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What is The Plan Administrator?

The Third-Party Administrator (TPA) is a comprehensive platform designed for managing group enrollments, eligibility verification, and streamlined billing processes. It includes a centralized repository that holds all essential data related to clients, participants, their dependents, various coverage options, and pricing structures. The system consolidates all plans into a singular billing statement while enabling electronic eligibility reporting and facilitating online enrollment. Automatic rate calculations are performed based on several variables, including age, tenure, and health risk evaluations. Users have the flexibility to choose between summary billing and detailed name list formats, and the platform supports straightforward data import and export in formats like CSV, composite files, or ODBC/SQL. With the addition of the CSPWeb module, users can access the system online, which significantly enhances its web capabilities. Furthermore, it automates all facets of COBRA administration, overseeing everything from notifications to the transition processes. Its premium accounting features are robust, efficiently handling various payment types, including advance, partial, retroactive payments, and NSF checks. The system integrates effortlessly with other software applications, utilizing ASCII, CSV, composite files, or ODBC/SQL for smooth connectivity. This solution, trusted by many of the largest administrators nationwide since COBRA's inception, has a strong track record with over 25 years of demonstrated success in the industry. Given its extensive functionality and dependability, it remains an indispensable asset for effective plan administration, ensuring that organizations can manage their employee benefits with confidence and efficiency.

What is TPA Stream?

TPA Stream is transforming the landscape of employee benefits management by automating workflows and overcoming communication challenges across diverse benefit categories, significantly improving efficiency, security, and cost savings for everyone involved in the employee benefits process. Located in Cleveland, OH, TPA Stream operates as an insurtech software company, partnering with health insurance brokers and third-party administrators to elevate their business outcomes and refine their operational procedures. Our clients frequently commend TPA Stream for its flexibility, collaborative approach, and steadfast dedication to delivering innovative solutions. We not only support the acquisition of new business and streamline the claims processing but also prioritize enhancing employee engagement. With our intuitive automation for employer invoicing related to CDH and COBRA, we make complex processes more manageable. Furthermore, our technology efficiently automates the consumption, transformation, and integration of files with administrative systems, providing a smooth experience for all parties involved. By opting for TPA Stream, organizations can significantly advance their operational capabilities, leading to increased satisfaction for both employees and administrators, while also fostering a culture of continuous improvement and innovation.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Has API

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

Windows

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Not specified

Training Options

Documentation Hub

Company Facts

Organization Name

Benefit Plan Systems

Company Website

www.bencorp.com/index.html

Company Facts

Organization Name

TPA Stream

Date Founded

2013

Company Location

United States

Company Website

www.tpastream.com

Categories and Features

Benefits Administration

COBRA Administration
Deduction Management
Health Insurance Administration
Life Insurance Administration
Provider Management

Categories and Features

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