Managed Care


IOA Re’s Managed Care Division offers products that are competitive in the Provider Excess Loss and HMO Reinsurance Market, and we have developed long-lasting relationships with both clients and producers of the business.

Why IOA Re…?

Stability… The market for Provider Excess Loss Insurance and HMO Reinsurance has experienced substantial swings over its relatively brief history. In the past few years, a number of carriers and Managing General Underwriters (MGUs) have exited the market. IOA Re has been underwriting both lines of business for over 20 years. In addition, IOA Re obtained its original binding authority with Lloyds’ in the mid-1940s, making it one of the oldest Managing General Underwriters in the business today.

Strength… The primary purpose of the coverage is to guarantee that in exchange for the premium paid, our clients’ eligible claims will be promptly reimbursed. In order to guarantee that, we partner only with A.M. Best Company rated carriers that are “A” or higher.

Currently, IOA Re underwrites on behalf of the following carriers:

HMO Reinsurance, Medical Excess & Provider Excess:American Fidelity Assurance Company, Rated A+ (Superior) By A.M. Best
United States Fire Insurance Company, Rated A by A.M. Best

We also offer value-added services, via our PRN program, that may actually help our clients mitigate the occurrence of catastrophic claims. Improving outcomes and managing costs from the ground up is a win for our clients as well as our carriers.