Friday, April 25, 2014

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.

The information content may be different, but some facts remain constant. To ease the process, is therefore essential to first get acquainted with regulation in play in your state. This enables you to prepare the relevant documentation and collect the information necessary for the renewal. It hence saves time and avoids the hassles and confusion associated with misinformation.

The licensing of third party administration is satisfied by the commissioner of commerce. It can only be granted upon satisfying that the applicant is in a position to discharge PTA services. In addition, the administrator must be financially sound and able to process claims within the time and equitably.

When applying for renewal, the applicant shall have fully adhered to the license report compliance in the previous year of operation. Report compliance is a clause in the registration form requiring the licensee to file or ensure the clients it serves file all the reports required. These reports relate to the services provided by the administrator within the times spelt out by the rule, statute or commissioner's order.

The files are detailed in a yearly activity report prepared in the course of last 60 days in the year concerned. It spells out the details of clients administered by the licensee in the state within the period. The specific information includes the names and addresses of the clients, together with the kind of service administered. All these are embodied in a letter that bears the company name dated accordingly.

The administrative incense shall be deemed to operate for a period of not more than 12 months. This starts immediately upon renewal. In many states, the reinstatement entails filing and submitting the following documents; an application form, bond continuation form, certificate of TPA licensing in home state, a list showing names and the address of individuals permitted to act at as agents. In case of any administrative action against you by any state, it is required that you append a copy of the same application.

In proving third party licensure, in case the home state does not conduct third party licensing, indicate the home state and provide surety that it is actually licensed there. Providing a bond continuation certificate is simply proving the renewal of the bond for TPA surety bond. In case the bond undergoes changes, be sure to attach a copy of the changes or of the new bond.

Just like any other application, there is a renewal fee. The fee is simply 100 dollars for every license. Ensure to fill the application form accurately and openly. Fill all the fields and attach all the relevant documentation. Also provide the name, a contact of a reliable person in case of any communication. Remember to append your signature on the application form.




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