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Business Profile

Employee Benefits Insurance

Amalgamated Employee Benefits Administrators, Inc.

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Employee Benefits Insurance.

Complaints

Customer Complaints Summary

  • 4 total complaints in the last 3 years.
  • 4 complaints closed in the last 12 months.

If you've experienced an issue

Submit a Complaint

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

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Complaint status

Complaint type

  • Initial Complaint

    Date:06/24/2025

    Type:Product Issues
    Status:
    AnsweredMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    My pension is being housed at Amalgamated Employee Benefits Administrators. I have been reaching out to them to get a rollover form, so I can roll my pension over to my **** ***. However I keep getting met with different forms of opposition. Im told they couldnt find me, its still processing, or its been sent. This process is only suppose to take between 7-10 days. I asked to speak with a manager on numerous occasions and they refuse to call me back. I just want my rollover paperwork sent out expeditiously so I can complete the task I have set forth.

    Business Response

    Date: 07/02/2025

    Our company is in receipt of the complaint from this member. We apologize for the lack of responsiveness to her request.  Please note that a team member from our ********************* will reach out to the member directly to address her concerns.
  • Initial Complaint

    Date:06/23/2025

    Type:Product Issues
    Status:
    ResolvedMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    After several months of delayed processing my small but much needed Unite Here pension was processed by Amalgamated to take effect in January 2025. When the statement was released in December 2024 I observed the retro amount I expected from August 2023 when I returned 65 to January 1st, 2025 wasnt included. I reached out and was advised I had filled the form incorrectly. A claims officer later called me in January 2025 and let me know I was within the election period for up to 3 months and could submit additional paperwork to effect the retro payment process. She also stated my monthly would reduce to under $200, which I assured her was fine and that it would likely be paid in March or April 2025. She asked me to send the paperwork through ****** ******* by email. I sent it to him and mailed it in. As of March 13, ****** responded to my emails saying it was being processed and I should get it after March. Shortly after this he stopped responding to my emails. I called customer support requesting callbacks from the claims officer but nobody called. As of today June 20th, my July statement is out and it again shows theyve failed to process the retro. Amalgamated on behalf of ********** has refused to respond to me with only ********* basically telling me to call customer support who doesnt support. I am a Senior citizen who has been thrown aside by Amalgamated because my pension was too small to be worth their trouble. Even when I let them know over and again I had been laid off, they still did not do the right thing and honor their commitment. I want Amalgamated to process my retro sum I submitted paperwork for within my election period.

    Business Response

    Date: 07/02/2025

    *** ****** please accept our apology for the delay in processing this change. It has been processed today and will be paid around 7-15-25.

    Our company strives for great performance for our customers.  Please reach out if you need further assistance.

    Customer Answer

    Date: 07/03/2025

    Better Business Bureau:

    I have reviewed the response made by the business in reference to complaint ID# ********, and have determined that my complaint has NOT been resolved because:

    [Your Answer Here]

    Ill accept when I see some proof of processing. Based on the way Ive been treated and how long since I was assured it would be done, I have lost trust with Amalgamated. I will only take their word when I see the proof or a pending payment in my account. 

     

     

     

    In order for the BBB to appropriately process your response, you MUST answer the question above.


    Sincerely,

    ***** *****




     

    Business Response

    Date: 07/15/2025

    Dear Better Business Bureau Analyst,

    Thank you for forwarding the follow up from *** ***** regarding his outstanding check.  Please note that the money is being sent to him as a direct deposit. He should receive it today, but we advise to allow a few days before following up as some financial institutions take longer to process.

    Please reach out if the payment is not received or if additional assistance is needed.

     

    Sincerely,

    Compliance Response Team


    Customer Answer

    Date: 07/15/2025

    Better Business Bureau:

    I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me and the matter has been resolved.

    Sincerely,

    ***** *****



     

  • Initial Complaint

    Date:10/25/2024

    Type:Service or Repair Issues
    Status:
    AnsweredMore info

    Complaint statuses

    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    My son is seeing an out of network provider. This company insisted the provider was in network. Finally in August this company said the person is in network. We were told to submit all claims and would be compensated. The only thing is they didn't know what address to send it to. I have been given multiple addresses and phone numbers and no one can help me. I am frustrated with this poor communication.

    Business Response

    Date: 11/12/2024

    The issues mentioned in this complaint do not involve insurance issued or administered by Amalgamated **********************. We have requested that the Better Business Bureau close this complaint and reassign it to the correct company.   

    Customer Answer

    Date: 11/12/2024

    Better Business Bureau:

    I have reviewed the response made by the business in reference to complaint ID# ********, and have determined that my complaint has NOT been resolved because:

    Your company is responsible as a 3rd party provider. You process the claims

     

     

     

     

    In order for the BBB to appropriately process your response, you MUST answer the question above.


    Sincerely,

    **** ********




     

    Business Response

    Date: 11/15/2024

    Our company is the claims administrator for the health plan covering the complainant and his son. The complainant had submitted a complaint with regards to his sons medical claims that he stated were not being processed.

    Based on a review of the May 3rd initial call to our company regarding this issue, the complainant stated that he was calling to get a copy of an out-of-network claim form because his son had received treatment from an out-of-network provider.  The *********** Representative gave the complainant the website to download the proper claim form.  

    On 06/03/2024, the complainant submitted an Out-of-network claim form which was denied because the provider was listed on the **** Portal as In-network and all In-network claims must be submitted through ***************** and Blue Shield.  The complainant made several calls to our Customer Service *********** from 05/03/2024 through 10/15/2024.  He was advised each time that he will need to file a claim with ***************** Blue Shield.   After further research, and confirmation from ***************** & Blue Shield, it was determined the provider was not In-network at the service address the patient was being treated. 

    On October 29th, a Claims Manager reached out directly to the complainant to resolve the claims issues.  A summary of the status of all the claims was provided to the complainant.

    We apologize for the members frustration with getting these claims properly submitted.  We believe all these issues have been resolved.

    Customer Answer

    Date: 11/18/2024

    Better Business Bureau:

    I have reviewed the response made by the business in reference to complaint ID# ********, and have determined that my complaint has NOT been resolved because:

    [Your Answer Here]

     I am still waiting for all my claims to be paid. I have tolerated a lot of nonsense and incompetence from this company and Anthem. 
    Thank you,

    **** ********

     

     

     

    In order for the BBB to appropriately process your response, you MUST answer the question above.


    Sincerely,

    **** ********




     

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