Third Party Administrators (TPA)
Application for Licensure
An entity is not required to hold a license as an administrator in this state if the entity exclusively provides services to one or more bona fide employee benefit plans each of which is established by an employer or an employee organization, or both, and for which the insurance laws of this state are preempted pursuant to the Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1001 et seq.
An administrator is not required to hold a license as an administrator in this state if all the following conditions are met:
a. The administrator has its principle place of business in another state;
b. The administrator is not soliciting business as an administrator in this state; and
c. In the case of any group policy or plan of insurance serviced by the administrator, less than one hundred (100) certificate holders reside in this state.
Does the applicant hold a valid resident administrator license issued in one of the following states?
If the response is YES, please proceed to the Non-Resident application.
If the response is NO, please proceed to the Resident (home state) Renewal application.
NOTE: Any TPA licensed before June 1st must renew their license before August 31st of the same year.
All materials should be received postal mail; faxed or emailed items will not be accepted.
The Department requests that TPA renewal applications not be submitted prior to receiving an invoice. Invoices are generally sent out prior to July 1st to the email currently on record. If an invoice isn't received by July 1st please contact the Admissions Coordinator at the number or email below.
Application and attachments should be mailed to:
Indiana Department of Insurance
311 West Washington Street, Suite 103
Indianapolis, IN 46204
If you have any questions regarding the registration of a TPA, please contact Jackson Gutierrez, Admission Coordinator at (317) 232-2383 or email@example.com .