defines the regulations for administrators for insurance benefits plans and, as mandated by law, administrators are to be licensed and regulated by the director of insurance.
for getting through NIPR to renew your license.
Exemptions
Those who collect charges or premiums from or adjust / settle claims on residents of this state in connection with life / health insurance or annuities, and are acting directly through their officer(s) and employees, are exempt from holding a third-party administrator (TPA) license. However, a
Notice of Exemption must be completed and
emailed to the Special Licensing team.
TPAs administering only single-employer, self-funded (ERISA) plans, or Section 125 Cafeteria Plans, are not required for licensure. The United States Internal Revenue Department regulates Section 125 Cafeteria Plans. Section 38-51-10 provides a detailed list of those who are exempt from the licensing requirements.
However, a Notice of Exemption must be completed and emailed to the Special Licensing team.
Additional Forms