Definition

The amount you pay out of pocket before your insurer steps in, similar to a deductible. It shows your commitment to managing small losses yourself.

What to consider

  • Review the administrator’s reputation.
  • Understand their role in processing claims.
  • Ensure clear communication channels for resolving issues.

Real world scenarios

  • A health insurer outsourced claim processing to a third-party administrator to streamline operations.
  • A group plan used a third-party administrator to manage benefits and claims efficiently.
  • An employer’s benefits program was managed by a third-party administrator for accuracy and speed.

Related terms

Insurance & Financial Protection