Third Party Administrator (Life/Health)
- Before applying for or renewing a Life and Health Administrator (TPA) license, you must first make sure that information about the TPA on the Arizona Corporation Commission web site is up to date. If the application contains information that is different from information maintained by the Arizona Corporation Commission, the application will be rejected.
- All applications must be completed on the computer. The computer will check the application to help make sure it is complete. Additionally, the form will tell you additional documents you must submit as part of your application based on entries you make in the form. Do not print your application until you have entered all required information on it.
- After printing the application, obtain signature(s) and scan the application forms to your computer or network.
- Before using the Portal to submit your application, you should make sure you save all the documents you need to upload to one location on your computer or network. This will make it easier for you to upload all those documents through the Portal. Double check the list of documents you've saved on your computer/network against the additional documents your application form says are required in order to ensure your application is complete when you submit it.
- Use the Third-party Administrator Registration Portal (https://azinsurance.online/Upload/tpa) to upload application documents, pay any required fee, and to submit your application to us instantaneously. There is no additional cost to use the Portal, and your documents will be transmitted to us in a secure, encrypted manner.
WHAT IS A LIFE AND HEALTH ADMINISTRATOR (OR TPA)?
A life and health administrator, also know as a third-party administrator ("TPA") collects money or processes claims for residents of Arizona in connection with life or health insurance coverage. Arizona Revised Statutes ("ARS") § 20-485 provides a full definition, including the types of entities that are not considered TPAs.
WHO MUST BE LICENSED?
Before applying to register a TPA, review the exemptions from the registration requirements, review the entities listed in ARS § 20-485(A)(1), which are listed on the first page of Form E-100: Application for Life and Health Administrator Registration, to determine whether you are excluded from TPA registration requirements.
- If you are adjusting property and casualty claims, you need to be licensed as an adjuster (click here for requirements).
- If you are administering workers compensation claims, contact the Industrial Commission of Arizona.
- If you are a motor vehicle service contract administrator, Arizona does not have a licensing/registration requirement; however, you or the insurer must file motor vehicle service contracts with the Department and you or the insurer must post a surety bond with the Department's Financial Affairs Division. ARS § 20-1095.06
- Arizona does not have jurisdiction (and no license is required) if you are only administering ERISA plans (a self-insured program operated by a single employer for the benefit of its employees or the employees of a wholly-owned subsidiary).
Arizona law does not distinguish between TPAs that are organized within Arizona from TPAs organized in other states. The entity must be formed or registered with the Arizona Corporation Commission (http://www.azcc.gov) and registered with the Arizona Department of Insurance unless exempt from registration requirements.
All insurance professionals (both residents and nonresidents) can apply for licenses, renew licenses, and update addresses and phone numbers online through the National Insurance Producer Registry (NIPR), at www.nipr.com.
NIPR license and renewal applications are easy to complete, and we can usually process them faster than applications that are mailed to us. NIPR charges a small transaction fee (around $5 to $7) to process a license application and fee payment. Many people have found that overall, the added convenience plus the time and postage savings are worth paying the fee.
USE NIPR FOR FREE to change an address, e-mail address or phone number!
ARS § 41-1030(G) requires most Arizona government agencies to prominently print the provisions of ARS § 41-1030(B), (D), (E) and (F) on all license applications. The following is the language in ARS § 41-1030(B), (D), (E) and (F):
B. An agency shall not base a licensing decision in whole or in part on a licensing requirement or condition that is not specifically authorized by statute, rule or state tribal gaming compact. A general grant of authority in statute does not constitute a basis for imposing a licensing requirement or condition unless a rule is made pursuant to that general grant of authority that specifically authorizes the requirement or condition.
D. This section may be enforced in a private civil action and relief may be awarded against the state. The court may award reasonable attorney fees, damages and all fees associated with the license application to a party that prevails in an action against the state for a violation of this section.
E. A state employee may not intentionally or knowingly violate this section. A violation of this section is cause for disciplinary action or dismissal pursuant to the agency’s adopted personnel policy.
F. This section does not abrogate the immunity provided by section 12-820.01 or 12-820.02.
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