Third Party Administrators (TPA)

TPA’s are companies that Self Insured employers contract with to administer the claims administration process.  The process of properly and effectively administering claims is very complex as there are numerous mandated deadlines where actions must be taken by, the reserving process is governed by a wide body of law and court cases, and effectively providing benefits and facilitating the injured worker to return to work has a direct effect on controlling the costs associated with a company’s workers compensation program.  Some self insured employers choose to handle this claims administration process in-house to have a tighter control over the process.

Title 8, Chapter 8, Subchapter 2, Article 12, Sections 15450-15463 provide information on the basic rules that govern claims administration.

Roster of third party administrators

Self Insurance Administrator's Examination

Pursuant to Title 8, California Code of Regulations, Section 15452, each self insured employer or administrative agency is required to conduct the administration of self insured workers' compensation claims through the services of a competent person or persons located in California. Competence may be demonstrated by passing the Self Insurance Administrator's Examination, administered for this office by PSI Examination Services.

You can apply online to take the examination at www.psiexams.com.  At that site, select “Government/State Licensing Agencies.  The system will prompt you to select a jurisdiction, select “California”.  Then select the account: “CA Office of Self Insurance Plans” and click on “CA Self Insurance Examination”.  From there please follow the instructions.  There is also a detailed Candidate Information Bulletin located at the top right side of that page.

Effective July 1, 2012, PSI Examination Services will be responsible for administering the qualified claims administrator certification examination for the Office of Self Insurance Plans (OSIP).  Inquiries regarding the OSIP Self Insurance Administrators examination program should be submitted to PSI Examination Services at www.psiexams.com.  Please direct other questions to OSIP at (916) 464-7000 or send your inquiries to sip@dir.ca.gov

• Lists of study materials

Qualified Administrator Verification and Search

To verify if an individual has passed the test and holds and active qualified administrator certificate, you can search by name here: Qual. Admin. Search

• Life tables for men and women: United States 2011
  NOTE: These tables are to be used by qualified administrators when estimating future liabilities in 2016 and will be utilized by OSIP in 2017 to determine if the figures provided on the 2016 Annual Report are accurate.

• Life tables for men and women: United States 2010
  NOTE: These tables are to be used by qualified administrators when estimating future liabilities in 2015 and will be utilized by OSIP in 2016 to determine if the figures provided on the 2015 Annual Report are accurate.