Texas Medical Liability Trust

What Texas Medical Liability Trust does

Texas Medical Liability Trust (TMLT) is a self-insured medical malpractice trust, created in 1979 by the Texas Legislature, that provides professional liability coverage and related services to more than 19,000 healthcare professionals in Texas. By law, every TMLT policyholder must be a member of the Texas Medical Association, which functions as a legislatively mandated customer pipeline. Core offerings encompass medical liability insurance (with policy limits ranging from $100,000/$300,000 to $1 million/$3 million), risk management support and assessments, CME-accredited courses, cyber consulting services, physician wellness counseling delivered through the Travis CMS Safe Harbor Program, claims management with experienced claim staff and outside counsel, and the Trust Rewards loyalty program that accumulates balances based on tenure and claims experience.

Revenue is generated through risk-based insurance premiums priced on physician specialty, location, procedures performed, liability limits, years in practice, and claims history, with payment plans structured as 10 monthly installments (20% first payment, balance over nine months) or quarterly installments (35/25/25/15%). Distribution combines a dedicated agent network, an inside sales team reachable at 800-580-8658, and the myPortal self-service portal at myportal.tmlt.org. The underlying technology stack is not publicly disclosed; the only named platforms are the myPortal policy administration portal and the InReach CE learning management system for CME delivery, with InvoiceCloud handling premium payments.

Distribution channels are focused exclusively on Texas-based physicians, with multi-state exposure handled through affiliated risk retention group Lone Star Alliance (LSA), which began writing business in December 2013 and is domiciled in Washington DC. A second operating subsidiary, Texas Medical Insurance Company (TMIC), covers ancillary healthcare staff not eligible under TMLT policies. The organization is governed by a Board of Trustees elected by its policyholders and is headquartered in Austin.

Name

Texas Medical Liability Trust

Legal name

Texas Medical Liability Trust

Website

https://tmlt.org

Company type

Private

Founded year

1979

Operating status

Operating

Headcount range

251–500 employees

Short description

Texas Medical Liability Trust (TMLT) is a self-insured medical malpractice trust founded in 1979 by the Texas Legislature, providing professional liability coverage, risk management, and ancillary services to more than 19,000 physician members of the Texas Medical Association.

Ownership category

akta.pro rank

Product category

Medical Malpractice Insurance

NAICS

Insurance and Employee Benefit Funds (5251)

SIC

Fire, Marine & Casualty Insurance (6331)

akta.pro primary industry

Healthcare Professional Liability (Med Mal) (FSAJAGAE)

akta.pro secondary industry

Professional Liability (Errors & Omissions) (FSAJADAB)

Keywords

• Medical malpractice insurance
• Medical liability coverage
• Physician risk management
• Healthcare professional liability
• Malpractice claims defense

Headquarters

HQ city

Austin

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, Marketing or Sales, Infrastructure

Revenue model

1. Medical Liability Insurance Premiums: TMLT generates revenue through medical malpractice insurance premium payments from policyholders. Premiums are based on specialty, location, procedures performed, limits of liability, years in practice, and claims experience. Payment plans include monthly (10 payments, 20% first installment) and quarterly options.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels4 records

Core offering

Texas Medical Liability Trust provides medical malpractice (professional liability) insurance to Texas physicians, covering claims of negligence and legal defense costs. It complements the policy with bundled risk management support, CME-accredited courses, cyber consulting, and confidential physician wellness counseling. Coverage is sold to individual physicians, group practices, residents/fellows, and allied healthcare professionals, with limits ranging from $100,000/$300,000 up to $1 million/$3 million.

Product overview

Texas Medical Liability Trust offers a comprehensive suite of medical liability insurance products and services designed specifically for Texas physicians. The core offering is Medical Liability Insurance, supplemented by Risk Management Support, Cyber Consulting Services, and Physician Wellness Counseling. The company provides an online portal (myPortal) for policy management, CME education, and various application forms for individual, group, and entity coverage. Specialty questionnaires and the Trust Rewards loyalty program add additional value for policyholders.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Liability Insurance Comprehensive medical malpractice insurance covering claims of negligence or medical errors, including legal defense costs. Coverage limits range from $100,000/$300,000 up to $1 million/$3 million. Sold to individual physicians, group practices, residents/fellows, entities, and specialty practitioners in Texas.
• Risk Management Support

Quantifiable outcome

• 3% premium discount for completing 2-hour risk management CME activity; maximum 6% discount with two courses per policy period
• +1 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Four partnerships are on record, tiered core and minor.

• Lone Star Alliance, Inc. (Risk Retention Group)coreStrategic or Co-development Partner · 1 December 2013Lone Star Alliance is an affiliated risk retention group that provides medical liability insurance to TMLT policyholders who have operations in states other than Texas. It was established to meet the needs of TMLT's existing policyholders expanding beyond Texas. LSA began writing business in December 2013 and is domiciled in Washington DC with an office in Austin, Texas. LSA is owned by its policyholders while TMLT provides essential operational support including underwriting, claims handling, and risk management.
• Texas Medical Insurance Company (TMIC)coreStrategic or Co-development PartnerTMIC is a subsidiary of TMLT that provides medical liability coverage for ancillary staff (nurses, medical assistants, technicians) working with TMLT policyholders. TMLT policies do not cover ancillary staff, so TMIC serves as the recommended coverage option for these professionals.
• Texas Medical Association (TMA)coreStrategic or Co-development PartnerTMLT was created by the Texas Legislature in 1979 specifically to provide medical liability coverage for physician members of the Texas Medical Association. By law, policyholders must be TMA members. TMA membership application can be initiated through TMA's website or by contacting TMA directly.
• Travis CMS Safe Harbor ProgramminorOthersTMLT partners with the Travis CMS Safe Harbor Program to provide confidential physician wellness counseling services to policyholders through their Physician Wellness Counseling program.

Scale indicators2 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• The Doctors Company: The largest physician-owned medical malpractice carrier in the U.S., serving physicians across all specialties nationwide. Directly comparable to TMLT in core product (medical liability insurance for physicians), physician-led mutual governance model, and consent-to-settle provisions, though operating nationally rather than being confined to a single state.
• Medical Protective (MedPro Group): A Berkshire Hathaway-owned medical professional liability insurer serving physicians and dentists nationwide with claims-made and occurrence malpractice coverage. Directly comparable to TMLT on core product offering and target customer base (physicians), but operates as a national, investor-owned carrier rather than a state-restricted trust.
• MagMutual Insurance Company: A physician-owned medical professional liability insurer serving physicians in the southeastern U.S. Comparable to TMLT in mutual/trust-style governance, focus on physician policyholders, and complementary risk management and CME offerings; serves a similar 'state-association captive' role in its core states.
• ISMIE Mutual Insurance Company: A physician-led medical professional liability carrier headquartered in Illinois serving physicians primarily in the Midwest. Comparable to TMLT as a state-anchored, physician-governed malpractice insurer with risk management and CME support services bundled into the policyholder relationship.
• COPIC Insurance Company: A Colorado-based, physician-led medical professional liability insurer serving physicians and healthcare providers across multiple states. Directly comparable to TMLT on physician-governed mutual model, medical malpractice core product, and bundled risk management support.
• SVMIC (State Volunteer Mutual Insurance Company): A Tennessee-based medical professional liability insurer serving physicians in the Southeast. Comparable to TMLT on core med mal coverage for physicians, mutual governance by policyholders, and strong risk management/CME service bundles.
• ProAssurance Corporation: A publicly traded medical professional liability insurer (formerly including NORCAL Mutual) serving physicians and healthcare providers nationwide. Comparable to TMLT on medical malpractice coverage for physicians and healthcare entities, but operates at national scale as a stock company rather than a regional trust.
• Coverys: A medical professional liability insurer serving physicians, hospitals, and healthcare providers. Directly comparable to TMLT on medical malpractice core product and risk management/education services, with broader multi-state reach than TMLT's Texas focus.
• Curi (formerly Medical Mutual Insurance Company of North Carolina): A physician-led medical professional liability and medical practice services company serving physicians primarily in the Carolinas and mid-Atlantic. Comparable to TMLT as a physician-governed med mal carrier offering bundled risk management, CME, and practice consulting services to physician members.

Others

• Texas Medical Association (TMA) — Insurance Services: The Texas Medical Association is the legislative creator and statutory partner of TMLT — policyholders must be TMA members by law. While not a direct insurance competitor, TMA's membership economics, advocacy priorities, and endorsement strategy directly shape TMLT's addressable market and competitive position.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/tmlt_tmic
• Facebookfacebook.com/texasmedicalliabilitytrust
• LinkedInlinkedin.com/company/tmlt

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries2 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 Texas Medical Liability Trust