENED DATE RANGE: 07-19-2013 to 07-19-2018
CLOSED DATE RANGE: Not Entered
PROBLEM REPORT STATUS: Closed
PROBLEM REPORT TYPE: All Problem Report Types
RESPONDENT TYPE: Organization
RESPONDENT NAME: Senior Health Insurance Company of Pennsylvania
RESPONDENT EIN: 23-0704970
RESPONDENT NAIC ID: 76325
RESPONDENT NPN: Not Specified
RESPONDENT LICENSE NUMBER: 2000210
COVERAGE TYPES: All Coverage Types
COVERAGE LEVELS: All Coverage Levels
COVERAGE SUB-LEVELS: All Coverage Sublevels
REASON CATEGORIES: All Reason Categories
REASON TYPES: All Reason Types
Report Properties
SORT 1: Opened Date, Descending
SORT 2: Problem Report ID, Descending
PERFORMED ON: Thu Jul 19 08:39:06 CDT 2018

2. 07-19-2018
Problem Reports by Respondent Inquiry Page 2 of 2
PROBLEM
REPORT ID
PROBLEM
REPORT TYPE STATUS
OPENED
DATE
CLOSED
DATE COVERAGE TYPE FINDING TYPE REASONS DISPOSITIONS DESCRIPTION
555211318 Complaint Closed 04-14-2017 06-30-2017 Accident and
Health
Unsatisfactory Settle Offer Contract
Provision/Legal
Issue
555210944 Complaint Closed 04-03-2017 06-22-2017 Accident and
Health
Premium & Rating Company
Position
Upheld
555210166 Complaint Closed 03-09-2017 03-23-2017 Accident and
Health
Premium Notice/Billing Company
Position
Upheld
555207820 Complaint Closed 12-29-2016 04-13-2017 Accident and
Health
Unsatisfactory Settle Offer Claim Settled
555201107 Complaint Closed 06-04-2016 07-21-2016 Accident and
Health
Denial of Claim
Unsatisfactory Settle Offer
Contract
Provision/Legal
Issue
555198019 Complaint Closed 03-06-2016 07-12-2016 Accident and
Health
Coverage Question Company
Position
Overturned
Company
Position
Upheld
555196466 Complaint Closed 01-21-2016 02-22-2016 Accident and
Health
Denial of Claim Company
Position
Upheld
555194600 Complaint Closed 11-18-2015 12-23-2015 Accident and
Health
Denial of Claim
State Specific
Company
Position
Upheld
555191003 Complaint Closed 08-03-2015 10-22-2015 Accident and
Health
Denial of Claim Company
Position
Overturned
555189720 Complaint Closed 06-23-2015 07-17-2015 Accident and
Health
Denial of Claim No Jurisdiction
555183629 Complaint Closed 12-01-2014 01-12-2015 Accident and
Health
Coverage Question Company
Position
Upheld
555181026 Complaint Closed 09-03-2014 10-24-2014 Accident and
Health
Denial of Claim Contract
Provision/Legal
Issue
555179656 Complaint Closed 07-15-2014 09-18-2014 Accident and
Health
Unsatisfactory Settle Offer Claim Settled Earl Dasher is complainant
555178539 Complaint Closed 06-02-2014 06-24-2014 Accident and
Health
Denial of Claim Company
Position
Upheld
555175016 Complaint Closed 01-22-2014 02-27-2014 Accident and
Health
Unsatisfactory Settle Offer Contract
Provision/Legal
Issue
555172942 Inquiry Closed 10-24-2013 11-15-2013 Accident and
Health
Unsatisfactory Settle Offer Contract
Provision/Legal
Issue