Captive Insurance for Healthcare Providers


Welcome to HRMR’s healthcare captives special report.

While captives are well established as a risk management strategy for healthcare organizations, they are constantly evolving, especially in the light of M&A activity sparked by the Affordable Care Act. In this report we explore the history and uses of healthcare captives, the ways in which the field has changed, and what the future holds.

Our experts offer advice on choosing a jurisdiction and setting up a captive, and how to utilise captives in the most cost effective way. We hope you find it informative and interesting.

Jenny White, editor


The evolution of a physician-owned captive

The Cooperative of American Physicians Insurance Company, domiciled in Hawaii in 2002, has proved its worth as a a long-term, stable alternative to the commercial marketplace. Sarah Pacini, CEO of the Cooperative of American Physicians, and Jason Flaxbeard, executive managing director of Beecher Carlson, outline its evolution.


Captives: breaking new ground

If dizzying healthcare changes have got you spinning, new captive uses can ground your risk strategies, writes Bruce Whitmore, senior consultant, Willis Towers Watson Global Captive and Healthcare practices.


The only constant is change

Being adaptive to change has helped the healthcare captive industry grow over the past 30+ years. Monique MacDonald, senior vice president, Global Captive Management, offers a look at the industry then and now, with a small glimpse into the future.


A growing field

As healthcare captives continue their steady growth, Jeffrey S. Kenneson, senior vice president, business development for R&Q Quest Management Services, explores the reasons for their popularity and the factors to consider when setting up a captive.


The perfect environment

With a track record of more than 40 years operating in the healthcare space, the Cayman Islands is the domicile of choice for many healthcare captives. HRMR explores how recent developments are affecting the captive market in Cayman.