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Am I Eligible?

TPA Membership

The definition of “TPA” has expanded significantly since the SPBA first formed in 1975 with more and more types of specialties emerging. As it always has been, SPBA membership continues to be targeted to full-service TPAs who offer comprehensive services to several client plans/employers. We strive to offer the most value to TPAs by providing membership benefits that will be a worthwhile investment. If we feel your company won’t realize maximum value by joining, we will advise accordingly. 

Service Partners

  • Stop-Loss Service Partners

    In 1995, the SPBA created an avenue for Stop-Loss firms to participate in the organization, recognizing that much of the success and growth of self-funding and TPAs had been attributable to the cooperation and coordination with Stop-Loss firms.  There was immediate enthusiastic response from leading Stop-Loss players who understood the value of being educated on the latest regulatory developments alongside TPAs.  The partnership, known as Stop-Loss Service Partners, plays a key role in explaining and defending the concept of self-funding and Stop-Loss in the face of misperceptions and misunderstandings by government, media and the general public.  Like SPBA’s TPA Members, Stop-Loss Service Partners receive SPBA email alerts, UPDATEs and attend SPBA educational meetings.
    (Application for Partnership)
  • Other Service Partners

    In mid-2014, the SPBA created a partnership category for technology companies that are dedicated to the TPA industry in certain specific areas (see below). SPBA recognized that technology companies need the education on legislative and regulatory developments to ensure their products and services are in compliance with a myriad of complex rules and regulations.

    In 2016, the SPBA Board of Directors expanded the criteria for eligibility to further enhance the SPBA community and provide not only technology and software but advisory services that are necessary for TPAs to function.  Like the Stop-Loss Partners, SPBA Service Partners receive SPBA email alerts, UPDATEs and attend SPBA educational meetings.

    SPBA welcomes companies whose primary business activity is the provision of technology, software, or advisory services that are required by TPAs to perform one or more of the following functions:

    1.   Enrollment
    2.   Claims Adjudication
    3.   Participant Portal
    4.   Payment processing and mailing or electronic transmittal (routing)
    5.   Data archiving
    6.   Data system security
    7.   Plan Document/SPD Drafting and Production
    8.   Data analytics
    9.   ID card production and distribution
    10. E&O Insurance
    11. Cyber Liability Insurance

    (Application for Partnership)