Third Party Administrator (Life/Health)
- Before applying for or renewing a Life and Health Administrator (TPA) license, you must first make sure that information about the TPA on the Arizona Corporation Commission web site is up to date. If the application contains information that is different from information maintained by the Arizona Corporation Commission, the application will be rejected.
- All applications must be completed on the computer. The computer will check the application to help make sure it is complete. Additionally, the form will tell you additional documents you must submit as part of your application based on entries you make in the form. Do not print your application until you have entered all required information on it.
- After printing the application, obtain signature(s) and scan the application forms to your computer or network.
- Before using the Portal to submit your application, you should make sure you save all the documents you need to upload to one location on your computer or network. Save a separate biographical affidavit document for each individual. Do not save them all together as one document. This will make it easier for you to upload all those documents through the Portal. Double check the list of documents you've saved on your computer/network against the additional documents your application form says are required in order to ensure your application is complete when you submit it.
- Use the Third-party Administrator Registration Portal (https://azinsurance.online/Upload/tpa) to upload application documents, pay any required fee, and to submit your application to us instantaneously. There is no additional cost to use the Portal, and your documents will be transmitted to us in a secure, encrypted manner.
RENEWAL SEASON. A new packet number is required for each new/renewal submission. Packet numbers from previous submissions cannot be used again.
We are aware of a phishing scam targeting insurance professionals claiming that the National Association of Insurance Commissioners received a complaint that the professional submitted a falsified claim. This fraudulent email displays the NAIC and CIPR logos, can originate from what appears to be an naic.org or gmail.com email account, and instructs the recipient to click on a link to download the complaint notification.
Certain antivirus products will detect this as a malicious email. If you receive a similar email and have any concerns, contact the NAIC Service Desk at (816) 783-8500 or [email protected].
ARS § 41-1030(G) requires most Arizona government agencies to prominently print the provisions of ARS § 41-1030(B), (D), (E) and (F) on all license applications. The following is the language in ARS § 41-1030(B), (D), (E) and (F):
B. An agency shall not base a licensing decision in whole or in part on a licensing requirement or condition that is not specifically authorized by statute, rule or state tribal gaming compact. A general grant of authority in statute does not constitute a basis for imposing a licensing requirement or condition unless a rule is made pursuant to that general grant of authority that specifically authorizes the requirement or condition.
D. This section may be enforced in a private civil action and relief may be awarded against the state. The court may award reasonable attorney fees, damages and all fees associated with the license application to a party that prevails in an action against the state for a violation of this section.
E. A state employee may not intentionally or knowingly violate this section. A violation of this section is cause for disciplinary action or dismissal pursuant to the agency’s adopted personnel policy.
F. This section does not abrogate the immunity provided by section 12-820.01 or 12-820.02.