If you discover missing indemnity files after assuming responsibilities of another TPA, which party should you contact for assistance?

If you discover missing indemnity files after assuming responsibilities of another TPA, which party should you contact for assistance?

• A. Self Insurance Plans and ask for assistance
• B. Prior Administrator
• C. Administrative Director
• D. I&A office

Answer: (B)

The situation tests who has the most direct responsibility for indemnity records during a transition between TPAs. When you discover missing indemnity files after taking over, the first and most reliable contact is the prior administrator because they were the custodian of those records and will know where the files are or how to reconstruct them. They can provide copies, help locate missing documents, and explain any gaps in the transfer. The Self Insurance Plans program office, the Administrative Director, or the I&A office oversee or support the program, but they aren’t the primary source for retrieving specific indemnity files from the previous TPA. Document the request and any responses as you work to recover the missing information.

The situation tests who has the most direct responsibility for indemnity records during a transition between TPAs. When you discover missing indemnity files after taking over, the first and most reliable contact is the prior administrator because they were the custodian of those records and will know where the files are or how to reconstruct them. They can provide copies, help locate missing documents, and explain any gaps in the transfer. The Self Insurance Plans program office, the Administrative Director, or the I&A office oversee or support the program, but they aren’t the primary source for retrieving specific indemnity files from the previous TPA. Document the request and any responses as you work to recover the missing information.