EMPAC Risk Retention Group

What EMPAC Risk Retention Group does

EMPAC Risk Retention Group is a physician-owned insurance entity structured as a Risk Retention Group (RRG) under the Federal Liability Risk Retention Act, headquartered in Orlando, Florida. The company specializes in medical malpractice liability insurance for Emergency Medicine (EM) physician groups across the United States, providing coverage paired with expert claims management, a Patient Safety & Risk Management Program, and a dividend distribution mechanism that returns excess profits exclusively to active physician-member owners.

The business operates on a mutual-like, member-owned model in which insured physician leaders participate directly in governance, product development, and administrative policy. EMPAC does not operate a proprietary technology platform; its digital infrastructure is limited to a company website (empacrrg.com) and a member portal hosted by technology partner Med-IQ (EMPACRRG.med-iq.net). Reinsurance capacity is provided by AmTrust, rated A by A.M. Best, which forms the financial backbone of the underwriting operation.

EMPAC generates revenue through recurring medical liability insurance premiums and reaches customers via direct sales to EM groups, supported by a network of healthcare industry partnerships including the EM Business Coalition, Pinnacle, Partners Risk, ESIS Proclaim, Morgan Stanley Private Wealth Management, and Med-IQ. Pricing is quote-based, tailored to individual EM group needs, and not publicly disclosed. No funding rounds, acquisitions, leadership changes, or product launch timelines beyond general offerings are disclosed.

Name

EMPAC Risk Retention Group

Legal name

EMPAC Risk Retention Group

Website

https://empacrrg.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

11–50 employees

Short description

EMPAC Risk Retention Group is a physician-owned Risk Retention Group providing medical malpractice liability insurance, patient safety/risk management, and claims services exclusively to Emergency Medicine physician groups across the United States.

Ownership category

akta.pro rank

Product category

Medical Malpractice Insurance

NAICS

Direct Insurance (except Life, Health, and Medical) Carriers (52412), Insurance Carriers (5241)

SIC

Insurance Carriers, Nec (6399)

akta.pro primary industry

Medical Malpractice Reinsurance (FSAOABAH)

akta.pro secondary industry

Professional Liability (E&O) Reinsurance (FSAOADAH)

Keywords

• Medical malpractice insurance
• Risk retention group
• Emergency medicine liability
• Physician-owned insurance
• Patient safety programs

Headquarters

HQ city

Orlando

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medical Liability Insurance Premiums: EMPAC generates revenue through insurance premiums for medical liability coverage tailored to Emergency Medicine groups. As a risk retention group owned by physician-members, excess profits are distributed to active members through dividends, creating an aligned incentive structure where policyholders benefit from the company's financial success.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

EMPAC Risk Retention Group provides medical malpractice and professional liability insurance coverage purpose-built for Emergency Medicine physician groups in the United States. The offering combines specialty-focused underwriting and risk selection, a Patient Safety & Risk Management Program, expert claims management, and a dividend distribution mechanism that returns excess profits to active member-owners. Coverage is reinsured by AmTrust (A.M. Best "A"-rated), and insured physicians participate as member-owners in the company's governance and strategic direction.

Product overview

EMPAC Risk Retention Group offers a unified portfolio of medical malpractice insurance products and risk management services specifically designed for Emergency Medicine physician groups. The core offering consists of specialty liability coverage backed by reinsurance from A.M. Best "A"-rated AMTrust, complemented by a Patient Safety & Risk Management Program that delivers patient safety information and risk mitigation resources. Claims management is handled by in-house experts, while the company's dividend distribution program distributes excess profits exclusively to active physician-members. The organization's distinctive structure enables insured physicians to participate as member-owners in governance and organizational strategy.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Malpractice Insurance Specialty-focused medical malpractice and professional liability insurance coverage for Emergency Medicine physician groups in the United States, backed by A.M. Best "A"-rated AmTrust reinsurance and underwritten with EM-specific risk selection.
• Patient Safety & Risk Management Program Risk management and patient safety program that shares the latest Emergency Medicine specialty trends and resources with insured physician groups to mitigate liability exposure and improve patient care.
• Claims Management Services Expert, in-house claims management services for medical malpractice claims involving insured Emergency Medicine physicians, handled by industry-specialist claims professionals.
• Dividend Distribution Program Member-ownership benefit under which excess profits of EMPAC are distributed exclusively to active physician-member owners in the form of dividends, aligning insurer financial performance with member interests.

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Six partnerships are on record, tiered minor.

• EM Business CoalitionminorStrategic or Co-development PartnerEMPAC is listed as an EMPAC Business Associate with the EM Business Coalition, indicating a collaborative relationship within the Emergency Medicine business community.
• PinnacleminorOthersListed as a partner organization, though the specific nature of the partnership is not detailed in the available source material.
• Partners RiskminorOthersListed as a partner organization within EMPAC's business associate network.
• ESIS ProclaimminorOthersListed as a partner organization within EMPAC's business associate network.
• Morgan Stanley Private Wealth ManagementminorOthersListed as a partner organization, suggesting a financial services or wealth management relationship for EMPAC's physician-member clients.
• Med-IQminorOthersEMPAC partners with Med-IQ to provide the member portal (EMPACRRG.med-iq.net) for members, indicating a technology services relationship for member communications and access.

Scale indicators3 records

Recent moves5 records

Expansion highlights3 records

Direct peers

• MagMutual: Physician-owned medical malpractice mutual offering policyholder dividends and a strong risk management program — the closest structural analog to EMPAC's physician-ownership and dividend-distribution model.
• Medical Protective (MedPro Group): Major specialty medical malpractice insurer with deep claims expertise and a long history serving hospital-based physicians. Competes directly with EMPAC for Emergency Medicine group business and is among the most credible specialty alternatives in the market.
• ProAssurance: Diversified medical malpractice insurer (including NORCAL Mutual) writing coverage to physicians and healthcare providers nationally. A direct competitor for EM group policies, with substantially larger capital and broader product set.
• Coverys: Medical malpractice insurer serving physicians, hospitals, and healthcare systems. A direct competitor with comparable focus on specialty physician practices and similar claims management value proposition.
• The Doctors Company: Largest physician-owned medical malpractice insurance carrier in the U.S. Most directly comparable peer: national footprint, physician-led governance, and a broad-but-physician-focused product line that competes head-to-head with EMPAC for Emergency Medicine groups.
• NORCAL Mutual: Physician-owned medical malpractice insurer (now part of ProAssurance) with a long-standing reputation for serving physician groups. Comparable on mutual-like ownership and physician-led governance, competing for EM group business in overlapping geographies.

Regional players

• SVMIC (State Volunteer Mutual Insurance Company): Physician-owned medical malpractice insurer with strong regional concentration in the Southeast and Mid-Atlantic. A relevant competitor for EMPAC's physician-owned narrative and for Emergency Medicine groups in overlapping geographies.
• MICA (Mutual Insurance Company of Arizona): Physician-owned medical malpractice mutual with strong Western U.S. presence. Comparable on mutual-style ownership and physician-led governance, and competes for hospital-based specialty groups.

Emerging players

• Preferred Physicians Medical: Specialty Risk Retention Group focused on anesthesiologists — structurally and strategically the closest analog to EMPAC as a single-specialty RRG, offering a useful benchmark for specialty-RRG economics and member-ownership models.

Broad incumbents

• NCMIC: Medical malpractice insurer historically strong in chiropractic but with broader physician offerings. Comparable product structure (specialty malpractice + risk management) though less directly focused on Emergency Medicine.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/empac-managers-llc

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 EMPAC Risk Retention Group