Chatham Insurance Services (Chatham), a division of DOXA, announced the launch of aggregate excess of loss coverage for value-based care providers.
The new coverage helps address claim volatility across aggregate patient panels. It is written through United States Fire Insurance Company, rated A+ (Superior) by AM Best in 2025. United States Fire Insurance Company operates under the Crum & Forster (C&F) registered trademark.
Providers in value-based care arrangements face growing financial uncertainty. Claim volatility and unclear benchmarking often sit outside their control.
“Aggregate excess of loss is a targeted solution for these challenges,” said Josh Brickell, executive vice president, excess of loss – aggregate, at Chatham. “Coverage directly aligns with shared savings and losses that affect financial performance.”
As a result, organizations gain greater predictability and can also remain focused on patient outcomes and long-term savings.
“By protecting against aggregate losses or guaranteeing shared savings, ACOs can stay focused on delivering high-quality care,” Brickell said.
Chatham is one of the largest independent management liability insurance program managers in the managed care industry. Its offerings include managed care, errors and omissions, cyber, directors and officers, employment practices liability, crime, fiduciary, identity fraud, and kidnap and ransom coverage.
In 2024, Chatham expanded its platform using DOXA’s program development capabilities. That effort led to the launch of its specific excess of loss division.
With this latest addition, Chatham now offers a full spectrum of excess of loss solutions. Few providers in the managed care market offer comparable breadth.
The aggregate excess of loss program supports provider groups engaged in value-based care. Eligible organizations include:
- Accountable care organizations participating in CMS shared savings programs
- Providers contracting with commercial payers
The coverage delivers stability for uncontrollable risks. It also offers cost-effective options tailored to each client’s risk tolerance.
Chatham applies a data-driven underwriting approach. The program is supported by a dedicated team of aggregate excess of loss specialists.
“Crum & Forster is pleased to partner with Chatham on this offering,” said Tanya Arrowsmith, senior vice president, Accident & Health Division, Medical Business Unit, at Crum & Forster.
“Claims volatility can strain financial performance and complicate compliance,” Arrowsmith said. “This coverage helps organizations manage costs, mitigate risk, and adapt to change.”
She added that the partnership strengthens solutions for managed care insureds and their brokers. Also, clients receive personalized service, including timely, industry-leading claims support.
Chatham’s aggregate excess of loss coverage is now available. Agents and brokers working with ACOs or value-based care providers may contact Josh Brickell at Josh.Brickell@chathamins.com.
About DOXA
DOXA is an award-winning specialty insurance platform that acquires and grows niche-market focused insurance program administrators, underwriting and program distribution companies, including MGAs, MGUs, Brokers, and Direct to Consumer operators. The company delivers centralized sales, marketing, underwriting, and operational support services to help companies maximize their growth potential. DOXA offers hundreds of custom specialty insurance programs to support over 20k agent-broker relationships in all 50 states. For information, visit www.DOXA.com.
ABOUT CHATHAM INSURANCE SERVICES
Founded in 2002, Chatham Insurance Services is one of the largest independent Management Liability Insurance Program Managers serving the Managed Care Industry. While Chatham began its operations in 2002, the management team of Chatham has been working in the Managed Care Industry underwriting these product lines since 1997. The Chatham underwriting team brings almost 100 years of combined Professional Liability experience and product line expertise to each account underwritten at Chatham. They are focused on and solely committed to the Managed Care Industry.
Chatham Insurance Services is a division of DOXA Programs, LLC, an Indiana limited liability company (d/b/a DOXA Programs Insurance Services in the State of California, License #6012212).
CONTRACTUAL RELATIONSHIP
Products are offered through a contractual relationship between United States Fire Insurance Company, operating under the registered trademark of Crum & Forster, and DOXA Programs, LLC.
The C&F logo, C&F and Crum & Forster are registered trademarks of United States Fire Insurance Company.