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NJ Department of Banking and Insurance
 
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Home > Insurance Division > Managed Care > Third Party Administrators and Third Party Billing Services
Third Party Administrators (TPAs) (Health and Dental Claims Only)

TPA Statute: N.J.S.A. 17B:27B-1 et seq.

Contact Information

TPA Applications
Tim Stroud
Telephone: 609-940-7452
E-mail


Licensed or Registered TPAs
TPA Annual Report Filings

Tim Stroud
Telephone: 609-940-7452
E-mail

 
Annual TPA Reporting Requirements


Below are the Annual Reporting Requirements for all TPAs who have a license in New Jersey.

  • Annual Renewal Instructions
  • Pursuant to N.J.A.C. 11:23-3.8, all audited financial statements must be on a calendar year basis (December 31st). Fiscal year audited financial statements will not be accepted.
  • New Jersey does not allow TPAs to have a negative equity. If the TPA has a negative equity, it should explain the negative equity and what has been done to correct the equity position.
Contact Information

Reporting Requirements Inquiries
Tim Stroud
Telephone: 609-940-7452
E-mail

   
Third Party Billing Services (TPBs)

TPB Statute: N.J.S.A. 17B:27B-1 et seq.

Contact Information

TPB
Applications
Tim Stroud
Telephone: 609-940-7452
E-mail
 
 
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Third Party Administrator (TPA) or Third Party Billing Service (TPB)


 
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State of New Jersey
New Jersey Department of Banking and Insurance