Myers-Stevens & Toohey

What Myers-Stevens & Toohey does

Myers-Stevens & Toohey & Co., Inc. is a privately held, multi-state licensed insurance Managing General Agent and Third Party Administrator (MGA/TPA) founded in 1970 and headquartered in Mission Viejo, California. The company specializes exclusively in designing, underwriting, and administering student accident and sickness insurance programs for public and private P-12 schools, community colleges, pools, consortiums, and ancillary groups using school facilities such as boosters, sports camps, and leagues. Its product portfolio spans low-cost voluntary plans (e.g., a $12 Dental Accident Plan, a $36 Pharmacy SmartCard offering up to 90% prescription discounts), standard school-time and 24/7 accident plans with limits up to $150,000, interscholastic tackle football coverage, and catastrophic injury plans with limits up to $7,000,000 after a $25,000 deductible.

The technology and operational backbone consists of a secure online enrollment portal with real-time coverage confirmation, an in-house claims adjudication unit with over 100 years of combined examiner experience, and integrations with the First Health and First Choice provider networks providing over 40% PPO discounts across 5,000+ hospitals, 90,000 ancillary facilities, and 1 million healthcare professionals. The company supports both fully insured and self-funded (ASO) program structures, offers bilingual (English/Spanish) service, and provides free print and distribution of brochures, enrollment forms, and ID cards to client schools.

Myers-Stevens & Toohey generates revenue through insurance premium administration — earning MGA commissions and administrative fees on premiums collected from school districts, JPAs, parents, and other clients — as well as through standalone administrative services (plan design, enrollment processing, billing, claims adjudication, underwriting) and print/distribution services bundled into program administration. Go-to-market is sales-led and relationship-driven, executed through direct outreach to school administrators and risk managers, a broker/administrator channel placing coverage for institutional clients, and a self-serve direct-to-parent online enrollment channel via the company website.

Name

Myers-Stevens & Toohey

Legal name

MYERS-STEVENS & TOOHEY & CO., INC.

Website

https://myers-stevens.com

Company type

Private

Founded year

1970

Operating status

Operating

Headcount range

11–50 employees

Short description

Myers-Stevens & Toohey is a multi-state licensed insurance MGA/TPA that designs and administers student accident and sickness programs for P-12 schools, community colleges, and related groups, offering voluntary, blanket, and catastrophic plans backed by in-house claims processing and First Health network integration.

Ownership category

akta.pro rank

Product category

Student Accident Insurance

NAICS

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

SIC

Accident & Health Insurance (6321)

akta.pro primary industry

Ancillary Benefits TPA (Dental/Vision/Life/Accident/Critical Illness) (HLAEALAN)

akta.pro secondary industries

Self-Funded (ASO) Group Health Plans & Stop-Loss (FSAIAFAB), Ancillary & Supplemental Health Products (Accident/Critical Illness/Hospital Indemnity) (HLAEABAJ), Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE)

Keywords

• Student accident insurance
• School insurance programs
• Insurance administration services
• Catastrophic injury coverage
• Claims adjudication services

Headquarters

HQ city

Mission Viejo

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Insurance Premium Administration: As an MGA/TPA, Myers-Stevens & Toohey designs and administers student accident and sickness insurance programs. Revenue is generated through premiums collected from school districts, parents, and other clients, with the company earning administrative fees and commissions. Programs range from basic safety net plans to multi-million dollar limit catastrophic injury programs.
2. Administrative Services: Provides full administration of plans including enrollment processing, billing, claims adjudication, and underwriting services. Offers ASO (Administrative Services Only) basis for self-funded clients and integrates partially self-funded programs with fully-insured coverage corridors.
3. Print and Distribution Services: Provides printed brochures, enrollment forms, and materials to schools at no cost. Included as part of overall program administration for client schools.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels3 records

Core offering

Myers-Stevens & Toohey designs, underwrites, and administers student accident and sickness insurance programs as a multi-state licensed MGA/TPA. Its portfolio spans Blanket Plans for institutions, Voluntary Plans purchased by parents, and Catastrophic Injury Plans up to $7M, supported by in-house claims adjudication, First Health/First Choice network access, and print and enrollment distribution services.

Product overview

Myers-Stevens & Toohey offers a comprehensive suite of student accident and sickness insurance programs as a multi-state licensed insurance MGA/TPA. The portfolio centers on three core voluntary plan categories: Blanket Plans (institution-wide coverage), Voluntary Plans (parent-purchased), and Catastrophic Plans (high-limit protection up to $7M). Individual products include Student Accident & Sickness Plan (24/7 coverage with $200K accident limit), Full-Time 24/7 Accident Plans ($150K limit), School-Time Accident Plans ($75K limit), Tackle Football Accident Plans, and Dental Accident Plan ($75K limit for $12/school year). The company also provides integrated Pharmacy SmartCard ($36/year, up to 90% prescription discounts). Supporting services include in-house Claims Adjudication with First Health/First Choice network integration, Print & Distribution, and full Administrative Services for enrollment and billing. All plans offer freedom of provider choice with network discount options.

Differentiator

Problem solved

Functional benefit

Products and services

• Student Accident & Sickness Plan Comprehensive student accident and sickness insurance covering injuries and sickness 24/7 worldwide for P-12 students. Includes $200,000 maximum benefit per accident and $50,000 per covered sickness, with repatriation and medical evacuation benefits and full choice of providers.
• Dental Accident Plan Coverage for dental injuries 24/7 worldwide up to $75,000, including repair or replacement of existing caps or crowns. Designed for P-12 students with sports included, available for as little as $12 per school year.
• Full-Time 24/7 Accident Plans 24/7 worldwide accident protection for P-12 students and school employees covering all interscholastic sports except high school tackle football. Limits up to $150,000 with full choice of providers.
• School-Time Accident Plan Coverage for injuries sustained on school premises during regular class hours, during school-sponsored supervised activities, and while traveling to/from school. Includes interscholastic athletics except high school tackle football; limits up to $75,000.
• Interscholastic Tackle Football Accident Plan Specialized coverage for grades 9-12 covering injuries during high school tackle football activities including practice, play, spring practice, summer conditioning, weight training, passing league, and travel in school vehicles.
• Pharmacy SmartCard Family discount card providing up to 90% savings on prescription drug costs. Annual cost of $36 for the entire family.
• Blanket Plans Institution-wide student accident insurance programs covering all enrolled students. Designed for public and private P-12 schools, community colleges, and day care centers to mitigate liability exposure and facilitate compliance with state law.
• Voluntary Plans Low-cost parent-purchased accident and sickness protection options available as standalone coverage or gap coverage for high deductibles and co-pays. Offers complete freedom of choice of provider.
• Catastrophic Injury Plans High-limit coverage for serious or fatal injuries including traumatic brain injuries, coma, and paralysis. Pays covered accident medical expenses at 100% of Usual and Customary charges up to $7,000,000 after a $25,000 deductible, plus up to $1,000,000 in additional cash assistance and accidental death & dismemberment benefits.
• Claims Adjudication Services In-house claims adjudication with over 100 years of combined examiner experience. Supports both fully insured and self-funded (ASO) programs and leverages First Health and First Choice provider networks for average 40% discounts on billed charges.
• Print & Distribution Services Distribution of brochures, enrollment forms, and insurance verification cards, with packaging by school site, real-time tracking, and delivery to specified locations.
• Administrative Services Full MGA/TPA services including plan design, marketing, enrollment processing, billing, claims adjudication, and underwriting. Offers online enrollment with immediate confirmation, bilingual support, and payment options including ACH and automatic credit card payments.

Quantifiable outcome

• Over 40% discounts on billed charges through First Health and First Choice provider networks
• +2 more outcomes

Named customers2 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature3 records

Partnerships

Two partnerships are on record, tiered core.

• First HealthcoreTechnology or IntegrationExtensive healthcare provider network partnership offering over 40% discounts on billed charges. Network includes 5,000+ hospitals, 90,000 ancillary facilities, and 1 million healthcare professional service locations nationwide, providing 98% U.S. population coverage.
• First ChoicecoreTechnology or IntegrationProvider network partnership complementing First Health, providing comprehensive coverage in urban and rural markets. Electronic web directories enable members to find network providers, office hours, languages spoken, hospital affiliation, and driving directions.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• K&K Insurance Group: Specialty insurer and program administrator for sports, camps, schools, and youth activities. Broader portfolio than Myers-Stevens & Toohey but directly competes for school and youth-organization accident/liability business through its sports and education programs.
• Philadelphia Insurance Companies (PHLY): PHLY is a top-tier specialty carrier offering accident, sports, and student coverage programs for schools, camps, and youth organizations. Competes with Myers-Stevens & Toohey in P-12 accident and catastrophic products but at considerably larger scale and with broader product breadth.
• McGraw Specialty Insurance / Mutual of Omaha Student Accident: Mutual of Omaha's group and individual accident insurance divisions offer student and youth accident coverage that competes with Myers-Stevens & Toohey's school-time and 24/7 accident plans in select market segments and employer/worksite channels.
• Markel Specialty: Markel's specialty division underwrites accident, health, and liability coverage for youth sports, schools, camps, and amateur activities. Overlaps with Myers-Stevens & Toohey's school-time and interscholastic tackle football accident plans while serving a much broader specialty insurance market.
• Anthem Blue Cross Blue Shield (Student Programs): Major medical carrier offering student and group accident/health coverage through its Blue Cross Blue Shield plans. Poses competitive threat to Myers-Stevens & Toohey's voluntary and 24/7 accident products where Anthem-branded plans are embedded in district health benefits.

Others

• Bollinger / RPS Specialty (Accident & Health TPAs): Specialty accident and health third-party administrators and managing underwriters serving schools, leagues, and youth programs. Functionally comparable as TPAs/MGAs in adjacent accident/health niches, though broader in product mix than Myers-Stevens & Toohey.

Emerging players

• Student Insurance (by Pivot Group / similar voluntary carriers): Voluntary student accident plan providers marketed directly to parents and schools at competitive price points. Similar parent-purchased voluntary plans to those in Myers-Stevens & Toohey's portfolio but typically operate with narrower product sets and limited multi-state breadth.

Direct peers

• Aetna Student Health (CVS Health): CVS Health's student insurance arm offering health and accident plans to college and K-12 populations. Competitor to Myers-Stevens & Toohey in administering school-sponsored student accident and sickness programs, with stronger carrier backing but narrower focus on higher education.
• GeoBlue / Worldwide Insurance Services: GeoBlue administers international and domestic student/travel health insurance and accident plans, overlapping with Myers-Stevens & Toohey's 24/7 student accident and sickness coverage that includes international travel benefits. Both are MGA/TPA-style administrators in student accident/health.
• UnitedHealthcare Student Resources: UnitedHealthcare's student-focused division that designs and administers student health insurance plans for colleges and universities. Directly competes with Myers-Stevens & Toohey in the student insurance administration space, though at much larger scale and primarily serving higher education rather than P-12.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Myers-Stevens & Toohey