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Multi State Survey Related to Third Party Administrators who Administer Non-Insurance Financial Products

Author: LegalEase Solutions

STATEIS A THIRD PARTY ADMINISTRATOR (TPA) WHO ADMINISTERS NON-INSURANCE FINANCIAL PRODUCTS (SUCH AS 457 PLANS, 403(b) PLANS AND GROUP IRA ARRANGEMENTS) FOR AN EMPLOYER REQUIRED TO BE LICENSED (AS A TPA OR OTHERWISE) IN A STATE?

 

IF SO, WHAT ARE THE LICENSING REQUIREMENTS AND FEES?ARE THERE ANY OTHER REQUIREMENTS SUCH AS AUDIT, BOND, INSURANCE, LIMITATION ON ACTIVITIES OF AFFILIATES, LIMITATIONS ON WHERE CONTRIBUTIONS CAN BE INVESTED BY A TPA PRIOR TO TRANSMITTAL TO AN INVESTMENT PROVIDER?IS A TPA WHO ADMINISTERS NON-INSURANCE FINANCIAL PRODUCTS FOR AN EMPLOYER (SUCH AS 457 PLANS, 403(b) PLANS AND GROUP IRA ARRANGEMENTS) PROHIBITED FROM OFF-SHORING ANY TPA SERVICES?
AlabamaNo applicable requirementN/ANo applicable requirement.No applicable requirement.
AlaskaNo license required

 

Alaska Stat. § 21.27.630:

(i) A person who only provides services to bona fide employee benefit plans that are established by an employer or an employee organization, or both, for which the insurance laws of this state are preempted under the Employee Retirement Income Security Act of 1974, is not required to be additionally registered as a third-party administrator if the person certifies to the director on or before February 1 of each year its exempt status.

 No applicable requirementNo applicable requirement.
ArizonaNo applicable requirement A.R.S. § 20-485:

“Administrator” does not include: (n) A person who acts only as an administrator of one or more bona fide employee benefit plans established by an employer or an employee organization, or both, for which the insurance laws of this state are preempted pursuant to the employee retirement income security act of 1974.

No applicable requirement.No applicable requirement.
ArkansasNo applicable requirementN/ANo applicable requirement.No applicable requirement.
CaliforniaNo applicable requirement. N/AYes. TPA must provide employer proof of liability insurance and fidelity bond in an amount determined by employer.

 

TPA must provide employer evidence of a safe chain-of-custody of assets process for ensuring fulfillment of fiduciary responsibilities and timely placement of participant investments.

If TPA is related to or affiliated with a provider of investment products pursuant to Section 403(b) or 457 of the IRC, the TPA must provide evidence that data generated from the services the TPA provides is maintained in a manner that prevents the investment product provider from accessing the data unless the data is required to provide the services in accordance with the contract entered into with the employer pursuant to Cal. Educ. Code §44041.5(b).

 

Cal. Educ. Code §44041.5(c)(1):

A TPA under contract to perform 403(b) plan administrative services for a school district and its employees may receive compensation for promotion or sale of a particular 403(b) plan so long as the TPA’s relationship with a plan vendor or provider, and the nature of the compensation received, are fully disclosed to the school district and employees.  Op. Atty. Gen. 06-408

No applicable requirement.
ColoradoNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
ConnecticutNo applicable requirement.

 

(Pending Bill: H.B. 6529)No applicable requirement.No applicable requirement.
DelawareNo applicable requirement.N/ANo Applicable Requirement.No applicable requirement.
District of ColumbiaNo applicable requirement.N/ANo Applicable Requirement.No applicable requirement.
FloridaNo applicable requirement.N/AFla. Stat. § 121.4501(8):

(b) With the approval of the state board, the third-party administrator may subcontract with other organizations or individuals to provide components of the administrative services.

 

The third-party administrator may not be an approved provider or be affiliated with an approved provider.

 

(f) The third-party administrator shall not receive direct or indirect compensation from an approved provider, except as specifically provided for in the contract with the board.

No applicable requirement.
GeorgiaNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
HawaiiNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
IdahoNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
IllinoisNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
IndianaNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
IowaNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
KansasNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
KentuckyNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
LouisianaNo license required.La. R.S. 22:1651(G):

A person shall not be required to maintain a license as an administrator under this Chapter if the person acts solely as the administrator of one or more bona fide employee benefit plans established and maintained by an employer or an employee organization, or both, for which the insurance laws of the state are preempted pursuant to the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1001 et seq.). The person exempted herein shall register with the commissioner, annually, to verify their status.

 

(Pending Bill: H.B. 669)

 

No applicable requirement.No applicable requirement.
MaineNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
MarylandNo License Required.Md. INSURANCE Code § 8-301:

“Administrator” does not include: (2)(iv) A person who administers only plans that are subject to ERISA and that do not provide benefits through insurance, unless any of the plans administered is a multiple employer welfare arrangement as defined in § 514(b)(6)(A)(ii) of ERISA.

 

Read with Md. INSURANCE Code § 8-303:

(a) In general, a person must register with the Commissioner before the person acts as or represents itself as an administrator in the State.
(b) Administrators of ERISA plans. — A person that would be an administrator subject to this subtitle but for the exemption under § 8-301(b)(2)(iv) of this subtitle shall provide to the Commissioner:
(1) written notice that the person operates in the State; and
(2) evidence satisfactory to the Commissioner that the person is complying with any applicable bonding requirements imposed by ERISA.

No applicable requirement.No applicable requirement.
MassachusettsNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
MichiganNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
MinnesotaNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
MississippiNo applicable requirement.Miss. Code § 83-18-1: Insurer does not include a bona fide employee benefit plan established by an employer or an employee organization, or both, for which the insurance laws of this state are preempted pursuant to the Employee Retirement Income Security Act of 1974.Miss. Code § 83-18-23(8): No bonding shall be required by the commissioner of any administrator whose business is restricted solely to benefit plans which are either fully insured by an authorized insurer or which are bona fide employee benefit plans established by an employer or any employee organization, or both, for which the insurance laws of this state are preempted pursuant to the Employee Retirement Income Security Act of 1974.No applicable requirement.
MissouriNo applicable requirement.§ 376.1075 R.S.Mo: Insurer does not include a bona fide employee benefit plan established by an employer or an employee organization, or both, for which the insurance laws of this state are preempted pursuant to the Employee Retirement Income Security Act of 1974.No applicable requirement.No applicable requirement.
MontanaNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
NebraskaNo license required.R.R.S. Neb. § 44-5812:

A person shall not be required to hold a certificate of authority as a third-party administrator in this state if the person exclusively provides services to one or more bona fide employee benefit plans each of which is established by an employer or an employee organization, or both, and for which the insurance laws of this state are preempted pursuant to the Employee Retirement Income Security Act of 1974. Such person shall register with the director, annually, to verify his or her status.

No applicable requirement.No applicable requirement.
NevadaNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
New HampshireNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
New JerseyNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
New MexicoNo license required.13.4.5.11 NMAC: A person is not required to hold a certificate of authority as an administrator in this state if the person exclusively provides services to one or more bona fide employee benefit plans each of which is established by an employer or an employee organization, or both, and for which the insurance laws of this state are fully preempted pursuant to ERISA.  Such persons shall register with the superintendent, annually, to verify their status.No applicable requirement.No applicable requirement.
New YorkNo license required.NY CLS Ins § 1108: The following are exempt from licensing:

(f) Any retirement system or pension fund that was doing business on January first, nineteen hundred forty under the education law, the civil service law, the mental hygiene law, any special act of incorporation of this state, or any municipal charter adopted under the laws of this state, exclusively for the benefit of the members of such system or fund or for all or any classes of the employees of this state or any municipality thereof, shall be exempt from the provisions of this chapter.

(h) Any relief department or pension plan of any common carrier subject to the Railroad Retirement Act of 1974 (45 U.S.C. § 31), whose privileges and membership are confined to employees or former employees of such carrier or its affiliated or subsidiary companies, or to any association of such common carriers which administers any such department or plan.

No applicable requirement.No applicable requirement.
North CarolinaNo license required.N.C. Gen. Stat. § 58-56-51(f): A person is not required to be licensed as a TPA in this State if the person provides services exclusively to one or more bona fide employee benefit plans each of which is established by an employer, an employee organization, or both, and for which the insurance laws of this State are preempted pursuant to the Employee Retirement Income Security Act of 1974. Persons who are not required to be licensed shall register with the Commissioner annually, verifying their status. Failure to submit an annual verification shall result in the expiration of the registration of the TPA as a matter of law; provided, however, the Commissioner may grant the TPA an extension of time for good cause.N.C. Gen. Stat. § 58-56-51(h): No bonding shall be required by the Commissioner of any TPA whose business is restricted solely to benefit plans that are either fully insured by an authorized insurer or that are bona fide employee benefit plans established by an employer, any employee organization, or both, for which the insurance laws of this State are preempted pursuant to the Employee Retirement Income Security Act of 1974.No applicable requirement.
North DakotaNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
OhioNo applicable requirement.ORC 3959.01 (B)(3): ‘Administrator’ does not include any person who administers pension plans for the benefit of the person’s own members or employees or administers pension plans for the benefit of the members or employees of any other person.No applicable requirement.No applicable requirement.
OklahomaNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
OregonNo license required.ORS § 744.714: A person who is exempt from the requirement of a license as a third party administrator under ORS 744.704 because the person acts solely as an administrator of one or more bona fide employee benefit plans established by an employer or an employee organization, or both, for which the Insurance Code is preempted pursuant to the Employee Retirement Income Security Act of 1974, shall register with the Director of the Department of Consumer and Business Services annually, verifying the status of the person as qualifying for the exemption.No applicable requirement.No applicable requirement.
PennsylvaniaNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
Rhode IslandNo license required.R.I. Gen. Laws § 27-20.7-12: A person is not required to hold a certificate of authority as an administrator in this state if the person exclusively provides services to one or more bona fide employee benefit plans each of which is established by an employer or an employee organization, or both, and for which the insurance laws of this state are preempted pursuant to the Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1001 et seq. These persons shall register with the commissioner annually, verifying their status.R.I. Gen. Laws § 27-20.7-12: No bonding shall be required by the commissioner of any administrator whose business is restricted solely to benefit plans which are either fully insured by an authorized insurer or which are bona fide employee benefit plans established by an employer or any employee organization, or both, for which the insurance laws of this state are preempted pursuant to the Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1001 et seq.No applicable requirement.
South CarolinaNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
South DakotaNo license required.S.D. Codified Laws § 58-29D-27: A person is not required to hold a license as an administrator in South Dakota if the person exclusively provides services to one or more bona fide employee benefit plans each of which is established by an employer or an employee organization, or both, and for which the insurance laws of South Dakota are preempted pursuant to the Employee Retirement Income Security Act of 1974. Such persons shall register with the director annually, verifying their status.
S.D. Codified Laws § 58-29D-30: Each administrator licensed or registered shall file an annual report for the preceding calendar year with the director on or before July first of each year, or within such extension of time therefore as the director for good cause may grant. The report shall be in the form and contain such matters as the director prescribes and shall be verified by at least two officers of the administrator. The annual report shall include the complete names and addresses of all insurers with which the administrator had an agreement during the preceding fiscal year. At the time of filing its annual report, the administrator shall pay a filing fee of two hundred fifty dollars.
No applicable requirement.No applicable requirement.
TennesseeNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
TexasNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
UtahNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
VermontNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
VirginiaNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
WashingtonNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
West VirginiaNo applicable requirement.N/ANo applicable requirement.No applicable requirement.
WisconsinLicense Required.Wis. Stat. § 633.01 (1): “Administrator” means a person who directly or indirectly solicits or collects premiums or charges or otherwise effects coverage or adjusts or settles claims for a plan.

(4) “Plan” means an insured or wholly or partially self-insured employee benefit plan which by means of direct payment, reimbursement or other arrangement provides to one or more employees who are residents of this state benefits or services that include, but are not limited to, benefits for medical, surgical or hospital care, benefits in the event of sickness, accident, disability or death, or benefits in the event of unemployment or retirement.

Wis. Stat. § 633.13 provides that a person may not act as an Administrator unless licensed.  Wis. Stat. § 633.14, Wis. Stat. § 601.31 (1) (w) – Provides for a license fee of $100.

 

Wis. Adm. Code Ins 8.26:

The application shall include:

A financial statement; and

 

A statement as to whether the administrator does any of the following:
1. Collects premiums or employee contributions on behalf of any principal.
2. Maintains separate fiduciary accounts for each principal.

The following information should also be included:
1. Whether the individual has been fined or reprimanded or has been the subject of a consent decree in any state by any agency that regulates the business of administrators, insurance, real estate, securities or financial institutions.
2. Any previous license as an administrator refused, suspended, denied or revoked in any state.
3. Any conviction of a felony or misdemeanor, other than a misdemeanor related to the use of a motor vehicle or the violation of a fish and game regulation.
4. Any previous employment by an administrator or insurance company, or in the business of real estate, securities or financial institutions, whether his or her employment has been terminated or non-renewed because of allegations of misconduct or wrongdoing.
(h) If the administrator is from outside this state, a statement that the administrator agrees to be subject to the jurisdiction of the commissioner and the courts of this state.

Wis. Adm. Code Ins 8.28(2): If the administrator collects premiums or employee contributions on behalf of any principal, or commingles funds belonging to more than one principal, the performance bond shall be in the greater of the following amounts:
(a) $ 25,000.
(b) Ten percent of the total amount of projected premiums, charges and claim funds the administrator expects to handle on behalf of residents of this state during the fiscal year following the year for which a financial statement is, submitted under s. Ins 8.26 (1) (c). A bond under this paragraph need not exceed $ 500,000.(3) If the administrator does not collect premiums or employee contributions on behalf of any principal, and maintains a separate fiduciary account for each principal, the performance bond shall be in the greater of the following amounts:
(a) $ 15,000.
(b) Five percent of the total amount of projected claim funds the administrator expects to handle on behalf of residents of this state during the fiscal year following the year for which a financial statement is submitted under s. Ins 8.26 (1) (c). A bond under this paragraph need not exceed $ 250.000.
No applicable requirement.
WyomingNo applicable requirement.N/ANo applicable requirement.No applicable requirement.