Third Party Administrator
Information concerning how our work-products might be of interest to a Third Party Administrator is given below.
Interest in Work-Products
The Third Party Administrator might have either a general or a specific interest in Work-Products.
General Interest
By being an Eligible User of Work-Products, the Third Party Administrator will, in effect, have its own staff actuary and be able to offer the same full range of services that are offered by some of the larger competitor administrators. Being shut out of a bidding opportunity should not be common. There are, however, several additional and significant advantages in using Work-Products: (a) the Third Party Administrator has no actuary salary or upkeep expenses and (b) there are no potential E & O liability issues associated with Work-Products. Also, the Eligible User will have ready access to the full reservoir or data, experience and knowledge of Actuarial Work-Products, Inc. The Actuary is engaged by the Third Party Administrator (Eligible User) and has no relationship with the End User (plan sponsor, e.g.); as such, the Risk Third Party Administrator has the fee-payment responsibility. The Third Party Administrator that offers only claims and record-keeping services will, most likely, have little interest in Work-Products; others with broader services will, mot likely, have a keen interest therein.
Specific Interest
The Third Party Administrator typically will have an active interest in the full menu of Work-Products either as an active (or Eligible) User or as an intermediary with its client. The role that is assumed by the Third Party Administrator will vary with each Work-Product: (a) where the Work-Product is mandated (claim reserves, Annual Actuarial Report, Government Entity Certification, Medicare Part D Creditable Coverage Certification, e.g.) the Third Party Administrator is an enabler/arranger and (b) where the Work-Product is a decision-making model (all of the Monte Carlo Simulations, Medicare Part D Feasibility Analysis, HRA/HSA modeling studies, e.g.), theThird Party Administrator is consultant/advisor.
Associations
The Third Party Administrator might be a member of any of the following professional or trade associations:
Alliance of Claims Assistance Professionals
American Institute of Professional Group Insurance Administrators
International Claims Association
Managed Care On-Line (MCOL)
National Council of Self-Insurers
Self-Insurance Institute of America
Society of Professional Benefit Administrators.
Journals
Other than Association-sponsored Journals, the Third Party Administrator might subscribe to these Journals:
To Be Added
Magazines
Periodicals that accept advertising that might be subscribed to by the Third Party Administrator might include the following:
Risk and Insurance
Business Insurance
Self-Insurer
National Underwrite
Best Review(s)
Risk Management
Computer World.