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Home > Complaint Stats-2014-Covered CA

Complaints Reported by Covered California for 2014

Covered California is the state's health insurance marketplace. 

The following table includes information about State Fair Hearings held on Covered California issues.  Covered California reported this 2014 complaint information to OPA for the Baseline Complaint Data Report.

2014 Covered California State Fair Hearings
(conducted by the Department of Social Services)
Most Common Reasons for Fair Hearings in 2014
  • Denial of Covered California coverage (85%)
  • Eligibility determination issues (13%)
  • Cancellation (2%)
Most Common Results from the Fair Hearing in 2014
  • Complaint withdrawn (49%)
  • Covered California position overturned (17%)
  • Compromise settlement or resolution (14%)
  • No action required (14%)
  • Covered California position upheld (6%)
Number of Days  the Fair Hearing Process Took in 2014 Between 39-50 days

 


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