How the TPA Arrangement Works
The corporate entity will have its own fund for its healthcare which is managed by Nationwide for a fee (usually a percentage of the fund).
Nationwide provides administrative services namely member management, claims management, provider network management as well as utilization reports for the institution.
The excesses utilization is paid for by the entity.
Surpluses are credited to the account of the company and can be rolled over into the ensuing policy year.