If you assume the responsibilities of another TPA and discover missing indemnity files, what should you do?

• A. Contact Self Insurance Plans and ask for assistance.
• B. Contact the prior administrator and inform the ER.
• C. Contact the Administrative Director and request an audit.
• D. Contact the I&A office and ask for assistance

Answer: (B)

When you take over as the TPA for a Self-Insured Plan, the priority is to secure all essential indemnity records and keep the employer informed. Missing indemnity files create gaps in the claim history, which can affect payments, coverage validation, and regulatory compliance. The best course is to reach out to the prior administrator to search for and transfer any missing documents, and at the same time inform the employer about the situation. This approach directly addresses the records gap and maintains transparent communication with the client, which helps ensure continuity and reduces the risk of errors or disputes later on.

Other options may be helpful in broader or ongoing contexts, but they don’t immediately resolve the missing-file issue or keep the employer apprised in the moment.