Benafica is a health benefits and insurance company that helps employers offer flexible, tax-free health reimbursement plans instead of traditional group health insurance.
TPA Services
Third-Party Administration for Associations and Affinity Groups
We run the back office for association and affinity benefit programs under your brand, so your team can stay focused on your mission.
Last Updated: August, 2026 · Program Administration: Stephanie Davis, Director of TPA Operations
TPA Overview
Who We Work With
Associations
Trade associations, professional societies, and state and regional associations running member benefit programs without adding administrative staff.
Affinity & alumni groups
Alumni organizations, franchise and dealer groups, and membership organizations that want a benefit offering that strengthens the value of belonging.
Brokers & carriers
A back office for programs you've sold but don't want to administer. You keep the relationship; we run the operations. How we work with brokers →
Organizations We Serve
Insurance Products
Products We Administer
Life insurance
Term, group, and voluntary life products offered to members.
Home & auto
Personal lines offered as a membership benefit.
Dental & vision
Standalone or bundled into a wider member benefit package.
Voluntary group benefits
Accident, critical illness, disability, and similar voluntary lines.
Non-insurance billing
Dues, events, certifications, and continuing education on the same invoice.
Additional lines
If your members need it and a carrier will write it, we can usually administer it. Ask us.
What We Administer
Member management & enrollment
We handle enrollment and renewal end to end, so your staff isn’t fielding coverage questions or chasing paperwork. Members get a self-service portal to enroll, update their information, and see what they’re covered for.
- Eligibility
- Member records
- Plan changes
- Terminations
Billing & payment processing
Itemized invoicing, automated reminders, and multiple payment methods, with list billing and direct billing both supported. Members pay the way they prefer; you get reconciled reporting rather than a spreadsheet.
- Membership dues
- Event registration
- Certifications
Commissions management
Keep commission payments accurate, timely, and transparent, with the oversight needed to catch issues before they become problems. Producers can easily see what they’ve earned and when they’ll be paid, while your team spends less time tracking down numbers and managing spreadsheets.
- Multi-level commissions
- Commission reporting
- Compliance monitoring
Claims handling
Claim intake, member communication in your voice, and coordination with the carrier through to resolution. Members can see status without calling, and your staff isn’t relaying messages between a member and an insurer.
- Claims processing
- Payment & reimbursement
- Claims support & resolution
Forms & document management
Forms and documents are a critical part of TPA administration, from plan materials and required notices to member records and carrier documentation. Automate document creation, securely store and deliver files, and keep everything organized and accessible, with documents generated from current data instead of pieced together manually.
- Fillable form and document creation
- Secure document management
- Custom reporting
Pricing
What It Costs
White-Label Branding
Make the Program Feel Like Yours
Members should experience your program as yours, not as a vendor’s. From the portal they use to enroll and check coverage to the statements they receive and the support they rely on, every touchpoint can reflect your organization’s brand and identity.
- Branded member portal: Your logo, colors, and domain give members a familiar place to manage their coverage.
- Branded communications: Invoices, reminders, statements, and confirmations are delivered in your name and voice.
- Your support line: Members connect with a support team that represents your program and people.
- Your reporting: Get clear, board-ready reports on the schedule you need.
