• TPA Regulations, NJAC 11:23
• Application for Licensure Instructions
• List of Third Party Administrators
• Name Change
• Reporting Requirements
• List of Revoked TPA Licenses
• Biographical Affidavit
• Surrender TPA License
• Request Certificate of Compliance
• "Doing Business As" or "Fictitious Business Name"

Contact Information

TPA Applications
Ryan Tomasulo
Telephone: 609-940-7351
E-mail

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.

Reporting Requirements Inquiries
Ryan Tomasulo
Telephone: 609-940-7351
E-mail

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

• Adopted Regulations
• Application for Certification Instructions
• List of Third Party Billing Services
• Name Change
• "Doing Business As" or Fictitious Business Name