Frequently Asked Questions
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About Lone Star Claims Types of Coverage

About Lone Star FAQs
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What is Lone Star Alliance, RRG?

Lone Star Alliance (LSA) is a risk retention group and an affiliated company of Texas Medical Liability Trust (TMLT). It was established to provide medical liability and similar types of insurance to physicians, groups, health care facilities, and health care professionals in multiple states. LSA can meet the needs of TMLT’s new and existing policyholders by writing insurance for those who have operations in states other than Texas.

LSA is domiciled in Washington DC and began writing business in December 2013.

What is a risk retention group (RRG)?

An RRG is an alternative insurance entity created by the federal Liability Risk Retention Act (LRRA). RRGs must form as liability insurance companies under the laws of at least one state — its charter state or domicile. The policyholders of the RRG are also its owners. Membership must be limited to organizations or persons engaged in similar businesses or activities, thus being exposed to the same types of liability.

Does TMLT own LSA?

No. While LSA is affiliated with TMLT, as an RRG it is owned by its policyholders. TMLT — directly and through its subsidiaries — provides LSA with essential operational support. Such support includes financial and accounting services, information technology, underwriting, sales, marketing, claims handling, and risk management functions. These services are provided according to a management services agreement.

Where is LSA located?

LSA is domiciled in Washington DC, but our office is located in Austin, Texas.

What kind of policies does LSA offer?

LSA offers a full range of medical liability coverage options for individual and physician groups, and allied health care professionals. We offer claims-made (including prior acts or “nose coverage”) and occurrence policies at a variety of limits. Per-patient policies are also available. Policies may include cyber liability protection, regulatory actions protection, medical director coverage, and employment practices liability insurance.

Who can apply for coverage?

Any physician, group practice, allied health care professional, or health care entity located outside of Texas can apply for coverage with LSA.

If a practice located in multiple states applies for coverage, the Texas-based physicians may be insured through TMLT and the physicians based outside of Texas will be insured through LSA.

Do I have to become a member of the Texas Medical Association (TMA) to purchase coverage with LSA?

No. TMA membership does not apply to LSA. TMA membership remains a requirement for coverage with TMLT.

I am a TMLT policyholder. How do I continue coverage if I decide to leave Texas? Do I have to re-apply for coverage in LSA?

Because we will need information about your new practice, we will ask you to complete a short application. Please contact your underwriter at 800-580-8658.

What is the difference between LSA coverage and TMLT coverage?

The LSA policy mirrors the TMLT policy with the exception of state-specific requirements. LSA policies are flexible, and specific policy needs can be modified or endorsed.

Do I qualify for Trust Rewards in LSA?

TMLT Trust Rewards cannot be extended to LSA policyholders.

What happens to my Trust Rewards balance if I move to LSA?

Because LSA policyholders are not eligible for the TMLT Trust Rewards program, you will not receive additional Trust Rewards allocations while you are insured with LSA. However, your existing Trust Rewards balance will remain intact while you are with LSA and you will be eligible for payout distributions when a qualifying event occurs.

Does LSA offer dividends?

LSA does not have a dividend program at this time.

What discounts are available through LSA?

LSA rewards physicians for their patient safety efforts. The following premium discount opportunities are available in most states:

     - discounts for favorable claim experience;
     - group purchasing credits;
     - discounts for risk management participation;
     - discounts for new-to-practice physicians;
     - part-time discounts; and
     - discounts for completing an LSA CME course (up to 5% for two courses).

Does LSA offer CME?

Through our Risk Management Department, LSA offers home-study programs and online courses to help reduce liability risk.

Can I take a TMLT CME course and receive a discount for LSA?

No. You must take an LSA CME course to earn the discount.

Can I apply my TMLT practice review discount to my LSA policy?

No. Your TMLT practice review discount will not apply to your LSA policy.

Does the LSA claims philosophy align with TMLT’s claims philosophy?

Yes. Each claim is aggressively defended and we do not settle non-meritorious lawsuits. If a case requires a compromise settlement, our claims staff negotiates to obtain the best possible result. Additionally, we only hire experienced, specialized, medical malpractice defense attorneys to represent our policyholders.

Frequently Asked Questions‍

About Lone Star FAQs‍

Frequently Asked Questions
‍

About Lone Star FAQs
‍