Industry news, updates, and insights.
Perspectives on healthcare administration, benefit program trends, regulatory updates, and what they mean for members, agents, and partners.
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Understanding Your Health Insurance Billing Statement
The charges on your bank or credit card statement from a health benefits company represent premiums for your health or supplemental insurance…
How to Verify Your Health Benefits Administrator Is Legitimate
To verify that a health benefits administrator is legitimate, check their registration with your state’s Department of Insurance, confirm their physical business…
Choosing the Right TPA Partner: What Insurance Agents Should Look For
The right TPA partner for an independent agent isn’t the one with the highest commission rate—it’s the one that makes your business more productive, more…
PHS vs. Traditional TPAs: What Makes Premier Health Solutions Different
Premier Health Solutions differentiates from traditional TPAs in five areas: a technology-first agent platform (Nexus), transparent billing with clear member-facing descriptors, agent-centric…
TPA vs. In-House Benefits Administration: Which Is Right for Your Organization?
For most carriers and associations, outsourcing to a TPA delivers lower costs, faster time to market, stronger multi-state compliance, and better scalability…
The Agent’s Checklist for Switching TPAs
To switch TPAs without disrupting your book of business, you need to document your current pain points, define your non-negotiables, evaluate new…
What Is a TPA? The Complete Guide to Third-Party Administrators
A third-party administrator (TPA) is a company that handles the operational and administrative functions of health and supplemental benefit plans—including enrollment, billing,…
What to Look for in a Third-Party Administrator (TPA)
The most important things to look for in a third-party administrator are regulatory compliance, modern technology, billing transparency, commission accuracy, carrier breadth,…
TPA vs. Insurance Company: What’s the Difference and Why It Matters
A third-party administrator (TPA) and an insurance company serve fundamentally different roles in the health insurance space. An insurance company designs coverage plans, assumes financial…
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