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About American Excess Insurance Exchange

American Excess Insurance Exchange

Governance & Equity Ownership

100% policy holder owned


Financial, operational and data sharing

Versatile Products

Excess, umbrella, reinsurance, $60M of limit capacity


Litigation management, risk and quality, data and benchmarking

AEIX is proud to be the insurance partner of choice for 204 hospitals (including children specialty hospital medical centers), more than 3,400 facilities (including 70+ reference labs), and more than 15,000 employed physicians nation-wide. AEIX has distributed $331.2 million (32 percent of total written premium) back to the members, current and former, since 1990. This financial success is driven by a collaboration of high quality organizations committed to improving patient safety, transparency, and sharing of best practices. As an extension of the owners’ individual self-insurance programs, AEIX is achieving lowest costs through financial performance, operational efficiency, long-term stability and superior claim paying ability.

AEIX Corporate Structure and Ownership

American Excess Insurance Exchange, RRG (AEIX) is a Vermont-licensed, reciprocal risk retention group (RRG) which has provided coverage and consulting services to its members for 32 years. Strong governance and sharing of best practices are cornerstones of AEIX.  As a reciprocal, policyholders (insured members) of AEIX own and govern the company. Governance of AEIX is carried out by an executive board of directors and two sub-committee’s that convene separately three times per year. The executive board (SAC) is formed of CEO’s and executive officers from the member systems. AEIX has two advisory sub-committees, the Finance Advisory Committee (FAC) and the Insurance Advisory Committee (IAC) from the member systems. These committees oversee and make decisions on many aspects of AEIX including strategic planning, investment portfolio, policy management and future quality initiatives.  The collaborative and peer group nature of the committees create an environment of transparency, collaboration, and best practice sharing. Ownership provides financial equity, continued control of self-insurance strategies and fosters an environment of operational transparency and long-term partnership.  AEIX contracts with Premier Insurance Management Services for management of the reciprocal RRG.  

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