Question

Discuss the differences between the Department of Insurance (DOI) and the Third-Party Administrator (TPA)

Answer 1

Ans: Department of Insurance DoI): They serve several roles like licensing insurance companies and agents. * Reviewing insurance company practices * Serves consumers through education and complaint 1 resolution. - we should choose a good insurance company which have beneficials and share complaint data * These make face-to-face with consumers, 'neurance producers. -) Jhey monitor each point related to health

Third party administrator: (TPA): They are Organizations within the insurance industry which administer Services like customer Services => They do not have face-to-face meeting with customers like (601) and are hired to handle the administration of another company's insurance plan. = Jhey care coptomers indirectly and are like intermediary company between an insured and insureri TPA is self-funded employer to handle claims.