Applied Medico-Legal Solutions Risk Retention Group

What Applied Medico-Legal Solutions Risk Retention Group does

Applied Medico-Legal Solutions Risk Retention Group (AMS RRG) is a physician-owned risk retention group founded in 2003 and domiciled in Arizona, providing medical liability insurance to physicians and surgeons across all medical specialties. It operates in all 50 states plus the District of Columbia under the federal Liability Risk Retention Act, which preempts state-level rate and form regulation. The company is managed by AMS Management Group and reinsured by AM Best A-rated carriers including Hannover Re and Lloyd's of London, with claims above $500,000 per incident ceded to reinsurers. AMS RRG holds an AM Best Financial Strength Rating of A- (Excellent) with Stable outlook and a Demotech A' (A Prime) Unsurpassed financial stability rating.

Its core products include claims-made medical liability coverage with limits up to $1,000,000 per event and $3,000,000 aggregate, extended reporting endorsement (tail coverage), prior acts (nose) coverage, and specialty-specific Preferred Programs for aesthetics, radiology/imaging, and anesthesia/pain management. The Insured Colleagues Program embeds the Chief Medical Officer and Specialty Medical Directors into underwriting and claims evaluation. In November 2022, AMS Management Group acquired insurtech platform Adaptrack, and in October 2023 AMS RRG launched amplifi, a generative AI toolkit built on Google Cloud that produces personalized hypothetical medical liability cases for member risk education and free continuing medical education. Ancillary products include MEDEFENSE Plus (Medicare/Medicaid audit defense up to $250,000) and e-MD cyber liability.

Revenue is generated primarily through recurring annual insurance premiums underwritten on the basis of medical specialty, practice scope, geography, and prior experience, with add-on coverages priced separately. Distribution is primarily through a broker/agent network anchored by long-standing partnerships with BMS Intermediaries and Affilion, complemented by direct submission via amsrrg.com. The 95% client retention rate and 20-year operating history indicate a stable, member-aligned franchise, with 2024 Net Written Premium of $88.8M and Gross Written Premium of $117.0M.

Name

Applied Medico-Legal Solutions Risk Retention Group

Legal name

Applied Medico-Legal Solutions Risk Retention Group, Inc.

Website

https://amsrrg.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

1–10 employees

Short description

AMS RRG is a physician-owned risk retention group providing medical liability insurance to physicians and surgeons across all specialties in all 50 states plus DC, augmented by the amplifi generative AI risk management platform.

Ownership category

akta.pro rank

Product category

Medical Liability Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114)

SIC

Fire, Marine & Casualty Insurance (6331)

akta.pro primary industry

Healthcare Professional Liability (Med Mal) (FSAJAGAE)

akta.pro secondary industries

Medical Malpractice Liability (FSAJADAK), Medical Malpractice Reinsurance (FSAOADAJ)

Keywords

• Medical liability insurance
• Risk retention group
• Physician malpractice coverage
• Claims-made insurance
• Healthcare risk management

Headquarters

HQ city

Phoenix

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Operations, Personnel, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Medical Liability Insurance Premiums: Claims-made coverage with policy limits up to $1,000,000 per event and $3,000,000 aggregate. Premiums based on traditional underwriting principles including medical specialty, type and scope of practice, geographic area, and prior experiences. Higher limits may be available on request.
2. Extended Reporting Endorsement (Tail Coverage): If a member decides to cancel their AMS RRG policy, tail coverage is available at an additional premium based upon their retroactive date of coverage. Retiring physicians may qualify for cost reductions when purchasing this extended reporting period coverage.
3. Prior Acts Coverage (Nose Coverage): Members can opt for prior acts coverage when joining AMS RRG, commonly referred to as 'nose' coverage, allowing coverage for incidents that occurred before the policy start date.
4. Medefense Plus Add-on Coverage: Defense costs coverage for Medicare and Medicaid billing audits and investigations, including shadow audit expenses, regulatory fines and penalties, EMTALA and Stark Proceedings. Covers up to $250,000 of defense costs.
5. e-MD Cyber Liability Insurance: Comprehensive data security and privacy insurance solutions customized for healthcare professionals, including privacy breach response, network asset protection, cyber extortion, and cyber terrorism coverage.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

AMS RRG underwrites and delivers medical liability (malpractice) insurance on a claims-made basis to physicians, surgeons, physician extenders, professional organizations, and staffing facilities across all 50 states plus DC, with limits up to $1,000,000 per event / $3,000,000 aggregate. Coverage is complemented by specialty-specific Preferred Programs, MEDEFENSE Plus billing-audit defense, e-MD cyber liability, an Insured Colleagues clinical risk program, and the amplifi generative-AI risk management and continuing medical education toolkit.

Product overview

AMS RRG operates as a physician risk retention group providing a unified medical liability insurance platform with multiple integrated modules and specialized programs. The core offering is Medical Liability Insurance (claims-made coverage), supported by amplifi (generative AI risk management toolkit), Preferred Programs (specialty-specific coverage for aesthetics, radiology, and anesthesia), Risk Management Services, and the Insured Colleagues Program. Additional products include MEDEFENSE™ Plus (billing audit defense) and e-MD™ (cyber liability). The company differentiates through physician-led underwriting, Specialty Medical Director involvement, and technology-enabled risk management through its AI-powered amplifi platform.

Differentiator

Problem solved

Functional benefit

Brands

• amplifi: Generative AI toolkit for risk management and continuing education for AMS RRG members, built on Google Cloud platform.
• MEDEFENSE Plus
• e-MD
• Insured Colleagues Program
• Preferred Programs

Products and services

• Medical Liability Insurance Claims-made medical liability coverage for physicians, surgeons, physician extenders, professional organizations, and staffing facilities, with policy limits up to $1,000,000 per event and $3,000,000 aggregate; includes optional prior acts coverage and extended reporting endorsement (tail coverage).
• Preferred Programs Specialty-specific medical liability insurance programs for aesthetics, radiology and imaging, and anesthesia and pain management practices, offering tailored policy terms, exclusive program discounts, and direct access to a Specialty Medical Director.
• Insured Colleagues Program Clinical risk reduction program in which the Chief Medical Officer and Specialty Medical Directors actively participate in underwriting and claims evaluation, providing specialty-specific claims analysis and physician-risk behavior reporting through a medical executive committee.
• Risk Management Services Expert risk management support for members including individualized practice risk assessments, real-time risk management advice, and access to claims attorneys covering documentation issues, patient complaints, state medical board investigations, and HIPAA concerns.
• MEDEFENSE Plus Specialized add-on coverage for Medicare and Medicaid billing audits and investigations, covering up to $250,000 of defense costs, shadow audit expenses, regulatory fines and penalties, EMTALA proceedings, and Stark proceedings.
• e-MD Cyber Liability Insurance Cyber liability insurance solution customized for healthcare professionals, including privacy breach response, network asset protection, cyber extortion coverage, cyber terrorism protection, data recovery, business interruption, and credit monitoring coverage.
• amplifi Generative AI Toolkit Generative AI toolkit built on Google Cloud that creates personalized hypothetical medical liability cases for risk management education and continuing medical education for frontline clinicians, providing reflective practice tools to identify and mitigate liability blindspots; free for AMS RRG members.

Quantifiable outcome

• 95% client retention rate demonstrates superior products and services
• +3 more outcomes

Named customers7 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability6 records

Feature3 records

Partnerships

Nine partnerships are on record, tiered core.

• BMS Intermediaries, Inc.coreStrategic or Co-development PartnerProvides integrated reinsurance placement, analytics, claims, accounting and contract wording. BMS is a dynamic global broker providing specialist insurance, reinsurance and capital markets advisory services. Longstanding relationship supporting consistent, ongoing success within the market.
• Eide BaillycoreImplementation/ SI/ Consulting PartnerProvides accounting, tax and business consulting services, along with statutory and GAAP basis auditing and tax services. Offers wide range of services from basic bookkeeping to complex strategic planning.
• Paul, Frank & CollinscoreStrategic or Co-development PartnerProvides captive insurance representation as General Counsel. Talented lawyers provide world-class legal services to local, regional and international clients.
• HylantcoreImplementation/ SI/ Consulting PartnerLeading global captive and insurance consulting and management services firm providing partnership with clients for developing and managing customized solutions.
• Huggins Actuarial Services, Inc.coreStrategic or Co-development PartnerIndependent actuarial consulting firm providing appointed actuary services including statement of actuarial opinion regarding loss and LAE reserving, establishing rates, formulating rating models and determining parameters for capitalization and reinsurance.
• Google CloudcoreTechnology or IntegrationPlatform infrastructure for amplifi generative AI toolkit. Amplifi is built on Google Cloud, enabling advanced AI capabilities for risk management.
• AdaptrackcoreTechnology or IntegrationInsurtech platform acquired by AMS Management Group in November 2022. Develops the amplifi generative AI toolkit for risk management and continuing education.
• Hannover RecoreStrategic or Co-development PartnerAM Best A-rated international reinsurer providing reinsurance support. Coverage provided for any member claim in excess of $500,000 per medical incident.
• Lloyd's of LondoncoreStrategic or Co-development PartnerAM Best A-rated international reinsurer providing reinsurance support. Coverage provided for any member claim in excess of $500,000 per medical incident. AMS RRG founders are owners of Global Stage Limited, a member of Lloyd's of London.

Scale indicators9 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• MagMutual Insurance Company: Physician-owned mutual medical professional liability insurer with strong focus on risk management and patient safety. Comparable to AMS RRG on member-owned model, emphasis on physician-led underwriting, and integrated risk management services.
• Coverys: Medical professional liability insurer providing med-mal coverage to physicians, hospitals, and healthcare providers. Directly comparable on core product offering and physician-targeted underwriting.
• CM&F Group: Provider of professional liability insurance for healthcare professionals including physicians, allied health, and nurses. Comparable on med-mal product offering and direct-to-physician distribution model.
• The Doctors Company: The largest physician-owned medical malpractice insurer in the US, offering claims-made and occurrence coverage across all specialties. Directly comparable to AMS RRG on member-owned structure, specialty-specific underwriting, and nationwide physician focus.
• Medical Protective (MedPro Group): One of the oldest and largest US medical professional liability carriers, offering med-mal coverage to physicians and surgeons. Directly comparable on product offering (claims-made med-mal for physicians) and target customer base.
• SVMIC (State Volunteer Mutual Insurance Company): Physician-owned medical professional liability carrier serving physicians across multiple US states. Comparable to AMS RRG on member-owned structure, claims-made med-mal coverage, and physician-led governance.
• Mutual Insurance Company of Arizona (MICA): Physician-owned medical professional liability insurer domiciled in Arizona. Directly comparable to AMS RRG on member-owned model, claims-made med-mal coverage, and Arizona domicile.
• NORCAL Group (part of ProAssurance): Physician-owned medical professional liability insurer (now part of ProAssurance) providing med-mal coverage across the US. Directly comparable on physician-owned structure and claims-made med-mal offering.

Broad incumbents

• ProAssurance Corporation: Larger publicly traded specialty P&C insurer with significant medical professional liability business alongside other specialty lines. Comparable on med-mal product offering but broader scale and public-company status make it an incumbent competitor.

Emerging players

• Advent Insurance Services (Healthcare Risk Partners): Specialty broker/agent focused on healthcare professional liability with risk management capabilities. Adjacent peer with overlapping target customer base (physicians seeking med-mal coverage).

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/applied-medico-legal-solutions

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 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 Applied Medico-Legal Solutions Risk Retention Group