sagetpa.com

What sagetpa.com does

Sage TPA operates as a full-service Third Party Administrator (TPA) for self-funded employer health plans, headquartered in Tyler, Texas. Founded in 2016 by Rachel Means as a subsidiary of EBC (Employee Benefits Consulting), the company delivers six core service modules — Plan Implementation, Medical Management, Customer Service, Data Analytics, Reporting and Financial Services, and Systems Navigation and Support — alongside a Healthcare Advocacy offering covering prescription management, acute and chronic case management, diabetes management, surgical navigation, pregnancy coordination, and high-cost claims analysis. A member-facing mobile product, the Benefits Hero App, complements the service portfolio and is referenced in client open enrollment materials.

The underlying technology is a TPA administration platform with member and provider portals and data analytics capabilities; no public API, SDK, or AI/ML capabilities are disclosed. The company is privately held, has no external funding, and operates exclusively in Texas from a single office. Its go-to-market is a selective, direct enterprise sales motion targeting healthcare consultants, benefits advisors, and employers with self-funded health plans; Sage TPA explicitly states it is "currently accepting a limited number of partner companies," signaling a boutique, high-touch engagement model rather than mass-market distribution. Revenue is generated through administrative fees on self-funded health plans, with pricing that is not publicly disclosed and structured on a quote-based, client-by-client basis. Privacy compliance posture includes CalOPPA, COPPA, CCPA, and GDPR alignment.

Name

sagetpa.com

Legal name

Sage - An EBC Company

Website

https://sagetpa.com

Company type

Private

Founded year

2016

Operating status

Operating

Short description

Sage TPA is a Tyler, Texas-based third-party administrator that delivers full-service health plan administration, medical management, data analytics, and advocacy services for employers with self-funded benefit plans, serving healthcare consultants and benefits advisors through a selective, high-touch direct sales model.

Ownership category

akta.pro rank

Product category

Self-Funded Health Plan Administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324)

akta.pro industry

PRIMARYHLAEALAA

Self-Funded Employer Plan TPA (ASO Administration)

Healthcare & Life Sciences/Health Insurance & Managed Care/Third-Party Administration (TPA) & Administrative Services Only (ASO)

SECONDARYHLAEALAJ

Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises)

Healthcare & Life Sciences/Health Insurance & Managed Care/Third-Party Administration (TPA) & Administrative Services Only (ASO)

Keywords

• Third party administration
• Self-funded health plans
• Health plan administration
• Claims processing services
• Employee benefits administration

Headquarters

HQ city

Tyler

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. TPA Administrative Services: Third-party administrator fees for managing self-funded health plans including claims processing, member services, provider network management, and plan administration. Revenue is generated through administrative fees charged to employer clients who self-fund their health benefits.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Sage TPA is a full-service third party administrator (TPA) that manages self-funded employer health plans on behalf of benefits consultants and employers. Its core offering spans plan implementation, medical management, claims processing, customer service, data analytics, financial reporting, and systems navigation support. The company complements these services with healthcare advocacy offerings covering prescription management, case management, surgical navigation, and chronic disease coordination, and operates the Benefits Hero member-facing application.

Product overview

Sage TPA operates as a full-service Third Party Administrator (TPA) offering a unified platform of healthcare administrative services. The company provides six core service modules: Plan Implementation, Medical Management, Customer Service, Data Analytics, Reporting and Financial Services, and Systems Navigation and Support. Additionally, the company offers Healthcare Advocacy Services covering prescription management, case management, and claims navigation. A digital component includes the Benefits Hero app for member engagement. All services are coordinated through a leadership team of experienced health benefits consultants, designed specifically for self-funded health benefit strategies.

Differentiator

Problem solved

Functional benefit

Products and services

• Third Party Administration (TPA) Services
• Healthcare Advocacy Services

Quantifiable outcome

• Transformed healthcare navigation and decision-making through medical management services
• +1 more outcomes

Named customers5 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Scale indicators1 record

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• UMR: UnitedHealth Group's TPA subsidiary and the largest third-party administrator of self-funded health plans in the U.S. Direct competitor to Sage at the small/mid-employer tier, though UMR competes primarily on scale and network breadth rather than boutique service.
• Cigna Healthcare: Major national health insurer that also operates TPA and stop-loss capabilities for self-funded employer plans. Competes for the same employer RFPs as Sage but at vastly greater scale and with broader geographic reach.
• Meritain Health: Independent TPA owned by Aetna/CVS that administers self-funded employer health plans nationwide. Directly comparable to Sage in service line (claims, medical management, network) but operates at materially greater scale across multiple states.

Emerging players

• Pareto Intelligence: Analytics and technology provider focused on optimizing self-funded health plans for employers and TPAs. Comparable to Sage's data analytics module but operates as a technology partner to TPAs rather than a TPA itself.
• HealthEZ: Boutique TPA providing self-funded plan administration with an emphasis on member experience and digital tools. Comparable in service philosophy and target customer profile to Sage.

Direct peers

• Lucent Health: Boutique-style TPA focused on self-funded employer plans with a service-led positioning closely mirroring Sage's 'built by consultants for consultants' narrative. Comparable in scale and target customer.
• HealthSmart: Independent third-party administrator offering self-funded plan administration, network management, and care management to employer groups. Closely comparable service bundle to Sage, serving similar mid-employer segment.
• Allied Benefit Systems: Independent TPA administering self-funded health, dental, and disability plans for employers across multiple states. Direct competitor in the self-funded TPA category with comparable service modules.
• Trustmark Small Business Benefits: TPA offering self-funded and level-funded plan administration to small and mid-sized employers. Overlaps with Sage's employer target segment and self-funded service model.

Others

• EBC (Employee Benefits Consulting): Parent organization and benefits consulting firm whose success drove the launch of Sage TPA. Highly relevant as Sage's sister company and primary channel partner feeding employer clients into the TPA platform.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks5 records

Key highlights6 records

Customer concentration

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

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 sagetpa.com