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Who's watching out for you

Who We Are

Total Captive Solutions, LLC,  a captive manager and third party administrator exclusively for medical malpractice captive insurance companies, understands the dynamics of the medical malpractice market that Med Mal RRG's and Captives face.   We believe that the medical malpractice insurance companies continue to be important for physicians seeking to take control of their malpractice coverage, despite the soft markets reported in some areas of the country.  We are uniquely positioned to successfully help our clients achieve their goals.


Our goal is to assist physicians in forming their own professional liability captive insurance company or risk retention group and offer them on-going cost effective administrative services, risk management and claims management.  Our clients have the following:

  • Access to our state of the art application and underwriting systems specifically designed for medical malpractice companies
  • Efficient customer service with their own account manager specialized in medical malpractice policy management who will be specifically trained for your company and will know your members and policy benefits inside and out
  • Experienced team of professionals who specialize in physician owned medical malpractice captives
  • Experienced risk management and claims management with a Medical Director assigned to each captive
  • Access to A-rated quality reinsurance programs

Our unique ability to manage medical malpractice captives and our successful track record makes us an invaluable partner in the captive market. We look forward to forming a mutually rewarding relationship.


Total Captive Solutions, a leading independent insurance management firm, provides captive insurance company formation and management services in Georgia, South Carolina , Kentucky, Delaware and Nevada.


Total Captive Solutions has worked with most forms of captives including single parent, group, association, and RRGs.

It has structured and managed captive programs for both medical malpractice and re-insurance.

Our regulatory experience includes working with insurance regulators in multiple domiciles and we interact with many of the State insurance departments throughout the U.S.

Our Approach

Total Captive Solutions is committed to being the premier captive manager experienced in medical malpractice, delivering the highest quality of service in the domiciles in which it operates. We operate as a single firm bringing consistency of service and our depth of expertise to any particular client situation regardless of domicile.


Total Captive Solutions provides the full range of value added services and technical expertise expected of a leading manager. Our strategic partners bring quality services to complement our own, such as actuarial, investment management, tax advice, risk management and re-insurance. We enjoy long relationships with our clients and specialize in creating, managing and growing captive solutions. Total Captive Solutions' services are provided throughout the captive lifecycle, including feasibility studies, formation, underwriting and loss control.


We pride ourselves on providing the highest quality service to our captive clients. This commitment to quality service is evidenced by the level of experienced personnel we employ.


Total Captive Solutions has a history of excellent client service, quality staff and innovation. We are market leaders in the creative design of alternative market programs, specific policy wordings and the use of captives and risk retention groups.

Total Captive Solutions structures its captive management teams to ensure the highest level of service delivery to clients.


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