Can a TPA contract with a policyholder for workers’ compensation claims administration services?
If an insurer or plan sponsor chooses to utilize the services of a TPA, HB 472 and the current administrator rules require the insurer or plan sponsor to enter into a contract with the TPA for those administrative services. HB 472 and the current administrator rules also prescribe certain provisions that must be contained within the contract. For policyholders who wish to utilize the services of a TPA, HB 472 and the current administrator rules permit the policyholder to contract with the TPA for administrative services as well, provided that certain conditions are met.
