Partner companies

Texas Medical Liability Trust
In 1979, the Texas Medical Association established TMLT to provide affordable, reliable coverage against medical liability claims for its members. TMLT is not an insurance company, but a self-insured trust led by a Board of Governors who are elected by TMLT policyholders.

TMLT now has more than 19,000 insureds and covers more Texas physicians than its five largest competitors combined. Rated A (Excellent) by A.M. Best Company.

Managed Insurance Services, Inc.
Managed Insurance Services, Inc. (MIS) was founded in 1998 and is headquartered in Deerfield Beach, Florida. MIS offers a variety of professional liability insurance products. Licensed in all 50 states, MIS products are distributed through independent agents. 


Lone Star Alliance
Lone Star Alliance is a risk retention group operated by TMLT. It was established to provide medical liability and other types of insurance to physicians, groups, health care facilities, and allied health care professionals nationwide.

Lone Star is domiciled in Washington DC and began writing business in December 2013. Rated A (Excellent) by A.M. Best Company.