Insurance Coverage You Deserve, from the Insurance Company You Own

For almost 50 years, THIE has specialized in providing a comprehensive range of affordable insurance products, such as workers’ compensation, MPL, and risk management services, to healthcare organizations. With a singular focus on the healthcare industry, THIE offers unmatched expertise, insight, and a deep understanding of the unique challenges faced by healthcare facilities.

THIE’s solutions extend across the healthcare spectrum, from hospitals and home healthcare agencies to management companies and beyond. As we’ve grown, our services have expanded beyond rural care to meet the diverse needs of all healthcare organizations across Texas.

In 2017, THIE embraced new opportunities to evolve alongside the changing healthcare landscape. Building on our success in Texas, we expanded into Oklahoma and Arkansas, bringing much-needed insurance solutions to healthcare facilities in neighboring states.

The THIE Difference

At THIE, our focus is on healthcare entities.

Unlike insurance companies only interested in making a profit, THIE is a reciprocal exchange — meaning THIE subscribers share ownership and have a vested interest in its success.

When THIE profits, we distribute the surplus back to our subscribers. Each year, through our popular subscriber surplus refund program, we can distribute surplus refunds to our subscribers.

Since 2011, THIE has returned over $9 million to our subscribers.

Our History

1975-1976

Created as a reciprocal exchange.
First Hospital signed providing Medical Professional Liability Coverage

1976-1980

Added Workers’ Compensation and General liability products to our line of services

1993

Addition of Risk Management services

1995

Added Commercial Automobile coverage to our line of services

2002

THIE’s first Hot Topics

2010

Tess Frazier named CEO; Restructure of Management Team

2011

Development of our popular Surplus Refund Plan

2018

Growth into Oklahoma

2020

Covid-19 Relief: THIE approves $1 million in surplus distribution to active subscribers

2021

Expansion into Arkansas

2025

Celebrating 50 years!

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