Why The TPA License Renewal Compliance Is Important

By Eloise Hewitt


Currently, about forty four states have a requirement for third party licensing. Many companies consider state licensing and renewal regulations as complex. They hence opt for consulting services in order to obtain their licenses rather fast and efficient. Some states, particularly those without a TPA licensing requirement, have corporate adjuster compliance. Although there are similarities, each states TPA license renewal compliance is different.

Some information is often required by many states as a whole. It is therefore important to obtain a specific checklist concerning the state in which you intend to be licensed or renewed. The checklist and license guidelines save time that could otherwise be wasted in compiling unnecessary information and documents. Some of which may not be needed, according to your states of interest.

The commissioner of commerce is the ultimate assessor as to who is eligible for the registration. The commissioner, upon application, satisfies whether the administrator is able to offer deliver third party administration or not. This is particularly based on the financial position of the administrator, that is, should be solved. The ability to process claims in timely and equitably is also a vital factor.

The conduct of the administrator in the previous periods also matters. For registration, the administrator is required by law to maintain a file of the dealings with clients. If such record is not satisfactory, then the application stands a chance of being scraped. The report illustrates the kind of services the administrator served to his clients within the period.

The required reports are embodied in an annual activity report that is filed within the last sixty days of the year. The report states the name and physical address of the clients that the licensee administered in the state during the previous year. Also, the area and the type of service performed to each plan and the commencing and termination dates each client was served. It is presented in the form of a letter bearing the company name and date on it.

The administration license is considered to remain valid for a span of not more than 12 months. It commences operation on issuance and must undergo subsequent yearly updates for validity. The application itself entails filing the application for and accompanying it with the necessary documents. The documents include a bond continuation certificate, TPA license from home state and a list of the administrators contractors. The list must detail the names and addresses of people who have been consented by law to act as contractors to the administrator. Where served with any administrative action by any state, ensure to disclose and certify by copy.

Sometimes the home state may not exercise third party licensing. In this case, it is prudent to just indicate the state concerned and provide evidence that it is indeed licensed. It is also important to evidence the renewal of a bond. This is often the case with when presenting the continuation certificate for bonds. Changes in bonds should also be reflected through attaching a copy of the new state.

When submitting the application form, remember to carry along with you the necessary fee. The fee is paid by every applicant and it is often 100 dollars per application. Observe the necessary instructions when making the application.




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