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In the United States, a third-party administrator (TPA) is an organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity. [1] It is also a term used to define organizations within the insurance industry which administer other services such as underwriting and customer service.
Pension administration in the United States is the act of performing various types of yearly service on an organizational retirement plan, such as a 401(k), profit sharing plan, defined benefit plan, or cash balance plan. Increasingly, employers are also implementing these plan types in combination arrangements for greater contribution ...
In the United States, a pharmacy benefit manager (PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans.
In October 2022, Trustmark finalized the sale of its subsidiary, Trustmark Health Benefits, to Health Care Service Corporation (HCSC). [8] Health Benefits is a third-party administrator of health benefits that designs and offers custom plans for mid- to large-sized self-funded customers. In January 2023, Trustmark celebrated 110 years in business.
American Benefit Plan Administrators, Inc. (ABPA), founded in 1951, [1] was one of the oldest third-party administrator (TPA) firms in the US, managing funds created under provisions of the Taft-Hartley Act, [1] pension plans, and voluntary employees' beneficiary associations (VEBAs). The company was based in Spring Valley, Nevada. [2]
Third party administrators (TPAs) provide these and other services, such as access to preferred provider networks, prescription drug card programs, utilization review, and the stop-loss insurance market. Insurance companies offer similar services under what is frequently described as "administrative services only" or "ASO" contracts. In these ...
More and more, medium and large companies have sought the assistance of third party administrators (TPAs) or commuter benefit providers to handle all the administration for their employees. In these cases, the provider will carry out enrollments, product selection, distribution and customer service for the company.
Expense Management: Employers can set and predict employee health benefit costs; Administration Time: Employer setup and administration is generally handled by a third party, minimizing the use of employer resources; Employee Choice: Employees are able to choose an individual plan that offers the level of coverage and network that they prefer [5]
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