Third Party Administrator - Pharmacy Benefits Manager
Effective April 1, 2012, Third Party Administrators (TPAs) are required to submit initial applications electronically through Sircon at www.sircon.com/southdakota. Print a copy of the license application to retain for your own records; DO NOT mail it to the state. NO PAPER APPLICATIONS WILL BE ACCEPTED.
Please note that when submitting a TPA application, you must select the TPA License Application and TPA as the Qualification Type.
When submitting a Pharmacy Benefit Manager License you must select the TPA License Application and select the PBM Qualification Type.
If one or more of the background questions is answered "yes" and additional documentation is required, you must mail, fax, or e-mail it to:
South Dakota Division of Insurance
Attn: TPA Licensing
445 E Capitol Ave
Pierre SD 57501
Fax: 605.773.5369
E-mail: insurance@state.sd.us
Please enter TPA Application in the subject line of the e-mail.
For questions about your license application, please contact the South Dakota Division of insurance by phone at 605.773.3563 or by e-mail using
insurance@state.sd.us.
Please enter TPA Application in the subject line of the e-mail.
To check on the status of your application, please use the following steps:
In your web browser, go to www.sircon.com/southdakota.
- Under Quick Start for Agents, click the Check License Application Status link.
- Enter your Confirmation ID Number, Social Security Number and Producer Type.
- Click the Submit button
Pharmacy Benefits Manager Listing
Third Party Administrator Listing
445 E. Capitol Avenue
Pierre, SD 57501
Tel. 605.773.3563
Fax. 605.773.5369
