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Third Party Administrators (TPAs)

Generally, an "administrator" is a person who, in connection with annuities or life, health, accident, pharmacy, or workers' compensation benefits, collects premiums or contributions from or adjusts or settles claims for Texas residents.

For reference, please see Texas Insurance Code Chapter 4151 and Texas Administrative Code, 28 TAC §§ 7.1601-7.1618. These rules establish the licensing, contracting, auditing, reporting, and other requirements for TPAs, including administrators with delegated duties in the workers' compensation system.

TPA license holders are subject to Texas Insurance Code Chapter 4151 requirements, including annual reporting requirements to the Texas Comptroller and to TDI. TPA license holders must also report name changes, and submit biographical information for select officers, directors, and owners. (Please see Instructions for Filing the Third Party Administrators Annual Report, TDI Form FIN500 for details on biographical affidavits.)

Annual Reporting

March 1 - Report to Texas Comptroller

TPA license holders must file a Texas Annual Insurance Maintenance, Assessment and Retaliatory Report with the Comptroller each year on or before March 1. The Texas Comptroller's website provides information on filing the report. If you have questions on this filing, please contact the Texas Comptroller.

June 30 - Annual Report to TDI

TPA license holders must file an annual report with TDI each year on or before June 30. Review Instructions for Filing the Third Party Administrators Annual Report, TDI Form FIN500 for more detailed instructions, then email to CLRFilings@tdi.texas.gov:

Please mail Company Licensing Fee Transmittal Form, TDI Form FIN321 with the required $200 filing fee to the address on the form.

Duration

TPA licenses (also called certificates of authority) do not expire and you are required to meet all the requirements until you surrender the license or TDI revokes it by order. You may surrender a TPA license by emailing Surrender of Third Party Administrator Certificate of Authority, TDI Form FIN497 to CLRFilings@tdi.texas.gov.

Resources

Mailing Address

Company Licensing and Registration, MC 103-CL (use MC 9999 if sending a payment)
Texas Department of Insurance
P.O. Box 149104
Austin, Texas 78714-9104

Physical Address

Company Licensing and Registration, MC 103-CL (use MC 9999 if sending a payment)
Texas Department of Insurance
333 Guadalupe
Austin, Texas 78701

Inquiries

Phone: (512) 676-6375
Email: CompanyLicense@tdi.texas.gov
Fax: (512) 490-1035

For more information, contact:

Last updated: 6/28/2018