Third Party Administrators Form

Third Party Administrators Form

Expression of Interest (EOI) Form for Category ‘A’ Third Party Administrators (TPAs)

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Do you currently operate in Ondo State? *

a. Any interested Third-Party Administrator is expected to pay a non-refundable expression fee of N50,000 (fifty thousand naira) only, alongside the submission of this form within the period stipulated. Such payment shall be made to the account details as follows;

Bank name: Polaris Bank
Account name: Ondo State Contributory Health Commission
Account number: 4060013269

b. ODCHC shall appropriately communicate shortlisted TPAs only.

Property of Ondo State Contributory Health Commission