Third Party Administrator Licensing and Compliance Services: Multistate Regulatory Action a Significant Reminder that Insurers Must Only Conduct Business with Licensed TPAs

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A Regulatory Settlement Agreement was recently entered into by forty-one (41) states and an insurer as a result of a multistate targeted market conduct examination (“Multistate Examination”) of the insurer. The Multistate Examination focused on the insurer’s short-term medical, limited medical and fixed indemnity business and was spearheaded by the Delaware Insurance Department and the D.C. Department of Insurance, the “Managing Lead States” and the Wisconsin Insurance Department, the Kanas Insurance Department and the South Dakota Division of Insurance, the “Lead States.” In addition to the Managing Lead States and the Lead States, thirty-six (36) other states also participated in the Multistate Examination.

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