State Requirements for Third Party Administrators

2014 SPBA Survey Form-1.pdf94.85 KB

Please fill out this questionnaire and click Submit to send it.

Or print out the attached questionnaire, fill out and fax it to:  301-718-9440.  

Or print out the attched questionnaire, fill out, scan and email to:

Questions? Call Elizabeth at (301) 718-7722


To contact for further information
Type, Amount, Due Date and Frequency
Use this form to send us a copy of the statute containing requirements for TPA licensing.
Please upload the statute requiring a minimum level of stop-loss coverage for self-funded plans.
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