Facebook
Twitter
LinkedIn
Sunday, May 15
Facebook
Twitter
LinkedIn
Login
Home
About
About TABA
About TPAs
Board of Directors
Contact Us
Membership
Legislation
Events
Photos
2021 Fall Conference
February 8, 2022
2019 Fall Conference
August 28, 2019
2019 Spring Conference
February 20, 2019
2018 Spring Conference
April 18, 2018
2017 Fall Conference
September 27, 2017
Links
Government & Associations
State Government
Federal Government
National Associations
Health Care Reform
Texas Resources
National Resources
Enrollment Organizations
Gold Sponsors
Repay
Integrated Payor Solutions
News
TDI Updates
Federal Guidance
Legislation
TABA News
Events
View All
TDI proposes updates to drug prior authorization form
February 25, 2022
Agent exams now available online
June 30, 2021
TDI proposes updates to prior authorization form for drugs
June 21, 2021
TDI amends CE requirements for agents and adjusters
June 11, 2021
Requirements Related to Surprise Billing, Part I
July 2, 2021
COBRA Premium Assistance under ARPA
April 8, 2021
Texas House Bill – Don’t Ruin Our Credit
May 11, 2017
2022 Spring Conference
February 11, 2022
2021 Fall Conference
February 8, 2022
THANK YOU to our Spring Conference Sponsors!
March 27, 2021
TABA 2020 Membership Meeting Notice
August 18, 2020
TDI proposes updates to drug prior authorization form
February 25, 2022
2022 Spring Conference
February 11, 2022
2021 Fall Conference
February 8, 2022
Requirements Related to Surprise Billing, Part I
July 2, 2021
Home
»
Membership Information
»
Membership Renewal Application
Membership Renewal Application
General Information
Company
*
Primary Contact
*
First
Last
Email
*
Secondary Contact
*
First
Last
Email
*
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Fax
Billing Contact
*
First
Last
Email
*
Additional contacts:
(Optional) Please list any additional contacts at your company that you would like to add to our email database.
Name
First
Last
Email
Name
First
Last
Email
Name
First
Last
Email
My company administers the following (select all that apply):
*
401k Plans
Ancillary Coverage
Auditing & Consulting
Automated Software Systems
Broker/Consultant
Cafeteria Plans
Claims Payor Systems
COBRA Administration
Dental
Disability Plan
DMO
Online Eligibility & Enrollment
EAP
FSAs
Fully Insured
HMO
HRAs
HSAs
Legal Services
Managed Care
Medical Cost Containment Plans
MEWAs
MGU
MSAs
Non-Subscriber
Pension Benefit Plans
PBM
PPO
Reinsurer
Section 125 Plans
Self-Funded Plans
Stop-Loss Insurer
Subrogation Services
Utilization Review
Vision Plans
Wellness
Worker's Comp. Plan
Other
Comments
This field is for validation purposes and should be left unchanged.
Submit
Type above and press
Enter
to search. Press
Esc
to cancel.
Sign In or Register
Welcome Back!
Login to your account below.
Log In
