Group Administrators

What Group Administrators does

Group Administrators, Ltd. is a privately held third-party administrator (TPA) incorporated in 1985 and headquartered in Schaumburg, Illinois, with a second office in Rockford, Illinois. The firm provides full-service administrative support for employer-sponsored health and welfare plans, including medical, dental, vision, pharmacy, flexible spending account (FSA), disability, and COBRA administration, alongside defined benefit pension administration. Its core technology platform is FACTSWeb, a web-based system that provides real-time access for employees, HR representatives, and providers, with related portals for member self-service (Medxoom) and FSA/debit card management (WealthCare), plus Benefit Focus for analytics and reporting.

The business model is managed-services administration: the firm earns administrative fees from self-funded and level-funded employer plans, as well as from Taft-Hartley multi-employer trust funds. Pricing is not publicly disclosed and is handled through quote-based engagements. Distribution is primarily direct to employers, employees, providers, and brokers/consultants via the corporate website, web portals, and the FACTSWeb system, with no evidence of field sales motion or third-party resellers. The customer base is concentrated in Illinois and is dominated by union construction trades (Iron Workers, Sheet Metal Workers, Structural Iron Workers), the Construction Industry Welfare Fund of Rockford, Fox Valley Funds, and one enterprise anchor (Chicago Transit Authority Retirees).

The company supports a broad carrier and PBM network stack, with Cigna (medical/dental), Express Scripts, CVS Caremark, Delta Dental, Guardian, HealthLink, HealthSmart, Cofinity, MultiPlan, Sagamore, and Parkview as network partners, and Benefit Focus and Medxoom as technology integrations. There is no public API, no disclosed AI/ML capability, and no external funding, M&A, or leadership transitions in the available data.

Name

Group Administrators

Legal name

Group Administrators, Ltd.

Website

https://groupadministrators.com

Company type

Private

Founded year

1985

Operating status

Operating

Headcount range

11–50 employees

Short description

Group Administrators, Ltd. is a privately held Illinois-based third-party administrator founded in 1985 that provides full-service health, welfare, and pension plan administration for self-funded employers and Taft-Hartley multi-employer funds via its proprietary FACTSWeb platform.

Ownership category

akta.pro rank

Product category

Third-Party Benefits Administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (525120)

SIC

Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Self-Funded Employer Plan TPA (ASO Administration) (HLAEALAA)

akta.pro secondary industries

Ancillary Benefits TPA (Dental/Vision/Life/Accident/Critical Illness) (HLAEALAN), Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises) (HLAEALAJ)

Keywords

• Third-party administration
• Employer health benefits
• Taft-Hartley fund administration
• Self-funded plan administration
• Claims processing services

Headquarters

HQ city

Schaumburg

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Third-Party Administration Services: Full-service TPA providing administrative services for employer-sponsored health plans including medical, dental, vision, FSA, disability, and COBRA administration. Revenue is generated through administrative fees charged to self-funded and level-funded employer plans.
2. Self-Funded Health Plan Administration: Administrative services for self-funded health plans where employers assume risk and pay only for claims as incurred, plus administrative fees.
3. Level-Funded Plan Administration: Administrative services for level-funded hybrid plans with fixed monthly costs per employee for administrative fees, expected claims, and stop loss insurance.
4. Pension Plan Administration: Defined benefit plan administration services for Taft-Hartley and private clients.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

Group Administrators, Ltd. is a full-service third-party administrator (TPA) that administers employer-sponsored health and welfare benefit plans, including medical, dental, vision, FSA, disability, and COBRA coverage, along with defined benefit pension and Taft-Hartley multi-employer plan administration. Its administration is delivered through the proprietary FACTSWeb web platform, supplemented by Medxoom member portal, WealthCare FSA/debit card portal, and Benefit Focus reporting analytics.

Product overview

Group Administrators is a full-service third-party administrator (TPA) with over 30 years of experience since incorporation in 1985, specializing in employer-sponsored health plans. The core platform is the FACTSWeb system, which provides the foundational claims processing, eligibility management, and administration infrastructure. This core is augmented by specialized services including Taft-Hartley plan administration for multi-employer union trusts, pharmacy benefit management through Express Scripts and CVS Caremark, dental benefits administration via Delta Dental and Guardian networks, and medical network access through Cigna, HealthLink, HealthSmart, and other providers. Additional value-add modules include Flexible Spending Account management via WealthCare Portal, online reporting through Benefit Focus, and a member portal powered by Medxoom. The company offers various funding models including traditional self-funded plans, level-funded arrangements (ideal for 50-250 employee groups), and defined benefit pension administration. Specialized offerings for Taft-Hartley clients include Fox Valley Funds management and Structural Iron Workers plan administration. The company maintains corporate offices in Schaumburg, IL and Rockford, IL.

Differentiator

Problem solved

Functional benefit

Products and services

• FACTSWeb Administration Platform Web-based third-party administration platform providing employee, provider, and HR representative portals (EStart, AStart, PStart) for claims processing, eligibility verification, enrollment, and benefits management for self-funded and Taft-Hartley plan sponsors.
• Taft-Hartley Plan Administration Specialized third-party administration for multi-employer Taft-Hartley trust funds established under section 302 of the Taft-Hartley Act, including union trust fund management, collective bargaining agreement compliance, and jointly trusted plan administration for construction, transit, and ironworker funds.
• Medical Claims Administration Processing and adjudication of medical claims with real-time eligibility verification, coordination of benefits, and access to medical networks including Cigna, HealthLink, HealthSmart, Cofinity, MultiPlan, Parkview, and Sagamore, for self-funded employers and Taft-Hartley funds.
• Dental Benefits Administration Dental claims processing for employer-sponsored dental plans with access to Delta Dental, Guardian, and Cigna Dental networks for participating provider coverage.
• Pharmacy Benefit Administration Prescription drug benefit administration through Express Scripts and CVS Caremark pharmacy benefit management networks, plus Araya, US-Rx Care, Ascend PBM, and Maxcare PBM networks.
• Self-Funded Health Plan Administration Administrative services for self-funded employer health plans where employers assume the financial risk and pay administrative fees plus claims as incurred, with stop-loss insurance options and customizable plan design.
• Level-Funded Health Plan Administration Hybrid funding administration combining fixed monthly per-employee costs (administrative fees, expected claims, and stop-loss insurance) for employer groups of 50-250 employees transitioning from fully insured to self-funded arrangements.
• Defined Benefit Pension Administration Boutique defined benefit pension plan administration for Taft-Hartley and private clients, drawing on experience from leading providers to manage plan complexity and member retirement transitions.
• Flexible Spending Account (FSA) Management FSA enrollment, claim processing, and debit card management through the WealthCare Portal for healthcare and dependent care expense reimbursement accounts.
• Coordination of Benefits Administration Online coordination of benefits (COB) verification and annual entry form management to prevent duplicate benefit payments for members with multiple insurance coverages.
• Online Reporting and Analytics Claims and eligibility reporting through Benefit Focus with access to claims data back to January 2005 and census information for client and consultant reporting.
• Online Payment Processing Credit card payment portal for COBRA, self-pay, and miscellaneous premium payments with secure online transaction processing.

Named customers6 records

Segments6 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration16 records

Feature3 records

Partnerships

Three partnerships are on record, tiered core.

• CignacoreTechnology or IntegrationCigna provides medical and dental provider networks and prescription drug networks for Group Administrators' self-funded clients. Cigna logo is featured as a key network partner for medical PPO, OAP, and dental plans.
• Express ScriptscoreTechnology or IntegrationExpress Scripts pharmacy benefit management (PBM) network for prescription drug services.
• CVS CaremarkcoreTechnology or IntegrationCVS Caremark pharmacy benefit management network partner.

Scale indicators1 record

Recent moves6 records

Expansion highlights5 records

Direct peers

• Lucent Health: TPA serving self-funded employer plans with medical, pharmacy, stop-loss and care management solutions, competing head-to-head for the same self-funded employer accounts.
• Zenith American Solutions: Specialized multi-employer/Taft-Hartley TPA administering health, welfare and pension benefits for union trust funds — directly comparable to Group Administrators' Taft-Hartley book of business.
• Starbridge Financial Solutions: TPA offering self-funded plan administration, COBRA, FSA and pension administration for employers and union clients — closely comparable in service mix and target market.
• HealthScope Benefits: Regional third-party administrator for self-funded employer health plans, with comparable medical, dental, and COBRA administration offerings and similar mid-market customer profile.
• Allied Benefit Systems: Mid-size third-party administrator of self-funded employer health plans offering medical, dental, vision, FSA, COBRA and similar benefit administration services to the same self-funded employer and Taft-Hartley-adjacent segments.
• Self-Insured Plans, LLC: Third-party administrator focused on self-funded employer health plans including claims, eligibility, and COBRA administration — a direct competitor in the self-funded mid-market TPA segment.
• Benefit Plan Services (BPS): Independent TPA providing administrative services for self-funded health and welfare plans to employers and multi-employer trusts, structurally analogous to Group Administrators.

Broad incumbents

• Milliman: Large actuarial and benefits consulting firm with TPA-adjacent capabilities; relevant because employers and Taft-Hartley funds often evaluate Milliman alongside dedicated TPAs for pension and welfare administration.
• Mercer (Marsh McLennan): Global benefits consulting and administration firm that competes for large self-funded and multi-employer mandates; included as a broad incumbent that brokers and large employers may default to instead of regional TPAs.

Emerging players

• Ameriflex: TPA/benefit administrator with strong presence in FSA, HSA, COBRA and commuter benefits administration — overlapping on Group Administrators' FSA/COBRA modules and member-portal capabilities.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

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Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Group Administrators