About TMIC

Texas Medical Insurance Company (TMIC) was founded in 1995 as a wholly owned subsidiary of Texas Medical Liability Trust. Licensed and regulated by the Texas Department of Insurance, TMIC offers professional medical liability insurance to allied health care professionals.

Coverage is available for:

  • Nurses — RNs, nurse midwives, advanced practice nurses
  • CRNAs/nurse anesthetists
  • Physician assistants
  • Paramedics/EMTs
  • Pharmacists
  • Optometrists/opticians
  • Psychologists
  • Chiropractors
  • Podiatrists
  • Technicians
  • Technologists
  • Therapists
  • Surgical assistants

Claim Management

We employ a team of experienced claim professionals and attorneys who specialize in the defense of medical liability claims and regulatory actions. When you need us most, our claim staff and attorneys will defend your career and reputation.

  • In most instances, we do not settle a claim without consent.
  • We will aggressively defend non-meritorious claims.
  • Our claim staff attend mediations and trials.
  • On-call, 24-hour claim reporting is available.

Report a claim

The claim process

Partner Companies

TMLT Logo    

Texas Medical Liability Trust

In 1979, the Texas Medical Association established TMLT to provide affordable, reliable coverage against medical liability claims for its members. TMLT is not an insurance company, but a self-insured trust led by a Board of Governors who are elected by TMLT policyholders. TMLT now has more than 20,000 policyholders and covers more Texas physicians than our five largest competitors combined.

LSA Logo    

Lone Star Alliance

Lone Star Alliance, Inc., a risk retention group provides medical professional liability insurance to physicians, dentists, allied health care professionals, and groups nationwide. LSA is operated by TMLT for management and administrative services and is reinsured by TMIC.

LSA Logo    

Agency partners

TMIC works with a number of preferred agents for those who want work with an agent to obtain coverage.


Mailing Address

PO Box 160140

Austin, Texas 78716-0140


Physical Address

901 S. Mopac Expy

Barton Oaks Plaza V Suite 500

Austin, Texas 78746-5942


Our business hours are

8 a.m. - 5 p.m.

Monday - Friday.





Claim Operations Fax



Please report any fraudulent activities or suspected fraudulent activities to or to 800-580-8658.