Third Party Administrator
Definition of Third Party Administrator, §41-901 (1), Idaho Code: “Administrator” or “third party administrator” or “TPA” means any person who directly or indirectly underwrites, collects charges or premiums from or adjusts or settles claims on residents of this state in connection with life, annuity or health insurance coverage offered or provided by an insure...
Important Dates
- March 15- Immunization Assessment
- June 1- Health Survey
- July 1 - Annual Report
- December 31 - Renewal of TPA License
Forms
- Address/Contact Information Update – Form TPA002
- Audited Financial Statement Exception – Form TPA007
- Bond of Administrator – Form TPA004
- Business Entity Name Change – Form TPA003
- Change of Officers - Form TPA011
- NAIC Biographical Affidavits
- Termination of Agreement – Form TPA005
- Voluntary Surrender of TPA License – Form TPA006
New Application Process
- Question 1: Does the applicant administer only single employer self-funded plans that are not regulated under Title 41, Idaho Code?
If yes: Please visit
Self-Funded Plan
If no: Continue to Question 2.
- Question 2: Does the applicant hold a home state/resident TPA license in one of the following approved states?
Approved Home State1: Delaware, Indiana, West Virginia
If yes: Please apply for a Non-Resident TPA License
If no: Please apply
for an Idaho Home State TPA License
1Approve Home States are states that have enacted provisions of the NAIC Third Party Administrator Model Act which are substantially similar to those contained in Idaho Law (01/2012)
Managing General Agent (MGA) License
- §41-1501 through 41-1507 - Managing General Agents Act
- Property or Casualty administrators should contact Producer Licensing for questions or application packet regarding an MGA License.
Frequently Asked Questions
- FAQ
- Please contact us if you have any further questions
Licensed TPA Requirements
Idaho Code Title
41, Chapter 9
§41-902 Written Agreement
§41-903 Payment to Administrator
§41-904
Maintenance of Information
§41-905 Advertising – Approval
§41-906 Premium
collection and payment of claims
§41-907 Delivery of materials to covered
individuals
§41-908 Compensation to the administrator
§41-909 Notice to covered
individuals – Disclosure of charges and fees
§41-913 Expiration and renewal of
administrator license
§41-914 Annual report
§41-915 Grounds for denial,
suspension or revocation of license
§41-916 Reporting of actions
§41-917
Provisions not limiting
Active TPA List
Idaho Law
- Regarding Administrator Licensing: Idaho Code Title 41, Chapter 9
TPA Contact
Jean Chang,
Technical Records Specialist
Examinations Section
(208) 334-4311
doi.tpa@doi.idaho.gov