When the Client Stops Funding Claims
Clients that are slow to provide funding for their self-funded health plan – or that stop providing funds altogether – present significant challenges and frustration for TPAs. What can a TPA do to protect itself? What legal obligations does the TPA have? Should participants be notified? What about the DOL? Is there potential fiduciary liability? There can be more questions than answers in these situations, but there are steps you can take to help resolve the situation as smoothly as possible. This presentation will provide a practical review of legal considerations when dealing with slow-funding clients, leaving you better prepared to navigate the challenges next time they arise.
- Gain understanding of a TPA’s legal rights to suspend or terminate services when a client stops funding claims.
- Learn about practical steps a TPA may take to mitigate potential liability when a client fails to fully fund plan obligations.
- Become familiar with the obligations of a TPA under ERISA when there are insufficient funds to pay all claims and expenses under a self-funded plan.
Date Presented:
October 30, 2025 1:00 PM Eastern
Length:
1 hour
Registration Fee:
Free