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Information on how to become a Licensed Third-Party Administrator. Requirements for becoming or renewing a license as a third-party administrator to represent self-insured employers and or insurers.Party administrator provides operational services such as claims processing and employee benefits management under contract to another company. Businesses involved in the insurance industry must be licensed to provide the services they offer. An employer may authorize an insurer or TPA to respond on its behalf, but may not transfer responsibility for a debt to the insurer or TPA. Learn how to authorize or modify a third party administrator (TPA) to conduct business with the Department of Unemployment Assistance (DUA) on your behalf. Completed Application for a Certificate of Authority FIN489 along with all applicable supporting documents outlined on page 2 of the form. Avēsis Third Party Administrators, LLC. 10400 North 25th Ave, Suite 200, Phoenix, AZ 85021-1696. Third Party Administrator A Complete Guide - 2021 Edition ; Publication date.