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Perspectives on healthcare administration, benefit program trends, regulatory updates, and what they mean for members, agents, and partners.
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What Agents Should Know About TPA Compliance (and Why It Protects Their Book)
When evaluate a TPA partner, they typically focus on the things that affect their daily work: enrollment speed, commission accuracy, product breadth,…
Supplemental Insurance Compliance: What Agents Need to Know
Supplemental and limited benefit insurance products like fixed indemnity, critical illness, accident, hospital indemnity, and short-term medical occupy a distinct regulatory space…
Enrollment Compliance: What Happens Between the Agent’s Sale and the Member’s First Bill
The moment between when an agent completes a sale and when the member sees their first billing charge is where the majority…
Red Flags When Choosing a TPA: What to Watch For Before You Commit
Not every third-party administrator operates the same way. Some are built on solid operational infrastructure, transparent practices, and genuine commitment to agent…
Fixed Indemnity vs. Hospital Indemnity: What’s the Difference and Which Do You Need?
Fixed indemnity insurance and hospital indemnity insurance are both supplemental products that pay cash benefits directly to you when a covered health…
TPA vs. FMO: Which Partner Helps You Sell More Supplemental Insurance?
If you’re an independent insurance agent building a supplemental health book, you’ve probably heard two acronyms tossed around interchangeably: TPA and FMO. But for agents evaluating distribution…
Billing Transparency and Consumer Protection: A TPA’s Responsibility
Billing is where the member’s experience of their benefit plan becomes tangible. The enrollment process is a one-time event. Claims and coverage…
State-by-State TPA Regulation: Why It Matters That Your TPA Is Registered Everywhere
There is no single federal standard for how s are regulated in the United States. Instead, TPA oversight is a patchwork of…
Data Security and HIPAA in the Limited Benefit Space
Every time a member enrolls in a benefit plan, submits a payment, logs into a member portal, or calls to ask a…
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