The Maine Bureau of Insurance provides on this page all of the information necessary to license a Third Party Administrator (TPA).  Contact Us if you have questions or are unable to find what you are looking for.

Application Information | Confidential Treatment | Corporate Authorization | Data Reporting | Fees | General Information | Renewal Information | Statutory Requirements | Update License Information

Application Information

  • TPA Application Checklist - Word or PDF
  • A Third Party Administrator License Application - with Exhibits - Word or PDF
  • State of Maine Third Party Administrator (TPA) Contract Certification - Word or PDF
  • Maine Bureau of Insurance Third Party Administrator Bond - Word or PDF
  • Bond Calculation - Word or PDF

Corporate Authorization to do Business in Maine

NOTE: Foreign Corporations, Foreign Limited Partnerships, Limited Liability Companies, or Limited Liability Partnerships (Title 31  852) may also be required to apply to the Maine Secretary of State for authority to do business in Maine. See Secretary of State website for additional information. http://www.maine.gov/sos/cec/corp.

Renewal Information

  • TPA license renewals are due May 1st of each year and the renewal notices are generally mailed by the end of March. Renewals cannot be completed online at this time and must be returned to the address indicated on the renewal notice. Included within the renewal notice is a bond calculation that must be completed, signed and returned to the Bureau of Insurance. Complete instructions for renewal payment and bond calculation are included within the renewal notice.

Fees

General Information for Third Party Administrators

Data Reporting Requirements

  • Third Party Administrator (TPA) Report -- Health Claims Paid by Plan Sponsor (Note: This TPA report form is different than the annual TPA license renewal that requires a fee). The report is due annually by April 30th. This report must be filed by all TPAs with authority to administer Health claims in Maine.
    • Instructions - PDF
    • Reporting Form - Excel

Update License Information

Requesting Confidential Treatment of Documents

Statutory Requirements

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The documents on this page are also available in hard copy by contacting the Bureau.