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Directory · Surplus lines · Texas · January to September 2026

Who writes medical malpractice for other health facilities in surplus lines

The insurers that filed surplus lines premium for medical malpractice for other health facilities in Texas, ranked by premium, from the Surplus Lines Stamping Office of Texas.

63 surplus lines insurers wrote medical malpractice for other health facilities in Texas from January to September 2026. The largest: Underwriters at Lloyd's London, Admiral Insurance Company, Columbia Casualty Company, National Fire & Marine Ins Co, Coverys Specialty Insurance Co.

By Sam Alishahi, independent insurance broker · All surplus lines coverages

Ranked

Insurers by premium filed

Rank by surplus lines premium filed on this coverage; showing the top 60 of 63. Names as SLTX prints them; linked where the directory has a page.

RankInsurer
#1Underwriters at Lloyd's London
#2Admiral Insurance Company
#3Columbia Casualty Company
#4National Fire & Marine Ins Co
#5Coverys Specialty Insurance Co
#6Aspen Specialty Insurance Company
#7Professional Security Insurance Co
#8Sierra Specialty Insurance Company
#9Proassurance Specialty Insurance Co
#10Landmark American Insurance Company
#11Ironshore Specialty Insurance Co
#12General Star Indemnity Company
#13Hanover Atlantic Ins Co, Ltd, the
#14Arch Specialty Insurance Company
#15Illinois Union Insurance Company
#16Allied World Assurance Co (US) Inc
#17Kinsale Insurance Company
#18Tdc Specialty Insurance Company
#19Ismie Indemnity Company
#20MS Transverse Specialty Ins Co
#21United Specialty Insurance Company
#22Endurance American Specialty Ins Co
#23Berkshire Hathaway Intl Ins Limited
#24Mercer Insurance Company
#25Evanston Insurance Company
#26Everest Indemnity Insurance Co
#27Houston Specialty Insurance Co
#28Starstone Specialty Insurance Co
#29Hamilton Insurance DAC
#30Trisura Specialty Insurance Company
#31Clear Blue Specialty Ins Co
#32Hudson Excess Insurance Company
#33Vantage Risk Specialty Insurance Co
#34Fair American Select Insurance Co.
#35Chubb Custom Insurance Company
#36Allied World Surplus Lines Ins Co
#37Beazley Excess and Surplus Ins, Inc
#38Ategrity Specialty Ins Co
#39Dellwood Specialty Insurance Comp
#40Ascot Specialty Insurance Company
#41Capitol Specialty Ins Corporation
#42Hadron Specialty Insurance Company
#43Lexington Insurance Company
#44Houston Casualty Company
#45Liberty Surplus Insurance Corp
#46Hamilton Select Insurance Inc.
#47Dental Professional Specialty Risk
#48Palms Insurance Company Ltd
#49Zurich Insurance Company Ltd
#50Aix Specialty Insurance Company
#51AXIS Surplus Insurance Company
#52Convex Insurance UK Limited
#53Benchmark Specialty Ins Co
#54Scottsdale Insurance Company
#55James River Insurance Company
#56Great American Risk Solns Sl Ins Co
#57Navigators Specialty Insurance Co
#58Superior Specialty Ins Company
#59Fortegra Specialty Insurance Co
#60AXA XL Insurance Company UK Ltd

Source: SLTX Market Data Reports, "Coverage Totals by Insurer" (code 9220). Surplus lines insurers take risks the admitted market declines; most write nationally.

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