Third-Party Administrator (TPA) Services

This subcontract for Third-Party Administrator (TPA) Services involves the day-to-day administration of health plan benefits for prime contractors supporting State of Maryland employee health plan projects. The selected provider will be responsible for managing member enrollment, processing medical, dental, and vision claims, coordinating benefit payments, and maintaining member records through the use of HIPAA-compliant database management systems. Key deliverables include the submission of processed claims and detailed eligibility reports. To qualify for this role, the provider must maintain strict HIPAA compliance, possess comprehensive knowledge of ERISA, and hold the necessary State of Maryland insurance licensing. The opportunity is categorized under NAICS code 524210, with a response deadline set for November 23, 2026.