You have assumed the responsibilities of another TPA. While auditing the files you discover that there are missing indemnity files. You should:

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Multiple Choice

You have assumed the responsibilities of another TPA. While auditing the files you discover that there are missing indemnity files. You should:

Explanation:
When you assume the responsibilities of another TPA, you must ensure continuity and accuracy of the employer’s records. If indemnity files are missing, the most appropriate step is to notify the employer and work with the prior administrator to locate or reconstruct the missing documentation. This preserves the integrity of the claims handling, supports correct benefit and cost reporting, and fulfills fiduciary duties to the employer and the plan. The prior administrator is the logical source for recovering missing files, and informing the employer ensures transparency and accountability for the plan’s governance. Other avenues don’t directly address the missing records or the need to coordinate recovery with the employer and previous administrator.

When you assume the responsibilities of another TPA, you must ensure continuity and accuracy of the employer’s records. If indemnity files are missing, the most appropriate step is to notify the employer and work with the prior administrator to locate or reconstruct the missing documentation. This preserves the integrity of the claims handling, supports correct benefit and cost reporting, and fulfills fiduciary duties to the employer and the plan. The prior administrator is the logical source for recovering missing files, and informing the employer ensures transparency and accountability for the plan’s governance. Other avenues don’t directly address the missing records or the need to coordinate recovery with the employer and previous administrator.

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