Coastal Administrative Services
- Company typePrivate
- Founded1999
- HeadquartersBellingham, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
Coastal Administrative Services firmographics
Firmographics- Name
- Coastal Administrative Services
- Legal name
- Coastal Administrative Services
- Website
- https://casbenefits.com
- Company type
- Private
- Founded year
- 1999
- Operating status
- Acquired
- Headcount range
- 11–50 employees
- Ownership category
- akta.pro rank
Coastal Administrative Services industry classification
Industry- Product category
- Third-Party Healthcare Benefits Administration
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324), Services-Health Services (8000)
- akta.pro primary industry
- Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises) (HLAEALAJ)
- akta.pro secondary industries
- Ancillary Benefits TPA (Dental/Vision/Life/Accident/Critical Illness) (HLAEALAN), Dental & Vision Third-Party Administration (TPA) (FSAIAHAL)
Keywords
Where Coastal Administrative Services is headquartered
LocationHeadquarters
- HQ city
- Bellingham
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Coastal Administrative Services business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- TPA Administration Fees: CAS generates revenue by charging administrative fees for managing self-funded healthcare plans on behalf of employers. Services include plan implementation, claims processing, eligibility management, billing, compliance, and reporting.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Monthly | Custom quote-based pricing tailored to each employer's plan design and service needs. |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels2 records
Coastal Administrative Services product offering
Product offeringCore offering
Coastal Administrative Services (CAS) operates as an independent third-party administrator (TPA) that administers self-funded medical, dental, and vision benefit plans for employers. Its core services include plan implementation, claims processing, eligibility and billing management, regulatory compliance (HIPAA, ERISA, 5500 reporting, Federal Transparency in Coverage machine-readable files), reporting and analytics with 50+ monthly reports, and cost containment solutions such as telemedicine, a national radiology imaging network, claim integrity review, COBRA administration, and FSA/HRA/HSA account management.
Product overview
Coastal Administrative Services (CAS) operates as an independent Third-Party Administrator (TPA) offering a comprehensive platform for self-funded healthcare plan administration. The core platform centers on Self-funded Medical Plan Administration and Claims Administration, supported by Compliance Services covering HIPAA and regulatory requirements, and Reporting & Data Analysis with over 50 available reports. Additional add-on modules extend the platform including Cost Containment Solutions (with sub-modules for Telemedicine, Radiology Network, and Claim Integrity), Dental & Vision Plan Administration, COBRA Administration, and FSA/HRA/HSA Administration. The platform also includes a Member Portal providing 24/7 web and mobile access. CAS's unbundled approach enables clients to choose from more than 100 vendors to customize their healthcare plan.
Differentiator
Problem solved
Functional benefit
Products and services
- Self-funded Medical Plan Administration Comprehensive self-funded administration services that give employers greater control over benefits while reducing overall healthcare costs, specializing in plan implementation and ongoing management of employer-sponsored medical plans.
- Claims Administration Claims administration services for self-funded and employer-sponsored medical, dental, and vision plans using proprietary claims processing software with prompt turnaround on clean claims, duplicate-payment prevention, and billing error detection.
- Compliance Services Services to navigate government mandates including 5500 reporting, plan document review, SPD formatting, ERISA attorney services, HIPAA services, and Machine Readable Files per the Federal Transparency in Coverage Rule.
- Reporting and Data Analysis Analytical service offering more than 50 reports covering financial analysis, member demographics, diagnosis analysis, lifestyle indicators, benefits usage, provider/network use, benchmarking modules, and historical plan modeling/trending.
- Cost Containment Solutions Proactive cost savings strategies including reference-based pricing, independent utilization review, case management, disease management, pharmacy benefit managed programs, personal wellness plans, and subrogation.
- Radiology Network National radiology imaging network providing access to more than 3,000 high-quality radiology imaging centers nationwide, enabling up to 50% savings on advanced imaging procedures such as MRI, CT, and PET scans.
- Claim Integrity Pre-payment claims review to prevent duplicate payments, incorrect reimbursements, and billing errors, including audits, peer review, bill negotiations, and medical director services.
- Dental and Vision Plan Administration Self-funded dental and vision plan administration providing monthly financial and utilization reports, with participants free to seek care from any licensed provider.
- COBRA Administration Administration of general and event notices, disability extensions, and COBRA customer service including initial notices, billing, collection, and remittance of COBRA premiums.
- FSA/HRA/HSA Administration Management of Flexible Spending Accounts, Health Reimbursement Accounts, and Health Savings Accounts with tax advantages, automated payroll deductions, and daily claims processing.
Quantifiable outcome
- Employers can save up to 50% on advanced radiology procedures (MRI, CT, PET scans) by joining the national radiology imaging network.
- +2 more outcomes
Companies that use Coastal Administrative Services
Customer profileSegments3 records
Ideal customer profiles3 records
Coastal Administrative Services technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Coastal Administrative Services partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered flagship and core.
- Point CflagshipPoint C, a national independent third-party administrator (TPA), acquired Coastal Administrative Services (CAS) in a strategic acquisition. The partnership combines Point C's seven regional offices with CAS's established Pacific Northwest presence, expanding Point C's West Coast footprint. CAS gains access to Point C's full suite of in-house product offerings including Utilization Management, Care Management, cost-containment capabilities, and specialty PBM solutions. The integration of two mid-market TPAs is positioned to enable both organizations to scale and adapt to the healthcare industry's constant transformation and increasing regulatory requirements.
- Vendor Partners (100+ vendors, unnamed)coreCAS has forged long-lasting partnerships with over 100 industry-leading vendors covering pharmacy benefit management, networks, medical management, cost containment, and UR/CM solutions. These strategic vendor partnerships enable CAS to offer tailored, comprehensive services that meet the unique needs of every client by providing cutting-edge solutions across critical areas of healthcare management.
Scale indicators5 records
Recent moves6 records
Expansion highlights5 records
Coastal Administrative Services competitors and assessment
Company assessmentDirect peers
- Benefit Administrative Systems (BAS): TPA providing self-funded plan administration, PBM, and integrated health management services to mid-market and public-sector employers. Comparable business model, scale, and broker/consultant channel dynamics.
- Auxiant: Mid-market TPA and benefits administrator providing self-funded plan management, stop-loss support, and consumer-directed benefits to employers. Directly comparable mid-market peer in scale and product offering.
- HealthSCOPE Benefits: Independent TPA serving self-funded employer health plans across multiple states, offering claims administration, networks, and cost containment. Closely comparable mid-market TPA with similar broker-channel GTM and employer focus.
- Point C: National independent third-party administrator that acquired CAS in May 2026. Operates the same self-funded TPA model across seven regional offices and provides UM, CM, cost-containment, and specialty PBM services — directly comparable in business model and target customer.
- AmeriBen: Mid-market TPA offering self-funded plan administration, medical management, and integrated PBM solutions to employers. Directly comparable in scale, product scope, and target customer to CAS.
- Employee Benefits Corporation (EBC): Mid-market TPA specializing in self-funded medical, dental, vision, and consumer-directed benefits (FSA/HRA/HSA/COBRA) administration. Direct product overlap with CAS's ancillary-benefits TPA portfolio.
- Key Benefit Administrators: Independent TPA administering self-funded medical, dental, vision, and disability benefits for employers and labor groups. Comparable in scale, product mix, and broker-channel orientation to CAS.
Broad incumbents
- Sun Life Financial (U.S. Group Benefits): Large insurance and benefits carrier that offers group benefits, stop-loss insurance, and health-management services overlapping with CAS's employer benefit administration portfolio. Functions as both an ecosystem partner (stop-loss) and competitive incumbent.
- UMR: UnitedHealthcare's TPA subsidiary, one of the largest third-party administrators in the U.S. Offers self-funded plan administration, PBM, and clinical management to employers nationwide — overlapping with CAS's core offering but at far greater scale.
- Meritain Health: A leading TPA owned by Aetna/CVS, providing self-funded medical, dental, and COBRA administration with integrated PBM. Competes with CAS for self-funded employer business and offers a comparable suite of compliance and reporting tools.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Coastal Administrative Services social profiles
Digital presenceCoastal Administrative Services compliance and trust
Trust signalCompliance1 record
Coastal Administrative Services financial estimates
Financial estimateRevenue estimate
Valuation estimate
Coastal Administrative Services leadership team
Management profileNumber of profiles
Coastal Administrative Services funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Coastal Administrative Services M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Coastal Administrative Services
What does Coastal Administrative Services do?
Coastal Administrative Services (CAS) operates as an independent third-party administrator (TPA) that administers self-funded medical, dental, and vision benefit plans for employers. Its core services include plan implementation, claims processing, eligibility and billing management, regulatory compliance (HIPAA, ERISA, 5500 reporting, Federal Transparency in Coverage machine-readable files), reporting and analytics with 50+ monthly reports, and cost containment solutions such as telemedicine, a national radiology imaging network, claim integrity review, COBRA administration, and FSA/HRA/HSA account management.
Is Coastal Administrative Services a public or private company?
Coastal Administrative Services is a private company. It is classified as corporate owned and is currently acquired.
When was Coastal Administrative Services founded?
Coastal Administrative Services was founded in 1999. It employs 11 to 50 people.
Where is Coastal Administrative Services based?
Coastal Administrative Services is headquartered in Bellingham, United States, in the North America region.
How does Coastal Administrative Services make money?
One revenue line is on record: TPA Administration Fees.
Who are Coastal Administrative Services's main competitors?
Direct peers on record are Benefit Administrative Systems (BAS), Auxiant, HealthSCOPE Benefits, Point C, AmeriBen, Employee Benefits Corporation (EBC) and Key Benefit Administrators. Broad incumbents are Sun Life Financial (U.S. Group Benefits), UMR and Meritain Health.
Does Coastal Administrative Services have an API?
No public API is recorded for Coastal Administrative Services.
What industry is Coastal Administrative Services in?
Coastal Administrative Services's product category is Third-Party Healthcare Benefits Administration. Its primary akta.pro industry code is HLAEALAJ, Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises), with a secondary code of HLAEALAN, Ancillary Benefits TPA (Dental/Vision/Life/Accident/Critical Illness). Its NAICS code is 524292 and its SIC code is 6324.