2025 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?
If you have questions about these reports, or are an issuer looking for information on submitting reports, visit the Health Insurers: Health Care Claims Reports section of this website.
| Company Name | NAIC # | 2025-Q1-Reports | 2025-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 |
| Anthem Healthchoice Assurance, Inc. (formerly Empire Healthchoice Assurance, Inc.) | 55093 | Q1 | Q2 |
| Anthem Healthchoice HMO, Inc. (formerly Empire Healthchoice HMO, Inc.) | 95433 | Q1 | Q2 |
| Anthem HP, LLC (formerly HealthPlus HP, LLC) | 16574 | 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 |
| Delaware American Life Insurance | 62634 | Q1 | Q2 |
| EmblemHealth Insurance Company | 60094 | Q1 | Q2 |
| Emblem Health Plan, Inc. | 55239 | Q1 | Q2 |
| Excellus Health Plan, Inc. | 55107 | ||
| Health Insurance Plan of Greater New York (HIP) | 55247 | Q1 | Q2 |
| Healthfirst Insurance Company, Inc. | 16031 | Q1 | Q2 |
| Healthfirst PHSP, Inc. | 15071 | 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 |