# CaremarkPCS Health, L.L.C. dba CVS Caremark: health (accident and health) complaint (claim handling), opened 2026-05-27

**Score:** 45/100

| Field | Value |
|---|---|
| Insurer | CaremarkPCS Health, L.L.C. dba CVS Caremark |
| Opened | 2026-05-27 |
| Closed | 2026-06-05 |
| Line | Health (accident and health) |
| Coverage | Group - Self Funded/ERISA |
| Reasons | Claim Handling: External Review; Claim Handling: UR MEDICALLY NECESSARY DENIAL; Claim Handling: Medical Necessity Denial |
| Outcome | Other closed |
| Insurer complaints in 180 days | 138 |

## Why this score
- 138 complaints in 180 days: a pattern.

Source: Connecticut Insurance Department complaints, resolutions, status and recoveries (data.ct.gov) (https://data.ct.gov/d/t64r-mt64). Last refreshed: 2026-11-05T09:00:53.452Z.
From Connecticut Insurance Department complaint data. A complaint is a consumer's allegation, not a finding against the insurer; many are closed with the company's position upheld, and counts track market share as well as service. No complainant is identified. Verify with the Connecticut Insurance Department.