Product Information

Committed to providing a full range of quality benefit administrative services, CareFirst Administrators is the Maryland and Washington DC region’s only “Blue-branded” TPA.

Offering quality benefits administration products and services to organizations headquartered in Maryland, Washington, DC and portions of Northern Virginia, CareFirst Administrators also provides its clients with access to other Blue Cross and Blue Shield providers nationwide.

Couple that with strong reinsurance relationships, pharmacy benefit management solutions and innovative medical cost management approaches, and you’ll see why CareFirst Administrators is the right choice for your self-insured clients.

We also support product offerings such as integrated Consumer Directed Healthcare (CDH) and debit card options.

CareFirst Administrators is committed to working closely with brokers and consultants to offer the strongest and most comprehensive benefits administrative option available to your clients. Our experienced staff, state-of-the-art technology and strong account management teams work to ensure that your clients receive focused attention and quality service and support.

Brokers should contact your Sales Representative with any questions you may have regarding CareFirst Administrators or Barbara Russo, 410-528-2212, barbara.a.russo@cfablue.com.

Request a Proposal

To take advantage of all that CareFirst Administrators has to offer, you and your clients should submit the following information in a request for proposal.

  • Current plan effective date and proposed plan effective date
  • Account information: SIC code/nature of industry, number of years in business, address of headquarters and for each location.
  • Census data for each participant: name, date of birth, sex, dependent status and plan option if multiple options available
  • Enrollment counts by month for last 36 months
  • Other plans, if offered
  • Claims experience, including paid claims information by month for the last 36 months
  • Large or ongoing claim information for claims at 50% of the specific for the last 36 months. There are conditions that may not have reach 50% but are ongoing that are of serious nature and are required to be disclosed.
  • Carrier history: Show carriers for the past 5 years and give the prior and renewal rates, and factors and details of current coverage, if self-funded.
  • Specific level, contract basis, coverage under the Spec and Agg and any special contract provisions
  • Plan: copy of the current plan of benefits

Your current Sales Representative will be happy to assist with a request for proposal.