Licensing requirements for Third Party Administrator for Health Insurance (TPA)
- Registration as private or public limited company under Companies Ordinance, 1984
- Paid up capital of Rs.50 million
- Shareholder’s equity of Rs.30 million
- Application as per Form – I of the TPA for Health Insurance Regulations, 2014
- Evidence of payment of fee of Rs.50,000/- for initial registration and Rs.25,000/- for renewal
- Documents/ information required to be submitted along with application include
- Memorandum and Articles of Association
- Details of sponsors/ promoters including names, address, nationality, contribution of number of shares proposed to be held by each sponsor, the proposed positions they’ll hold, educational qualifications and work experience
- Proposed business plan for initial three financial years including description of services and facilities proposed to be provided
- Copy of draft agreement to be entered into between TPA and the insurance company/ self-funded pool/ medical service provider
- An undertaking that all information provided is complete and correct
- Any other information/ documents as may be required by the Commission
