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Employer Health Literacy

What Is a Third-Party Administrator (TPA)? Who Actually Processes Your Health Plan Claims

Quick Answer What is a TPA in health insurance? A third-party administrator (TPA) is an organization hired by an employer to handle the day-to-day operations of a self-funded health plan: processing claims, managing provider networks, issuing ID cards, and providing customer service. The TPA is not your insurer—your employer funds the plan and pays the […]

Employer Health Literacy

Why 67% of American Workers Are in Self-Funded Health Plans — And Most Don’t Know It

Quick Answer What is a self-funded health plan? A self-funded (or self-insured) health plan is one where your employer pays for your medical claims directly from its own funds, rather than purchasing insurance from a carrier. A third-party administrator (TPA)—often a company like Cigna, Anthem, or UnitedHealthcare—processes claims and manages the network, but the money […]

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