HealthFirst TPA

InsuranceTexas, United States11-50 Employees

HealthFirst TPA is a Tyler, Texas-based third-party administrator in the insurance sector that supports private employers, government entities, and institutions in offering comprehensive employee benefits. The company designs and administers self-funded health plans, with the aim of giving employers and members greater control, cost savings, and security. Founded in 1983, HealthFirst serves clients throughout Texas and supports employees in 49 states, working with employers, consultants, and vendor partners to tailor healthcare solutions to each organization’s population and resources.

Its offerings span self-funded plan design and full administrative services, including eligibility, claims processing, payments, and customer service, along with provider network services. The portfolio also covers specialty self-funded products such as limited-coverage MEC plans, small-group solutions, and dental plans, as well as ancillary benefits like vision, life insurance, and AD&D coverage, plus corporate wellness programs. In September 2025, HealthFirst TPA was acquired by Imagine360, LLC, signaling a change in ownership while continuing to serve its client base.

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