The Standard Directory of Third Party Administrators 2008

$545 CD or Book $595 for Both CD Printed

New 2008 Edition Now Available

Judy Diamond Associates' TPA Directory is the only comprehensive listing of TPAs of health, welfare, and workers' compensation plans. The TPA Directory lists 1,316 claims handling TPAs with detailed information about the plan types they administer, the services they offer, the type and number of clients they serve and other info. Review some sample listings here.

The directory includes a listing of state insurance commissioners' offices and a new editorial article, The Role of the TPA in Self-Funding, by Al Alison of the Third Party Administrators Alliance. This article explains in detail all of the administrative functions that TPAs perform for self funded plans. Want to know more about how claims are adjudicated, paid, subrogated, or handled in other ways? Want to know more about the relationships between TPAs, PPOs, Stop loss insurers and other vendors? Want to know an explanation of each an every service that TPAs offer? It’s all in this article.

What's in the TPA Directory?

The 2008 edition of the TPA Directory contains more claims paying TPAs than ever with expanded information to give you a complete picture of each TPA listed. About the latest edition:

• 1,316 TPAs with updated information.
• 210 TPAs that were added to the directory.
• 252 TPAs that appeared in last year's edition of the directory were removed — these firms have merged, gone out of business, ceased administrative operations or have been acquired.
• More complete information than the previous edition.
• New categories of information. In addition to all of the information in last year's edition, we added these new indicators to help give you a more complete scope of the listed TPAs' business offerings:
  1. A field for the TPAs to list their subsidiary companies.
  2. A field to show which services the TPA performs in-house, and which services the TPA offers on an outsourced basis.
  3. New indicators in the Services Offered section to show which TPAs offer these services: Debit Cards for Reimbursement Accounts, Claims Adjudication, and Pre-Certification.
  4. A new indicator to the Plans Administered section to show which TPAs administer Medical Plans.
• Both Print and CD ROM versions come with a new editorial article.
• Both Print and CD ROM versions come with an easy to read record-layout form.

New in Recent Editions:
1.	An indicator that shows if the TPA is new to the directory this year.
2.	An index by state and an index that shows the new TPAs only. (Print Edition)
3.	Under the category heading "Company also functions as" we added the following options: PBM, ASO, PEO, Retirement Plan Administrator, and Payroll Service Provider.
4.	Under the category heading "General Services Offered" we added the following options: Claims Subrogation, Claims Repricing, Plan Design, ID Cards, Case Management, Disease Management, Retiree/Direct Billing, and Call Center.
5.	Under the category heading "Health and Welfare Administrative Services" we added the following options: Fringe Benefit Administration, HSA Administration, and HRA Administration.
6.	Under the category heading "Workers' Compensation Administrative Services" we added the following options: Case Management, and Loss Control.

If you last purchased this Directory in 2005 or earlier, you may be interested to see what information we added since the previous Edition of the directory (the 2006-2007 edition), see sidebar at right for a list of those additions.

Detailed Breakdown Stats and TPA Types

1,316 TPAs Listed
Total TPAs that administer health and welfare plans — 1,143
Total TPAs that administer workers' compensation — 285
80% of all contact names have an email address
92% of TPAs have one or more email addresses listed
94% have internet websites
90% of the TPAs listed pay or adjudicate claims
67% of those that pay claims show the record-keeping software that they use
Total unique contact names — 2,640
Total records showing recordkeeping software used — 888
This year we added 210 previously unlisted TPAs and we removed 252 TPAs that are no longer in business.

Occurrence breakdown
TPAs listed that administer PPO Plans — 616
TPAs listed that administer HMO Plans — 221
TPAs listed that administer POS Plans — 295
TPAs listed that administer Medical Plans — 572
TPAs listed that administer Indemnity Health Care — 424
TPAs listed that administer Dental — 668
TPAs listed that administer Vision — 612
TPAs listed that administer Prescription Drugs — 566
TPAs listed that administer Short Term Disability — 474
TPAs listed that administer Long Term Disability — 304
TPAs listed that administer COBRA — 709
TPAs listed that administer Section 125 Plans — 663
TPAs listed that administer Flexible Spending Accounts — 673
TPAs listed that administer Group Life — 382
TPAs listed that administer Stop Loss — 584
TPAs listed that administer Section 132F Commuter Benefits — 186
TPAs listed that administer Fringe Benefit Administration — 133
TPAs listed that administer HSA Administration — 505
TPAs listed that administer HRA Administration — 512
TPAs listed that administer Psychiatric/Mental Health — 421
TPAs listed that administer Voluntary Benefits — 296
TPAs listed that administer Substance Abuse Benefit Mgmt — 260
TPAs listed that administer Long Term Care — 110
TPAs listed that administer Cancer Plan — 98
TPAs listed that administer Supplemental Medicare — 160
TPAs listed that administer AD & D — 309
TPAs listed that administer Workers' Compensation — 285
TPAs listed that sell Health/Welfare Products — 465
TPAs listed that offer Case Management — 381 in-house, 145 outsourced
TPAs listed that Handle Claims — 1,188
TPAs listed that Pay Claims — 1,089
TPAs listed that adjudicate claims, but do not pay them — 69
TPAs listed that offer Debit Cards for Reimbursement Accounts — 458
TPAs listed that provide Pre-certification — 358 in-house, 214 outsourced

How was the information for the TPA Directory gathered?
We compiled all data by emailing TPAs a link to our update web site ( www.tpadirectory.com ). Approximately 50% of the TPAs completed the online questionnaires. The other 50% that did not respond to the questionnaires were interviewed via telephone by our staff researchers. All data was gathered from Feb 2007 to May 2007.

What types of organizations are included?
(Note: This directory does not include TPAs whose sole business is the administration of Retirement Plans.) The Standard Directory of Third Party Administrators was created to help identify TPAs and the range of services they provide. The term "Third Party Administrator" is broad and defined differently by the various sectors of the employee benefits industry. For the purposes of this directory, we have defined a TPA as an administrative organization that pays or adjudicates claims and/or provides administrative services for group health, welfare and workers' compensation plans. These TPAs may perform some or all aspects of the plan administration. These TPAs administer plans for self-insured companies, unions, associations, governments, school districts, and they may contract to administer self-funded or fully-insured plans on behalf of health insurers, dental insurers, vision insurers, life insurers, disability insurers, insurance carriers, and other types of underwriters and organizations.

What information is included in the directory?
Check out four sample listings for details.

What information did you ask on the survey that you send to TPAs?
You can view the survey by clicking here.

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