Alternative Risk Solutions

Insurance solutions tailored for your practice

Highly customizable options to meet your unique needs

We were established in 1975 by a group of innovative physicians who needed to insure themselves against malpractice risks and protect their clinical and financial future. That’s the spirit we bring to Alternative Risk Solutions—creativity, flexibility, and fierce support for healthcare organizations that are looking to maintain their independence by taking more control over their medical professional liability (MPL) coverage.

Curi has been providing captive and alternative risk solutions to thousands of physicians since 2006. Through our offshore captive vehicle, we’ve helped clients develop, launch, and operate successful self-insurance programs tailored to their specific goals and objectives. And we offer a range of highly customizable options, regardless of domicile or vehicle, to meet your organization’s unique needs.


Progressive Options on the Path to Captive Ownership

Groups can grow a program in the safety of Curi’s well-established captive and if desired, have Curi share in the first layer of risk until ready for more. All programs can be structured to take advantage of Curi’s “A” (“Excellent”) financial strength rating from A.M. Best Rating Service.

  • CRAWL: Establish a captive program and share risk with Curi at a tolerable level, allowing Curi to manage the minutiae
  • WALK: Grow the capital base, increase your engagement in the program management, and consider increasing your risk share
  • RUN: Establish a structure for independent ownership of a standalone insurance program

Support for your
Captive Solution

Curi is ready to assist in the formation and management of a Captive Solution in the following areas:

  • Feasibility studies
    Support from Curi’s industry-leading actuarial team in evaluating and constructing a captive program based on your specific financial, strategic, and operational needs
  • Reinsurance
    Access to Curi’s buying power and preferred reinsurance relationships for robust, competitively priced reinsurance protection again unexpected frequency and/or severity
  • Risk management tools
    Partnership with a dedicated Risk Management Consultant and access to Curi’s extensive library of specialty-specific tools, resources, and templates
  • Financial management
    A comprehensive suite of financial management services, ranging from coordination of banking, audit, and tax services to periodic internal and external financial reporting needs
  • Claims administration
    Our Diamond Defense program provides access to claims management from our tenured team, with a cross-section of clinical, legal, and industry experience and a degree of personalized support uncommon in the MPL industry
  • Regulatory & compliance services
    Curi will liaise with applicable regulatory bodies on your behalf, and provide compliance resources and consultative support with regulatory challenges such as MIPS and MACRA, Open Payments, and state and federal exclusion lists
  • Underwriting & policyholder services
    Access to Curi’s industry-leading Underwriting and Member Services teams to personally assist you in managing all aspects of your medical professional liability policy
  • Investment portfolio management
    Curi’s investment team will assist you in the development of an investment strategy and guidelines, and source and monitor the right portfolio managers to keep your capital working for the benefit of the captive program

Working with Curi on a captive or alternative risk solution does not need to feel different from traditional MPL insurance. Our partners may choose to be as passive or active as they wish in designing and managing their program. By partnering with us, your practice gains immediate access to our economies of scale and considerable purchasing power with a variety of service providers, across the full scope of captive management and program maintenance, including additional elements such as commercial insurance, deductible financing, and more.

Curious to learn more?

Fill out the form below for more information on Curi Captive Solutions. Our team is here to work with you and your broker on creating the right solution for you.