LICENSING OF THIRD PARTY ADMINISTRATORS

An "administrator" means a person who collects premiums or contributions from or who adjusts or settles claims in connection with life, health, accident and pharmacy benefits or annuities for residents of this state. Persons who fall under this definition and are not exempted are required to have a certificate of authority before conducting business in this state.

PLEASE NOTE: Effective September 1, 2007, the definition of "administrator" is expanded to include a person who, in connection with workers' compensation benefits, collects premiums or contributions from or adjusts or settles claims for residents of this state (HB 472 enrolled 80th Legislature). Persons administering workers' compensation benefit plans who fall under this definition, who are not exempted and are not currently licensed as a third party administrator (TPA) in this state may make application using the standard TPA application available from the link below and receive a certificate of authority after September 1, 2007. A person is not required to hold a certificate of authority under Chapter 4151, Texas Insurance Code, as amended by HB 472, to administer workers' compensation benefits for an insurer before January 1, 2008.  See also HB 472 FAQs.

The Statute, Chapter 4151 (codified Texas Insurance Code) dealing with Third Party Administrators is available for viewing and printing at Texas Insurance Code. House Bill HB 472 of the 80th Legislature which amends Chapter 4151 is available at HB 472

The sections of the Texas Administrative Code (TAC) outlining the administration and enforcement of the statute are available for viewing and printing at Texas Administrative Code, 28 TAC §§ 7.1601-7.1617. Please note that although we make every attempt to insure the currency of the code references on this page, they should be used only as guides. The TAC is subject to change at need, and the TIC changes a few months after a legislative session.

ALL FORMS MUST BE MAILED TO THIS ADDRESS, and we will appreciate your cooperation in making us able to process your fillings more efficiently:

Texas Department of Insurance
TPA-PF Section Mail Code 107-TPA
PO Box 149104
Austin, TX 78714-9104

All TPA Filing Forms

 All TPA-related forms are available on a separate Forms Page, for your convenience.

Need software to view files?

• Most of the forms on the Forms Page are designed to be viewed, printed, completed, and mailed.
• Only the Annual Report Exhibit form may be downloaded to your computer where you may complete it and email it back to the email address on the form. The other forms must be downloaded, printed, completed, and mailed back to the form's return address with any required fees.
• They must be mailed with all fees and attachments to:
  
  Texas Department of Insurance
  TPA-PF Section Mail Code 107-TPA
  PO Box 149104
  Austin, TX 78714-9104
  

These forms are legal documents and any reproduction or printing you make of them must be CLEAR and EXACT.

Printed copies of these forms may be requested from the location cited above. Allow 10 days after request is received for a return.

• General Forms used by TPAS
• Checklist for TPA Name Change
• Forms used by Insurers/HMOS Acting as TPAS
• Forms used to file ERISA Exemptions
• Forms used by TPAS Administering Multi-Jurisdictional Impaired Insurance Company Policies/Claims

Maintenance Taxes
Tax Form

A weekly-updated list of third party administrators may be downloaded by clicking here. This is a small zip file.

For more information contact: TPA@tdi.state.tx.us