Third-party administrators

90 Degree Benefits is a national third-party administrator specializing in self-funded and level-funded employer health plans, with its corporate office in Birmingham, Alabama. It operates through a network of regional TPA offices acquired across the Midwest, South and West, offering claims administration and cost-containment programs.

• •Corporate office: Birmingham, AL
• •Administers both self-funded and level-funded plan designs
• •Operates through regional TPA offices across multiple states
• •Toll-free: (833) 748-8876

Allegiance Benefit Plan Management is a third-party administrator of self-funded employer health plans headquartered in Missoula, Montana. It provides claims administration, care management and consumer-account services for employer groups, and operates as a wholly owned subsidiary of a Cigna company.

• •HQ: Missoula, MT
• •Ownership: wholly owned subsidiary of Connecticut General Life Insurance Company, a Cigna subsidiary, since 2008
• •Operates a family of companies covering benefits and healthcare administration
• •Toll-free: (800) 877-1122

Allied Benefit Systems is an independent national third-party administrator of self-funded employer health plans, headquartered in Chicago, Illinois. It provides claims administration, medical management and network access for self-insured employers, and states it serves more than 14,500 self-insured employer groups.

• •HQ: Chicago, IL; founded 1980
• •Ownership: independent
• •Describes itself as the largest national independent TPA in the U.S.
• •Serves 14,500+ self-insured employers
• •Multiple national and regional network options offered

AmeriBen is an independent third-party administrator of self-funded employer health plans based in Meridian, Idaho. It provides medical benefits administration, member advocacy and human resource consulting services for employers.

• •HQ: Meridian, ID (Boise metro)
• •Ownership: independent TPA
• •Combines benefits administration with HR consulting services
• •Claims address: PO Box 7186, Boise, ID 83707

ASR Health Benefits is a third-party administrator of self-funded employer health plans headquartered in Grand Rapids, Michigan. It provides claims administration and consumer-account services for employer groups.

• •HQ: Grand Rapids, MI
• •Claims address: PO Box 6392, Grand Rapids, MI 49516
• •Administers self-funded employer health plans and related accounts
• •Ownership: independent Michigan-based administrator

Auxiant is an independent third-party administrator of self-funded employer health plans headquartered in Cedar Rapids, Iowa, with additional offices in Madison and Milwaukee, Wisconsin. It provides claims administration, stop-loss coordination, Section 125 and COBRA services for self-funded employer groups.

• •HQ: Cedar Rapids, IA; in business since 1982
• •Ownership: independent TPA with over 250 full-time employees
• •Offices: Cedar Rapids IA, Madison WI, Milwaukee WI
• •Dedicated client teams covering stop-loss, claims, enrollment, Section 125 and COBRA

BRMS is an independently owned third-party administrator of self-funded employer health plans, headquartered in Folsom, California. It performs claims administration, eligibility and benefit administration on its proprietary MyHealthBenefits/Vbas platform, and also administers FSA, HRA, HSA and COBRA accounts. BRMS additionally administers multi-employer, association and captive arrangements.

• •HQ: Folsom, CA
• •Over 30 years of TPA experience
• •Ownership: privately held, no Wall Street or private equity backing
• •Administers self-funded, multi-employer, association and captive plans
• •Supports reference-based pricing as well as traditional network plans
• •Proprietary benefit administration platform (Vbas / MyHealthBenefits)

Benefit Management Administrators is a third-party administrator based in San Antonio, Texas specializing in the administration of self-funded employer-sponsored benefit plans. It provides claims management, enrollment, billing and claim funding through a cloud-based processing system and employer web portal.

• •HQ: San Antonio, TX
• •Administering self-funded employer plans since 1992
• •Cloud-based claims processing with employer and provider web portals
• •Automates enrollment, monthly billing and claim funding

Boon-Chapman is an independent third-party administrator of self-funded employer health plans headquartered in Austin, Texas. It provides claims administration, benefit plan management and related services for self-insured employers, with an additional office in the Houston area.

• •HQ: Austin, TX
• •Second office: Shenandoah, TX (Houston area)
• •Independent third-party administration for self-funded employers
• •Toll-free: (800) 252-9653

Boulder Administration Services is a boutique third-party administrator headquartered in Boulder, Montana, with an office in Seattle, Washington. It administers self-funded medical plans, cafeteria plans, HRAs, dental and vision coverage and COBRA for employer groups.

• •HQ: Boulder, MT; additional office in Seattle, WA
• •Administers self-funded medical, cafeteria, HRA, dental, vision and COBRA plans
• •Boutique TPA serving self-funded employers
• •Ownership: independently operated boutique TPA

Concierge TPA is a third-party administrator of self-funded and level-funded employer health plans with offices in Oklahoma City and Bartlesville, Oklahoma. It provides claims administration and plan services for employer groups.

• •HQ: Oklahoma City, OK; second office in Bartlesville, OK
• •Works in the self-funded and level-funded space
• •Claims address: P.O. Box 20667, Oklahoma City, OK 73156
• •Ownership: independent Oklahoma-based administrator

Consociate Health is a third-party administrator of self-funded employer health plans headquartered in Decatur, Illinois. It provides claims administration together with care navigation and plan performance services for employer groups.

• •HQ: Decatur, IL
• •High tech, high touch service model with care navigation
• •Additional office serving the Peoria, IL area
• •Partners with employers to manage plan performance and cost

Custom Design Benefits is an independent third-party administrator of self-funded health benefit plans headquartered in Cincinnati, Ohio. Founded in 1991, it partners with brokers to serve employers domiciled in Ohio, Indiana and Kentucky and is recognized for reference-based pricing plan designs.

• •HQ: Cincinnati, OH; founded 1991
• •Ownership: independent, WBENC-certified women-owned business
• •Serves employers domiciled in Ohio, Indiana and Kentucky
• •National leader in reference-based pricing plan development
• •Cincinnati's largest independent TPA of self-funded health benefit plans

DAKOTACARE Administrative Services is a third-party administrator for self-funded health plans based in Sioux Falls, South Dakota. It specializes in medical, dental and vision claims payment along with subrogation, COBRA, FSA, HSA, HRA and short-term disability administration and population health management.

• •HQ: Sioux Falls, SD
• •Nearly 30 years as a TPA for self-funded health plans
• •Also provides outsourced administrative services to other payers
• •Population health management with real-time analytics

Diversified Group is an independent third-party administrator specializing in self-funded health benefit plans, headquartered in Marlborough, Connecticut. It has administered self-funded plans for more than 50 years and provides plan design, claims administration and cost-containment services through a family of affiliated companies.

• •HQ: Marlborough, CT
• •Specializing in self-funded health benefit plans for more than 50 years
• •Ownership: independent, operating a family of affiliated companies
• •Includes Diversified Group Brokerage for stop-loss placement

EBMS is a third-party administrator of self-funded employer health plans founded in 1980 in Billings, Montana, where it remains headquartered. It provides claims administration together with care management, cost-containment and analytics services for self-insured employers nationwide.

• •HQ: Billings, MT; founded 1980 as Montana's first third-party administrator
• •Ownership: partnered with Water Street Healthcare Partners in 2017
• •Combines claims administration with in-house care management
• •Toll-free: (800) 777-3575

Employee Plans is a third-party administrator of self-funded employer benefit plans based in Fort Wayne, Indiana. It provides benefits administration services for employers, employees and brokers.

• •HQ: Fort Wayne, IN
• •Benefits administration for employers, employees and brokers
• •Member of the Self-Insurance Institute of America
• •Focus on creative benefit solutions for employers, employees and brokers

Exceedent is a full-service third-party administrator based in Menomonee Falls, Wisconsin that specializes in serving self-funded employers locally and nationally. It provides benefits administration alongside health and wellness planning services.

• •HQ: Menomonee Falls, WI
• •Full-service TPA specializing in self-funded employers
• •Combines benefits administration with health and wellness planning
• •Serves self-funded employers locally and nationally

First Choice Health is a Seattle, Washington based organization that provides third-party administration for self-funded employer health plans alongside a regional PPO provider network and employee assistance program services. Its health plan administration unit performs claims administration and benefits support for self-insured employers.

• •Based in the Pacific Northwest
• •Combines TPA services with its own PPO provider network
• •Also provides employee assistance program services
• •Health plan administration unit performs claims administration for self-insured employers

Group Marketing Services is a third-party administrator and benefits agency based in Kalamazoo, Michigan, with an additional office in Grand Rapids. It offers and administers self-funded and fully insured medical, dental, vision, life and disability coverage for small and mid-sized employers across the Midwest.

• •HQ: Kalamazoo, MI; offices in Kalamazoo and Grand Rapids
• •Serving small and medium businesses since 1972
• •Serves Michigan, Indiana, Ohio and the wider Midwest
• •Administers self-funded and fully insured medical, dental, vision, life and disability plans

Hawaii-Mainland Administrators is a third-party administrator of self-funded and fully insured health plans serving Hawaii and the continental southwest, with offices in Tempe, Arizona. It provides claims adjudication, medical management and technology infrastructure for employers, payers, tribal plans and trust funds.

• •Serves Hawaii and the continental southwest
• •Office: Tempe, AZ
• •Nearly 30 years administering self-funded and fully insured plans
• •Serves employers, payers, tribal plans and trust funds

HMA is a third-party administrator of self-funded employer health plans headquartered in Bellevue, Washington. It provides data-driven benefit administration, network access and care management for self-funded organizations, primarily in the Pacific Northwest.

• •HQ: Bellevue, WA; serving the Pacific Northwest since 1986
• •Roughly 35 years of experience administering self-funded plans
• •Access to top-tier provider networks
• •Toll-free: (800) 869-7093

HealthEZ is a third-party administrator of self-funded employer health plans based in the Minneapolis, Minnesota area. It administers self-funded medical benefits using local and national networks alongside reference-based pricing models, and offers a level-funded product for smaller employers.

• •Based in the Minneapolis, MN area
• •Level-funded program: EZfunding, with Nationwide medical stop-loss protection
• •Uses local and national networks plus reference-based pricing
• •Elite high-value network established in 2017

HealthSCOPE Benefits is a third-party administrator of self-funded employer health plans based in Little Rock, Arkansas. It provides claims administration, health management and reporting services for self-insured employers. UnitedHealth Group acquired the company in 2019.

• •HQ: Little Rock, AR
• •Ownership: acquired by UnitedHealth Group in April 2019 from ABRY Partners
• •Claims administration and health management for self-funded employers
• •Website operates as hsb.tpa.com

HealthSmart is a national third-party administrator of self-funded employer health plans headquartered in Richardson, Texas. It provides claims administration, provider network access, care management and pharmacy benefit services for self-insured employers and other payers.

• •HQ: Richardson, TX
• •National TPA for self-funded employers
• •Provides network access, care management and pharmacy services alongside claims administration
• •Claims administration for self-insured employers and other payers

Imagine360 is a national administrator of self-funded employer health plans headquartered in Wayne, Pennsylvania. Formed from ELAP Services and Group & Pension Administrators (GPA) of Dallas, Texas, it administers reference-based pricing and hybrid self-funded plan designs together with member advocacy and claims administration.

• •HQ: Wayne, PA
• •Includes Group & Pension Administrators (GPA), Dallas, TX, founded over 50 years ago
• •Specializes in reference-based pricing health plans
• •Claims address: P.O. Box 749075, Dallas, TX 75374
• •Grew from three employees to more than 1,500 since 2007

Key Benefit Administrators is one of the largest independently owned third-party administrators in the United States, headquartered in Fishers, Indiana. It administers self-funded employer health plans with an emphasis on population health management, chronic disease management and healthcare risk management.

• •HQ: Fishers, IN; founded 1979
• •Ownership: privately held, one of the largest independently owned TPAs in the U.S.
• •Also operates as a Population Health Administrator
• •Additional office: Fort Mill, SC

Lucent Health is a national third-party administrator for self-funded employers, headquartered in Nashville, Tennessee. It administers self-funded medical plans with integrated care management and is among the larger administrators of reference-based pricing and dual-network plan designs.

• •HQ: Nashville, TN
• •One of the largest administrators of reference-based pricing plans
• •Offers dual-network plan designs
• •Integrated care management paired with claims administration

Luminare Health is a national third-party administrator of self-funded employer health plans headquartered in Lake Forest, Illinois. Formerly Trustmark Health Benefits and, before that, CoreSource, it administers self-funded medical, pharmacy and ancillary benefits for employers.

• •HQ: Lake Forest, IL
• •Ownership: acquired by Health Care Service Corporation (HCSC) in October 2022
• •Rebranded from Trustmark Health Benefits to Luminare Health in November 2023
• •Formerly CoreSource

Marpai Administrators is a national technology-driven third-party administrator for self-funded employer health plans, owned by Marpai, Inc. It was built from acquired TPAs including Continental Benefits of Tampa, Florida and Cypress Benefit Administrators of Appleton, Wisconsin, and applies analytics to identify and manage high-cost members.

• •Ownership: owned by Marpai, Inc., a publicly traded company founded in February 2019
• •Built from Continental Benefits (Tampa, FL) and Cypress Benefit Administrators (Appleton, WI)
• •Applies analytics to enroll high-cost members into clinical programs
• •National TPA for self-funded employer plans

MBA Benefit Administrators is a third-party administrator and stop-loss brokerage based in Murray, Utah. It has developed and managed self-funded medical benefit plans for more than 30 years, providing claims administration and stop-loss placement for employer groups.

• •HQ: Murray, UT (Salt Lake City metro)
• •Over 30 years developing and managing self-funded medical plans
• •Operates as both a TPA and a stop-loss insurance brokerage
• •Claims and group administration handled in-house

MedCost is a benefit solutions company based in Winston-Salem, North Carolina that provides third-party administration for self-funded employer health plans along with its own regional provider network and care management services. It serves employers primarily in North Carolina, South Carolina and Virginia.

• •HQ: Winston-Salem, NC
• •Combines TPA services with a proprietary regional provider network
• •Ownership: formed as a joint venture of Atrium Health and Wake Forest Baptist Health; sold by Advocate Health in 2025
• •Serves employers in North Carolina, South Carolina and Virginia

Meritain Health is a national third-party administrator of self-funded employer health plans headquartered in Amherst, New York. It is a subsidiary of Aetna and CVS Health and administers self-funded medical, pharmacy and ancillary benefits using Aetna network access.

• •HQ: Amherst, NY; administering benefits since 1983
• •Ownership: subsidiary of Aetna; part of CVS Health since 2018
• •National TPA serving employers of all sizes
• •Access to Aetna provider networks

Mutual Assurance Administrators is a full-service third-party administrator headquartered in Oklahoma City, Oklahoma. It manages employer-sponsored benefit programs, providing administration services for self-funded employer health plans.

• •HQ: Oklahoma City, OK
• •Full-service TPA for self-funded employer benefit programs
• •Specializes in management of employer-sponsored benefit programs
• •Independent third-party administrator, not carrier-owned

Nova Healthcare Administrators is a third-party administrator of self-funded employer health plans based in Buffalo, New York. It provides claims administration with in-house medical management, HSA, FSA and HRA products, and supports direct primary care and reference-based pricing plan designs. Nova also provides private-labeled administration for other payers.

• •HQ: Buffalo, NY
• •Supports direct primary care and reference-based pricing designs
• •In-house medical management plus HSA, FSA and HRA administration
• •Offers private-labeled administration for other payers

Personify Health is a national third-party administrator and health platform formed from the 2023 merger of HealthComp, an independent TPA for self-funded employers founded in 1994 in Fresno, California, and Virgin Pulse. It administers self-funded medical benefits alongside wellbeing, navigation and care management services.

• •HealthComp founded 1994 in Fresno, CA
• •Merged with Virgin Pulse in November 2023 to form Personify Health
• •Ownership: majority owned by New Mountain Capital, with Blackstone, Marlin Equity Partners and Morgan Health as shareholders
• •Combines self-funded claims administration with wellbeing and navigation services

Pinnacle Health Solutions is an independent third-party administrator of self-funded employer health plans based in Irvine, California. It administers medical, dental, vision, HRA, FSA, HSA and COBRA benefits and coordinates stop-loss and health management services for self-funded plans.

• •HQ: Irvine, CA; serving self-funded plans since 1996
• •Ownership: independent
• •Covers 200,000+ covered employees
• •Administers medical, dental, vision, HRA/FSA/HSA, COBRA and stop-loss coordination

Planstin Administration is a third-party administrator of employer health benefits headquartered in St. George, Utah. It builds and administers self-funded and defined-contribution style employer benefit plans for small and mid-sized employers.

• •HQ: St. George, UT; founded 2016
• •Third-party administration of employer benefit plans
• •Claims address: P.O. Box 21747, Eagan, MN 55121
• •Serves small and mid-sized employers nationally

Point C is a national third-party administrator of self-funded employer health plans built from a group of regional TPAs, including Med-Pay of Springfield, Missouri and Aspirant. It provides customized self-funded benefit programs with local market service teams.

• •National independent TPA operating through regional partner offices
• •Includes Med-Pay (Springfield, MO), which has served southwest Missouri and the Midwest for over 40 years
• •Includes Aspirant as a Point C partner
• •Ownership: independent TPA partner, not carrier-owned

Prairie States is a third-party administrator of self-funded employer health plans with offices in Chicago, Illinois and Sheboygan, Wisconsin. It provides claims administration along with nurse-led health management, wellness programs, data analytics and hospital bill audit services for self-insured organizations.

• •HQ: Chicago, IL; leader in self-funded health benefits since 1989
• •Health management delivered by registered nurses
• •Services include medical, dental, vision, disability and hospital bill audit
• •States a 99% financial accuracy rate guarantee

Professional Benefit Services is a family-owned, independent third-party administrator based in Salem, Oregon. It administers self-funded medical and dental plans along with group retirement plans, FSA, HRA, HSA and COBRA services. The firm states it administers over 3,000 plans from its single Salem office.

• •HQ: Salem, OR; founded 1989
• •Ownership: family-owned and independent
• •Administers over 3,000 plans from its Salem office
• •Lines: self-funded health, group retirement, FSA, HRA, HSA, COBRA
• •Returns revenue sharing to clients (over $10 million credited since inception)

SIHO Insurance Services is a health benefits organization based in Columbus, Indiana that provides third-party administration for self-funded employer health plans alongside network and medical management services. It has served employers, brokers and members since 1987.

• •HQ: Columbus, IN; operating since 1987
• •Provides TPA services alongside network and medical management
• •Partners with regional health systems on integrated health plans
• •Serves employers, brokers and members in Indiana

SISCO is a third-party administrator of self-funded employer health plans headquartered in Dubuque, Iowa. Established in 1980, it provides claims administration with integrated medical management, wellness services and cost-control programs.

• •HQ: Dubuque, IA; established 1980
• •Integrated medical management and wellness services
• •In-house nursing staff reviews claims prior to adjudication
• •Cost-control programs paired with high-touch customer service

Summit Administration Services is an independent, privately held third-party administrator based in Scottsdale, Arizona. Established in 1996, it administers self-funded medical, dental, vision, short-term disability, FSA, HRA and COBRA benefits, with emphasis on governmental, public school and Native American plans.

• •HQ: Scottsdale, AZ; founded September 1996
• •Ownership: independent, privately held
• •Emphasis on governmental, public school and Native American plans
• •Assists with stop-loss, PBM, utilization review and network vendor selection

Tall Tree Administrators is a privately owned third-party administrator headquartered in Salt Lake City, Utah, with regional offices in other states. It specializes in self-funded medical and dental plan administration for employer groups.

• •HQ: Salt Lake City, UT
• •Ownership: privately owned
• •Specializes in self-funded medical and dental plans
• •Operates regional offices beyond Utah

Benecon is a Pennsylvania-based administrator that organizes and manages self-funded health benefit consortiums and group captives for small and mid-sized employers. It provides underwriting, plan management and stop-loss structuring for participating employer groups across the country.

• •Based in Lancaster County, PA
• •Organizes self-funded consortiums and group captives for employers
• •Serves groups in every industry across the country
• •Handles stop-loss target setting and renewal underwriting for consortium members

The Health Plan is a Wheeling, West Virginia based organization that operates as both a third-party administrator for self-funded employers and a licensed insurance carrier. Its self-funded offering includes plan administration, clinical services, an in-house behavioral health unit, an in-house pharmacy benefit manager and stop-loss coordination.

• •HQ: Wheeling, WV
• •Operates as both a TPA and an insurance carrier
• •In-house behavioral health unit and pharmacy benefit manager
• •Self-funded plans include stop-loss coverage coordination

The Loomis Company is a third-party administrator and insurance brokerage headquartered in Wyomissing, Pennsylvania. Its benefits division administers self-funded employer health plans, and the firm also operates property, casualty and international lines with satellite offices in New York and Florida.

• •HQ: Wyomissing, PA; founded by Edwin Loomis in the mid-1950s
• •Ownership: started as a family-owned business, now a national company
• •Satellite offices in New York and Florida
• •Combines third-party administration with brokerage services

UMR is UnitedHealthcare's third-party administrator business, headquartered in Wausau, Wisconsin. It administers self-funded medical, dental, vision, disability and risk-management plans and is the largest TPA of health benefits in the United States by covered lives.

• •HQ: Wausau, WI
• •Ownership: UnitedHealthcare's TPA solution
• •Largest third-party administrator of health benefits in the U.S.
• •Administers self-funded medical, dental, vision and disability plans

Unified Group Services is an independently owned third-party administrator of self-funded group health benefit plans based in Anderson, Indiana. It has operated since 1996 and serves employers across the Midwest and nationally.

• •HQ: Anderson, IN
• •Ownership: independently owned and operated since 1996
• •Serves employers across the Midwest and nationwide
• •Focus on self-funded group health benefit plans

Verdegard is a third-party administrator located in Tempe, Arizona that administers self-funded employer health plans. Its plan designs include PPO, reference-based pricing, level-funded and hybrid options, and it provides pharmacy benefits, stop-loss coordination, provider networks and member advocacy.

• •HQ: Tempe, AZ
• •Plan designs include PPO, reference-based pricing, level-funded and hybrid
• •Advanta Care member advocacy supports reference-based pricing cases
• •End-to-end services include pharmacy benefits, stop-loss and provider networks

Vitori Health is a third-party administrator of self-funded employer health plans with its corporate office in Leawood, Kansas. It offers PPO networks, reference-based pricing options, stop-loss integration and claims administration for self-funded employers.

• •Corporate office: Leawood, KS (Kansas City metro)
• •Offers PPO networks and reference-based pricing options
• •Includes stop-loss integration and preferred stop-loss underwriting
• •Backs administration with a claims savings guarantee

WebTPA is a national third-party administrator of self-funded employer health plans based in Irving, Texas. It provides customized benefit administration, claims processing and data services for self-insured employers and other payers.

• •HQ: Irving, TX
• •Claims mailing address: PO Box 99906, Grapevine, TX 76099
• •Customized benefit administration and data services for self-funded plans
• •Ownership: part of a larger parent company, operating as a distinct TPA brand