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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

Forms

List of Licensing Exceptions

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

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

TPA Contact
Becky Harding
Examinations Section
(208) 334-4311