NSO

Name

NSO

Legal name

Nurses Service Organization

Website

https://nso.com

Company type

Private

Founded year

1976

Operating status

Operating

Headcount range

1–10 employees

Ownership category

akta.pro rank

Product category

Nursing Professional Liability Insurance

NAICS

Agencies, Brokerages, and Other Insurance Related Activities (5242), Insurance Agencies and Brokerages (52421), Insurance Agencies and Brokerages (524210)

SIC

Insurance Agents, Brokers & Service (6411), Accident & Health Insurance (6321)

akta.pro primary industry

Long-Term Disability (LTD) Insurance (FSAIAIAD)

akta.pro secondary industry

Ancillary & Supplemental Health Products (Accident/Critical Illness/Hospital Indemnity) (HLAEABAJ)

Keywords

• Nursing malpractice insurance
• Professional liability insurance
• License protection coverage
• Nurse personal insurance
• Healthcare liability policies

Headquarters

HQ city

Washington

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Professional Liability Insurance Premiums: NSO generates revenue through annual insurance premium payments from nurses, nursing students, and healthcare practices. Premiums are tiered based on profession type and experience level, ranging from $43/year for student nurses to $137/year for professional policies.
2. Personal Insurance Products: Additional revenue from ancillary personal insurance products including life insurance, disability income, long-term care, auto and home insurance offered to nursing professionals at group rates.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

NSO provides professional liability (malpractice) insurance for nursing professionals, including individual nurses, nurse practitioners, CRNAs, clinical nurse specialists, midwives, nursing students, nurse-owned businesses, nursing schools, and brokers. Core coverage includes up to $1 million per claim and $6 million annual aggregate, plus license protection up to $25,000, HIPAA proceedings coverage, assault coverage, and access to own defense attorneys. Policies are underwritten by CNA and offered at annual premiums ranging from $43 (students) to $137 (experienced professionals), with complementary personal insurance products (life, disability, long-term care, auto/home) at group rates.

Product overview

NSO (Nurses Service Organization) is a professional liability insurance provider for nursing professionals, offering a comprehensive portfolio of products centered on professional malpractice coverage. The core offering is Professional Liability/Malpractice Insurance with coverage up to $1 million per claim and $6 million annual aggregate, complemented by License Protection Coverage (up to $25,000 for disciplinary defense). Products are segmented for Individual Practitioners, Businesses/Practices, Nursing Institutions, and Brokers, with specialized Student Nurse and New Graduate programs featuring up to 60% first-year discounts. The portfolio extends to personal insurance add-ons (Life, Disability Income, Long-Term Care, Auto & Home) at group rates, and is supported by an educational Risk Management Learning Center providing CE credits, claim reports, articles, and webinars. The company has served the nursing profession for over 50 years, endorsed by 80+ national and state nursing associations, with policies underwritten by CNA (A.M. Best A+ rated).

Differentiator

Problem solved

Functional benefit

Products and services

• Professional Liability/Malpractice Insurance Professional liability insurance coverage providing up to $1 million per claim and $6 million annual aggregate protection against malpractice lawsuits for nursing professionals, including defense attorney representation.
• License Protection Coverage Coverage that reimburses up to $25,000 in aggregate for legal defense costs if a complaint is filed against the nurse's professional license before a state licensing board.
• Individual Practitioner Coverage Professional liability insurance for individual nurses who are not incorporated and do not have employees, covering RNs, NPs, CRNAs, CNSs, midwives, and nursing students with portable coverage.
• Business/Practice Coverage Shared-limit professional liability policy for business entities, incorporated individuals, LLCs, and employers covering employees and independent contractors under one policy.
• Nursing Institution Coverage Professional liability insurance for educational institutions covering allied healthcare students under one consolidated policy.
• Broker Coverage Program Professional liability insurance program designed for insurance brokers to offer to their nursing professional clients.
• Student Nurse Malpractice Insurance Professional liability coverage for nursing students during clinical work as part of their school curriculum, with automatic coverage transition to professional status after graduation.
• Life Insurance Group-level term life insurance at exclusive group rates for nursing professionals and their families.
• Disability Income Insurance Group disability income insurance providing benefits to replace lost income due to injury or illness for nursing professionals.
• Long-Term Care Insurance Long-term care coverage to help protect retirement savings and maintain independence as nursing professionals age.
• Auto & Home Insurance Discounted auto and home insurance products available exclusively for NSO nursing professional customers.
• AORN Personal Insurance Plans Personal insurance products (term life, disability income, long-term care, health) designed specifically for AORN members at competitive group rates.
• Risk Management Learning Center Online portal providing CE credits, articles, case studies, claim reports, webinars, videos, and legal case resources for nursing risk management education.
• Nurse Professional Liability Claim Report 5th Edition report published in collaboration with CNA highlighting top professional exposures, professional liability claims, license protection matters, case studies, and risk management insights for nursing professionals.
• Nurse Practitioner Professional Liability Claim Report 5th Edition report detailing nurse practitioner professional liability claims with average total incurred of $332,137 in 2022, published in collaboration with CNA.

Quantifiable outcome

• Over 600,000 nurses insured nationwide
• +2 more outcomes

Named customers2 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Nine partnerships are on record, tiered core, flagship and minor.

• CNA (CNA Financial Corporation)coreStrategic or Co-development PartnerNSO's professional liability insurance program is underwritten by American Casualty Company of Reading, Pennsylvania, a CNA company. CNA has earned an A+ (Superior) rating from A.M. Best. CNA provides claims processing, underwriting expertise, and risk management support.
• American Association of Legal Nurse Consultants (AALNC)flagshipGTM or Marketing PartnerNational nursing association endorsement partnership where AALNC recommends NSO malpractice insurance to its members
• American Nurses Association (ANA)flagshipGTM or Marketing PartnerNational nursing association endorsement partnership where ANA recommends NSO malpractice insurance to its members
• Association of periOperative Registered Nurses (AORN)flagshipGTM or Marketing PartnerNational specialty nursing association partnership offering exclusive personal insurance products for AORN members including group term life, disability income, and long-term care
• National Student Nurses' Association (NSNA)coreGTM or Marketing PartnerStudent nursing association endorsement recommending NSO malpractice insurance to student nurse members
• State Nurses Associations (50+)coreGTM or Marketing PartnerPartnerships with state nursing associations including Alabama, Arkansas, California, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Louisiana, Massachusetts, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming for member endorsements
• American Association of Nurse Attorneys (TAANA)coreGTM or Marketing PartnerProfessional nursing attorney association partnership providing legal expertise and member referrals
• Institute for Safe Medication Practices (ISMP)minorStrategic or Co-development PartnerCollaborative partnership for medication safety education content, with NSO publishing ISMP Medication Safety Alerts in risk management resources
• Specialty Nursing Associations (20+)coreGTM or Marketing PartnerPartnerships with specialty nursing associations including AAOHN, AADE, AHNA, ANNA, APNA, ASPAN, ARIN, AWHONN, Black Nurses Rock, CANP, CMSA, GAPNA, ISAPN, INS, IAFN, NACNS, NALPN, NAON, NAPNAP, NASN, NONPF, NPA, OADN, PCNP, SGNA, and Society of Pediatric Nurses

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Healthcare Providers Service Organization (HPSO): Sister trade name under Affinity Insurance Services (Aon) offering professional liability insurance to allied healthcare professionals. Direct mirror of NSO's model but targeted at non-nursing healthcare providers, making it the closest comparable peer in structure, distribution, and product design.
• CM&F Group: Specialty provider of professional liability insurance for nurses, nurse practitioners, and other healthcare professionals. Direct competitor offering individual malpractice policies with overlapping target customer base and similar product structure.
• Proliability: Provider of professional liability insurance for nurse practitioners and allied healthcare professionals, including nursing students. Direct competitor in the nurse malpractice niche with comparable coverage tiers and pricing.
• Berxi (by Berkshire Hathaway Specialty Insurance): Digital-first professional liability insurer serving healthcare professionals including nurses. Competes with NSO on online quote/app convenience and direct-to-practitioner acquisition, but backed by Berkshire Hathaway's balance sheet rather than CNA.

Others

• CNA Financial Corporation: Underwriting carrier for NSO's professional liability program through American Casualty Company of Reading, PA. Strategic partner with A.M. Best A+ rating; relevant as the risk-bearing counterparty whose appetite and pricing decisions directly affect NSO's product economics.
• Aon plc (Affinity Insurance Services parent): Ultimate parent of NSO via Affinity Insurance Services. Provides strategic context as the conglomerate that owns NSO and operates comparable affinity-based insurance programs for other professional groups.

Broad incumbents

• Medical Protective (MedPro Group): Long-standing medical professional liability insurer owned by Berkshire Hathaway. Serves healthcare professionals broadly including nurse practitioners; comparable as a broad incumbent with A++ balance sheet strength and overlapping nurse/NP coverage offerings.
• Marsh McLennan (Affinity/Select Division): Global insurance brokerage with affinity programs serving professional associations. Comparable as a competitor/peer to Aon-affiliated NSO in the association-endorsement professional liability distribution channel.
• Liberty Mutual Insurance (Professional Liability): Major national P&C insurer offering professional liability coverage for healthcare providers. Provides broader, less specialized competition with more geographic diversification and balance-sheet strength than NSO.
• The Doctors Company: Large physician-focused malpractice insurer that has expanded into allied health and nursing professional liability. Broader incumbent with deeper capital base and physician-centric heritage, but overlapping products in nurse practitioner liability.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/nsocares
• LinkedInlinkedin.com/company/nurses-service-organization

Revenue estimate

Valuation estimate

Number of profiles

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 NSO