Third-Party Administrators: A State Legal Guide

By Croneal Consulting Group

The "Third-Party Administrator State Guide" is a 51-state compilation of statutes and regulations addressing the relationship of third-party administrators (TPAs) with insurers, policyholders, and state regulators, such as the state insurance departments. Each state section of the guide includes an accessible list of more than 240 forms that TPAs use. To the extent available, the guide also references form numbers and revision dates as well as TPA contacts for each state.

For insurers, the guide addresses: Contract Approval Filing Requirements with Insurance DepartmentsContract RequirementsAuthority to Terminate Contracts with a TPAPayment Restrictions to a TPANotice Requirements for Terminating a TPA's Settlement AuthorityFor TPAs, the guide addresses: Application RequirementsSurety Bond RequirementsRenewal RequirementsTPA's Rights to Performance-Based CompensationNotification Requirements to PolicyholdersClaims Reporting Time Fames to InsurerFrequency of Electronic Transmission of Claims FilesTime Frames for Delivery of Insurer's Communications to PolicyholdersRecord Maintenance RequirementsReimbursement and Liability Insurance RequirementsProhibitionsPenaltiesGrounds for Suspension or Revocation of a TPA's Certificate of AuthorityTPA's Rights Upon an Insurer's Liquidation, Rehabilitation, etc.

• Format: Paperback
• Language: English
• ISBN: B0BSWVGMYR
• ISBN13: 9798365686106
• Release Date: January 2023
• Publisher: Independently Published
• Length: 606 Pages
• Weight: 2.61 lbs.
• Dimensions: 1.2" x 8.0" x 10.0"