Third Party Administrator

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Third Party Administrator (TPA)

NAIC Uniform Application for TPA’s
TPA Affidavit
TPA Certificate Request
TPA Corporate Changes Instructions
TPA Licensing Instructions
TPA Renewal Instructions
TPA Attestation Statement for Home States
TPA Attestation Statement for Non-Residents
TPA Surety Bond
TPA Withdrawal Instructions
TPA-1 for Registration
Pharmacy Auditing Entity Application

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