PDFWAC 296-15-540
Self-insured third-party administrator (TPA) licensing renewal application requirements.
(1) A TPA must apply annually to renew its license. To apply, the TPA must:
(a) Submit a department-developed renewal application to the department;
(b) Provide an updated list of the self-insured employers in the state of Washington the TPA handles claims for;
(c) Provide an updated list of their certified claims administrators; and
(d) Provide an updated list of their claims administrators in the process of obtaining their certification in accordance with WAC 296-15-360.
(2) The department will review the TPA's license to ensure the submitted materials together with other evidence demonstrates the TPA continues to meet the requirements of WAC 296-15-520 and 296-15-550.
(3) Provisional status may be added to a TPA's license who fails to renew license as required in accordance with WAC 296-15-570.