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Below is a list of some of our medical professional carriers that we have established good working relationships with over the years. In order to ensure quality, we carefully review each company's experience, longevity, claims handling expertise, financial strength, and degree of commitment to their medical professionals. For each carrier you will find an AM Best rating which is based on a comprehensive quantitative and qualitative evaluation of a company's balance sheet strength, operating performance and business profile. We use these ratings to ensure that all of our carriers are financially secure and have the ability to meet their ongoing contractual obligations.

Understanding Best's Insurer
Financial Strength Ratings

Our Carriers.jpg


A++, A+

A, A-

B++, B+




B, B-

C++, C+

C, C-










Under Regulatory Supervision

In Liquidation



NR-1  Insufficient Data

NR-2  Insufficient Size and/or
Operating Experience

NR-3. Rating Procedure Inapplicable

NR-4  Company Request

NR-5  Not Formally Followed


The ACE Group is one of the world's leading global commercial property and casualty insurance organizations. ACE serves the property and casualty insurance needs of businesses of all sizes in a broad range of industries. They also provide specialized insurance products—such as personal accident, supplemental health and life insurance—to individuals in select countries.

AM Best Rating:  A++

Admiral Insurance Company

Admiral Insurance Company is a true surplus lines insurer with broad treaties operating as a licensed carrier in New Jersey and Delaware. They are an approved surplus lines carrier writing on a non-admitted basis in all other states plus Canada, Puerto Rico and the U.S. Virgin Islands.

AM Best Rating : A+


Arch Insurance Group , a division of Arch Capital Group Ltd., is a market-leading specialty insurer providing a wide range of property, casualty and specialty insurance for corporations, professional firms and financial institutions across the United States and Canada.

AM Best Rating:  A+

Capitol Specialty Insurance Co

Capitol Insurance Companies has been insuring business owners since 1959. Capitol underwrites specialty insurance products in niche areas of the commercial property and casualty and the fidelity and surety market segments.

AM Best Rating:  A

The Doctors Company

The Doctors Company is committed to guarding your livelihood and your reputation. They are on a mission to relentlessly defend, protect, and reward physicians who advance the practice of good medicine. At The Doctors Company, you are not just a policyholder, but a member with a stake in the company.

AM Best Rating:  A

Executive Risk/Chubb

For more than 125 years, the Chubb Group of Insurance Companies has been delivering exceptional property and casualty insurance products and services to businesses and individuals around the world. The Chubb Corporation reported $48 billion in assets and $13.2 billion in revenues in 2008.

AM Best Rating:  A++

General Star Indemnity Company

The General Star companies underwrite excess, surplus and specialty property and casualty insurance on an admitted and non-admitted basis through appointed wholesale brokers. General Star Management Company provides underwriting, claims and administrative services on behalf of General Star Indemnity Company and General Star National Insurance Company. General Star companies are wholly owned subsidiaries of General Reinsurance Corporation, a Berkshire Hathaway Company.

AM Best Rating:  A++

Hudson Insurance Company

Hudson Insurance Group is a specialty insurance underwriter of primary and excess property and casualty insurance headquartered in New York City with offices throughout the U.S. Hudson Insurance Group underwrites on an admitted and non-admitted basis through Hudson Insurance Company and Hudson Specialty Insurance Company.

AM Best Rating:  A

James River

James River Insurance Company operates as an excess and surplus carrier in all 50 states plus Washington, DC.

AM Best Rating:  A

Lexington Insurance Company

Lexington Insurance Company, a Chartis Company, is the leading U.S.-based surplus lines insurer. Lexington operates through many divisions: Property, Casualty, Programs, Healthcare, and Personal Lines.

AM Best Rating:  A

Lloyd’s of London

Lloyd’s is the world’s leading specialist insurance market, conducting business in over 200 countries and territories worldwide – and is often the first to insure new, unusual or complex risks.

AM Best Rating:  A

Lone Star Alliance RRG

Lone Star Alliance, Inc., a risk retention group (LSA) provides medical professional liability insurance to physicians, dentists, allied health care professionals, and groups nationwide. We provide flexible, superior coverage to support groups and individual practices wherever they grow. LSA is operated by Texas Medical Liability Trust (TMLT) for management and administrative services and is reinsured by Texas Medical Insurance Company (TMIC).

AM Best Rating:  A

Medical Protective Insurance Co

Medical Protective, a Warren Buffett/Berkshire Hathaway company, is the nation's highest-rated medical malpractice carrier, according to both S&P and A.M. Best. They have been providing unmatched strength, winning defense, and superior solutions to physicians, dentists and other healthcare providers since 1899.

AM Best Rating:  A++

National Fire & Marine

National Indemnity Company is, today, one of the leading property/casualty members of the Berkshire Hathaway group of insurance companies. Stock control changed from founder Jack Ringwalt to Berkshire Hathaway Inc. in March of 1967.

AM Best Rating:  A++


More than 40 years ago, a group of physicians in Northern California — faced with a crisis in the liability insurance industry that threatened their practices — banded together to start a new policyholder-owned and physician-directed insurance company for the betterment of their fellow physicians. That company was NORCAL Mutual. Forty years later, they’ve grown and evolved to meet the changing needs of the industry, becoming a national company serving multiple generations of physicians, while still holding true to their roots.

AM Best Rating:  A


In 1979, physicians across the state of Oklahoma pulled together in a time of need to form a company to help support and protect physicians. Thirty years later, PLICO continues to meet those needs and is challenged to respond to the radical changes within the medical environment.

AM Best Rating:  A+


ProAssurance Corporation is one of the largest writers of medical professional liability insurance in America through its subsidiary companies: ProAssurance Indemnity Company, Inc., ProAssurance Casualty Company, ProAssurance National Capital Insurance Company, ProAssurance Wisconsin Insurance Company, Excess and Surplus Lines company ProAssurance Specialty Insurance Company, Inc., and—as of April 1, 2009—Podiatry Insurance Company of America, "PICA".

AM Best Rating:  A+

Professional Underwriters Liability Insurance Company (PULIC)

PULIC specializes in medical liability protection for physicians, surgeons, dentists, podiatrists and other medical professionals who have difficulty finding coverage within the standard markets, been denied coverage, or whose policies have been non-renewed or canceled.

AM Best Rating:  A

Texas Hospital Insurance Exchange

Insuring hospitals is the Texas Hospital Insurance Exchange’s specialty. A reciprocal exchange, owned by the active subscribers, THIE provides a comprehensive range of affordable business insurance products and services for Texas hospitals. By focusing on a single industry, THIE brings unmatched expertise and insight into the needs and challenges Texas hospitals face.

AM Best Rating:  B+

Texas Medical Liability Trust

Texas Medical Liability Trust (TMLT) is a unique, not-for-profit health care liability claim trust owned by its physician policyholders. TMLT is not an insurance company, but a self-insured trust established by Texas Insurance Code Article 21.49-4 to provide coverage against health care liability claims to members of the Texas Medical Association. The Trust has a long record of providing quality coverage at responsible prices. Created in 1979, TMLT has grown to be the largest and most respected medical liability provider in the state, protecting more than 14,500 Texas physicians.

AM Best Rating:  A

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