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THIE focuses on insurance so you can focus on care.

Insuring hospitals is the Texas Hospital Insurance Exchange’s specialty. A reciprocal exchange, owned by its subscribers, THIE provides a comprehensive range of affordable business insurance products and services for Texas hospitals. By focusing on a single industry, THIE brings unmatched expertise and insight into the needs and challenges Texas hospitals face. THIE has been meeting the insurance needs of Texas hospitals for more than 40 years.

THIE consistently is ranked as one of the top Central Texas-based property and casualty insurance companies with consistently high ratings from A.M. Best Company. With more than 40 years experience in this industry, no one understands or provides for the unique insurance needs of Texas hospitals better than THIE.

THIE 2016 Annual Report

The THIE Difference.

At THIE, our focus is on rural Texas hospitals – not Wall Street investors.

Unlike insurance companies interested only in making a profit, THIE is a reciprocal exchange --meaning THIE subscribers share ownership and have a vested interest in its success.

Subscribers share profits and losses in the same proportion as the amount of insurance purchased from the exchange by that subscriber.

In addition to our subscriber-oriented philosophy, our strength, stability, and service make THIE the best choice for your hospital. Learn more in the THIE 2016 Annual Report.


Meet the hospital leaders who direct THIE's vision.