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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.
Different companies administer profit-sharing plans, including employee retirement providers, pension plan administrators, financial advisors, and third-party administrators (TPAs).
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 ...
Third party administrators (TPA's) 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 ...
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.
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]
The Federal Employees Health Benefits (FEHB) Program is a system of "managed competition" through which employee health benefits are provided to civilian government employees and annuitants of the United States government. The government contributes 72% of the weighted average premium of all plans, not to exceed 75% of the premium for any one ...
In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...
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