Florida response to Records of Complaints Against SHIP
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The document lists consumer complaints filed against Senior Health Insurance Company of Pennsylvania over a 5 year period. It includes details of each complaint such as the date, complaint number, product type, reason for complaint, resolution and date closed. The majority of complaints were related to long term care insurance and issues with claims, cancellations, rates and coverage.
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Florida response to Records of Complaints Against SHIP
- 1. DFS List of All Consumer Complaint Filed Against Senior Health Insurance Company of Pennsylvania The Division Has a Five (5) Year Retention Schedule DATE SERVICE REQUEST CREATED SR NUM FL CO CODE AREA SUBAREA REASON SUB REASON SR RESOLUTION 4/10/2012 1-740177503 05920 Accident & Health Long Term Care Cancellation Issue Cancel/Nonrene w Nonpayment Insufficient Information 4/12/2012 1-740373961 05920 Accident & Health Home Health Care Claim Issue Other Claim Issue Claim Settled 5/1/2012 1-742165123 05920 Accident & Health Long Term Care Premium Issue Rate Increase Company Position Explained 5/23/2012 1-744277440 05920 Accident & Health Long Term Care Claim Issue Claim Denial Contractual Provision 5/30/2012 1-744787901 05920 Accident & Health Long Term Care Claim Issue Claim Underpayment Issue Resolved 6/1/2012 1-745065954 05920 Accident & Health Long Term Care Claim Issue Claim Denial Contractual Provision 7/18/2012 1-749446141 05920 Accident & Health Long Term Care Cancellation Issue Cancel/Nonrene w Nonpayment Issue Resolved 8/6/2012 1-751132996 05920 Accident & Health Long Term Care Claim Issue Claim Denial Coverage Explained 9/19/2012 1-755238088 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Claim Settled 11/6/2012 1-759593033 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Insufficient Information 11/8/2012 1-759783725 05920 Accident & Health Long Term Care Claim Issue Claim Overpayment Issue Resolved
- 2. 12/12/2012 1-762617114 05920 Accident & Health Home Health Care Coverage Issue Coverage Question Company Position Explained 3/12/2013 1-770177784 05920 Accident & Health Long Term Care Premium Issue Rate Increase Company Position Explained 3/22/2013 1-771139609 05920 Accident & Health Long Term Care Premium Issue Rate Increase Company Position Explained 4/5/2013 1-772467367 05920 Accident & Health Long Term Care Coverage Issue Coverage Question Company Position Explained 4/8/2013 1-772732020 05920 Accident & Health Long Term Care Premium Issue Rate Increase Statutory Provisions 4/9/2013 1-772823829 05920 Accident & Health Long Term Care Premium Issue Rate Increase Company Position Explained 4/16/2013 1-773550370 05920 Accident & Health Home Health Care Claim Issue Claim Handling Delay Company Position Explained 4/16/2013 1-773595476 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Company Position Explained 4/18/2013 1-773877535 05920 Accident & Health Home Health Care Claim Issue Claim Denial Company Position Explained 5/17/2013 1-776824951 05920 Accident & Health Long Term Care Claim Issue Claim Denial Contractual Provision 5/24/2013 1-777516811 05920 Accident & Health Long Term Care Claim Issue Claim Denial Company Position Explained
- 3. 6/24/2013 1-780500450 05920 Accident & Health Long Term Care Company Issue Contract Dispute Company Position Explained 7/12/2013 1-782301506 05920 Accident & Health Home Health Care Claim Issue Claim Denial Company Position Explained 7/23/2013 1-783429733 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Claim Settled 8/21/2013 1-786447367 05920 Accident & Health Long Term Care Claim Issue Claim Denial Company Position Explained 8/29/2013 1-787293027 05920 Accident & Health Long Term Care Claim Issue Coordination of Benefits Issue Resolved 8/29/2013 1-787379854 05920 Accident & Health Long Term Care Coverage Issue Contract Dispute Contractual Provision 10/28/2013 1-793482643 05920 Accident & Health Home Health Care Claim Issue Claim Denial Company Position Explained 12/18/2013 1-798353766 05920 Accident & Health Long Term Care Cancellation Issue Cancel/Nonrene w Nonpayment Cancel/Nonrene w Withdrawn 1/6/2014 1-799765587 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Claim Settled 1/8/2014 1-800017673 05920 Accident & Health Long Term Care Claim Issue Claim Denial Claim Settled 3/11/2014 1-806238435 05920 Accident & Health Long Term Care Coverage Issue Coverage Options Issue Resolved 3/13/2014 1-806465322 05920 Accident & Health Home Health Care Claim Issue Claim Handling Delay Claim Settled 3/26/2014 1-807691387 05920 Accident & Health Long Term Care Claim Issue Claim Denial Company Position Explained
- 4. 4/1/2014 1-808198129 05920 Accident & Health Long Term Care Premium Issue Rate Increase Company Position Explained 5/29/2014 1-813617027 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Company Position Explained 7/28/2014 1-819069217 05920 Accident & Health Long Term Care Claim Issue Claim Denial Claim Settled 9/9/2014 1-822787476 05920 Accident & Health Home Health Care Claim Issue Claim Handling Delay Claim Settled 9/22/2014 1-823864393 05920 Accident & Health Home Health Care Coverage Issue Contract Dispute Contractual Provision 1/12/2015 1-832905050 05920 Accident & Health Long Term Care Coverage Issue Coverage Question Claim Settled 1/15/2015 1-833227559 05920 Accident & Health Long Term Care Cancellation Issue Cancel/Nonrene w Nonpayment Cancel/Nonrene w Withdrawn 4/7/2015 1-840319610 05920 Accident & Health Long Term Care Claim Issue Claim Underpayment Company Position Explained 4/15/2015 1-841017110 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Company Position Explained 6/9/2015 1-845698479 05920 Accident & Health Long Term Care Premium Issue Invoice/Billing Issue Issue Resolved 6/29/2015 1-847391466 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Notice Issued- Relief 7/2/2015 1-847664579 05920 Accident & Health Long Term Care Claim Issue Claim Denial Company Position Explained 7/14/2015 1-848406856 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Issue Resolved
- 5. 7/24/2015 1-849297398 05920 Accident & Health Long Term Care Premium Issue Premium Refund Refund 7/27/2015 1-849388454 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Claim Settled 8/17/2015 1-850893884 05920 Accident & Health Long Term Care Claim Issue Claim Denial Issue Resolved 8/19/2015 1-851108014 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Company Position Explained 8/27/2015 1-851763029 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Company Position Explained 9/2/2015 1-852168672 05920 Accident & Health Long Term Care Claim Issue Claim Denial Contractual Provision 9/16/2015 1-853083969 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Claim Settled 9/21/2015 1-853434482 05920 Accident & Health Long Term Care Claim Issue Claim Denial Attorney Retained 11/30/2015 1-858077101 05920 Accident & Health Long Term Care Claim Issue Claim Denial Company Position Explained 12/8/2015 1-858688760 05920 Accident & Health Long Term Care Claim Issue Claim Denial Company Position Explained 1/5/2016 1-860266609 05920 Accident & Health Long Term Care Coverage Issue Extension of Benefits Company Position Explained 1/11/2016 1-860688237 05920 Accident & Health Long Term Care Claim Issue Claim Denial Company Position Explained 1/13/2016 1-860890313 05920 Accident & Health Long Term Care Claim Issue Claim Underpayment Question of Fact
- 6. 2/29/2016 1-864219449 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Claim Settled 3/21/2016 1-865636467 05920 Accident & Health Long Term Care Coverage Issue Coordination of Benefits Issue Resolved 3/28/2016 1-866125897 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Company Position Explained 5/10/2016 1-869225783 05920 Accident & Health Home Health Care Claim Issue Claim Handling Delay Company Position Explained 5/16/2016 1-869707092 05920 Accident & Health Long Term Care Claim Issue Claim Denial Question of Fact 5/24/2016 1-870260235 05920 Accident & Health Long Term Care Claim Issue Claim Denial Company Position Explained 6/3/2016 1-871107379 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Company Position Explained 8/8/2016 1-876319729 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Adjuster Position Explained 8/16/2016 1-877024692 05920 Accident & Health Home Health Care Coverage Issue Coverage Question Company Position Explained 8/18/2016 1-877274209 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Coverage Explained 10/21/2016 1-883056756 05920 Accident & Health Long Term Care Coverage Issue Conversion of Benefits Company Position Explained 10/31/2016 1-883748363 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Issue Resolved 12/2/2016 1-886316305 05920 Accident & Health Long Term Care Claim Issue Extension of Benefits Coverage Extended
- 7. 12/7/2016 1-886688591 05920 Accident & Health Long Term Care Coverage Issue Coverage Question Claim Settled 1/11/2017 1-889244301 05920 Accident & Health Long Term Care Claim Issue Claim Denial Company Position Explained 1/12/2017 1-889340032 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Company Position Explained 1/23/2017 1-890143782 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Claim Settled 3/6/2017 1-893968329 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Company Position Explained 3/6/2017 1-894060569 05920 Accident & Health Long Term Care Coverage Issue Coverage Question Question of Fact 3/31/2017 1-896511634 05920 Accident & Health Long Term Care Claim Issue Claim Denial Company Position Explained 4/5/2017 1-896937630 05920 Accident & Health Long Term Care Coverage Issue Contract Dispute Company Position Explained 7/5/2017 1-904751029 05920 Accident & Health Long Term Care Claim Issue Claim Denial Company Position Explained 8/2/2017 1-907174437 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Company Position Explained 8/9/2017 1-907793316 05920 Accident & Health Long Term Care Cancellation Issue Cancel/Nonrene w Nonpayment Company Position Explained 9/26/2017 1-911834349 05920 Accident & Health Home Health Care Claim Issue Claim Handling Delay Company Position Explained
- 8. 10/20/2017 1-914374339 05920 Accident & Health Home Health Care Coverage Issue Extension of Benefits Question of Fact 11/22/2017 1-917625647 05920 Accident & Health Long Term Care Coverage Issue Coverage Question Company Position Explained 1/30/2018 1-924342317 05920 Accident & Health Long Term Care Claim Issue Claim Handling Delay Company Position Explained 3/12/2018 1-928490971 05920 Accident & Health Long Term Care Premium Issue Invoice/Billing Issue Company Position Explained