TPA Workers' Compensation Services

Third-Party Administrator (TPA) to administer all aspects of the Workers’ Compensation Program.
- Third-Party Administrator will evaluate, and process payment of claims submitted pursuant to the South Dakota Workers' Compensation statutes, applicable administrative rules and regulations and relevant case law. Further, the TPA is responsible for investigating and/or defending workers' compensation claims as determined by administrative rules and state statutes.
- General Requirements
1. The TPA must provide injury reporting and response 24/7.
2. The TPA must be accessible to the State at 8 AM and 5 PM Central Time to the for consultation and information.
3. Responses to questions and requests must be timely depending on complexity as determined at the time of the request.
4. The TPA will meet with the State or others as deemed necessary by the State.
5. The TPA will be expected to provide suggested cost savings methods, applications, and/or programs to the State and support the implementation of changes.
6. The TPA must have secured email for the transmittal of personal health information (PHI).
7. The TPAs shall work with the subrogation services provider for the State.
8. No additional fees or expenses shall be paid to the TPA to meet these general requirements.