List of CRNA Malpractice Insurance Providers (Compared)

Home / CRNA Insurance / List of CRNA Malpractice Insurance Providers (Compared) / Last Updated April, 2026
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Professional liability coverage for CRNAs is offered through a mix of CRNA-specific programs, direct-to-consumer platforms, brokers, and large malpractice carriers. Some organizations administer or market policies, while others are the actual insurers assuming risk. The cards below use the same comparison fields so you can scan differences quickly. Coverage terms, pricing, and availability vary by state and underwriting.

AANA Insurance Services (often underwritten by MedPro Group)

CRNA context
Often selected when facilities or anesthesia groups expect coverage aligned with AANA-endorsed program structures rather than generic individual nurse policies.
Coverage type
Claims-made and occurrence options (varies)
Consent to settle
Often available (policy-specific)
License defense
Varies by policy and endorsements
Tail / prior acts
Varies; confirm tail terms or prior acts continuity
Portability
Good for transitions; confirm multi-state and multi-facility details
Best fit
W-2, PRN, and 1099 CRNAs who want CRNA-focused program structure
How CRNAs access it
CRNA association-linked program enrollment
  • Best for: CRNAs who want coverage structured around anesthesia practice patterns.
  • Watch for: Confirm required limits, additional insured language, and whether tail or prior acts are addressed during job changes.

MedPro Group

CRNA context
Commonly encountered inside anesthesia group or employer programs where the CRNA does not directly control tail purchase or policy termination timing.
Coverage type
Primarily claims-made; occurrence options may exist by program/state
Consent to settle
Varies by form and program
License defense
Varies; confirm what is included versus optional
Tail / prior acts
Tail and prior acts options exist; confirm eligibility and timing
Portability
Good within coordinated programs; confirm how transitions are handled
Best fit
CRNAs prioritizing carrier scale, claims infrastructure, and long-term stability
How CRNAs access it
Often through programs, brokers, or group arrangements
  • Best for: CRNAs who value a large, established malpractice carrier with deep healthcare claims experience.
  • Watch for: If coverage is claims-made, verify tail or prior acts strategy before leaving a role or switching carriers.

The Doctors Company

CRNA context
Frequently used in long-term group or system relationships where continuity with a single carrier matters more than short-term portability.
Coverage type
Primarily claims-made
Consent to settle
Policy-specific; confirm terms
License defense
Varies by policy and state; confirm administrative coverage
Tail / prior acts
Tail and prior acts options available; confirm requirements
Portability
Good for multi-year continuity; confirm state availability
Best fit
CRNAs focused on long-term carrier stability and claims experience
How CRNAs access it
Carrier-direct and broker channel, depending on region
  • Best for: CRNAs who want a well-established malpractice insurer with a long track record.
  • Watch for: Claims-made structure makes tail and prior acts coordination essential during transitions.

Nurses Service Organization (NSO)

CRNA context
Most often purchased as supplemental individual coverage and commonly misunderstood as replacing employer-provided malpractice in W-2 roles.
Coverage type
Individual nurse professional liability (varies)
Consent to settle
Varies by policy; confirm terms for CRNA practice
License defense
Often included (policy-specific)
Tail / prior acts
Varies; confirm if policy is claims-made and how tail works
Portability
Strong for individual coverage; confirm state footprint and scope
Best fit
CRNAs who want straightforward individual coverage with common add-ons
How CRNAs access it
Direct online purchase
  • Best for: CRNAs who want simple enrollment and commonly available license defense features.
  • Watch for: Confirm limits, covered settings, and whether the policy aligns with contract and facility requirements.

CM&F Group

CRNA context
Often chosen by PRN, travel, or locums CRNAs who want a policy that follows them between facilities rather than resetting with each contract.
Coverage type
Individual professional liability (varies)
Consent to settle
Varies by policy; confirm terms
License defense
Often available (policy-specific)
Tail / prior acts
Varies; confirm claims-made details and transition options
Portability
Often positioned for mobile clinicians; verify multi-state details
Best fit
Travel, PRN, and 1099 CRNAs who want continuity between assignments
How CRNAs access it
Online purchase and broker pathways (varies)
  • Best for: CRNAs moving between facilities who want individual coverage that follows them.
  • Watch for: Confirm covered states, covered facilities, and any exclusions tied to specific settings or procedures.

Berxi (Berkshire Hathaway)

CRNA context
Typically selected when CRNAs need fast proof of individual coverage with minimal customization rather than group-aligned policy structures.
Coverage type
Individual professional liability (varies)
Consent to settle
Often available (policy-specific)
License defense
Varies by policy
Tail / prior acts
Varies; confirm if claims-made
Portability
Good for individual coverage; confirm state footprint
Best fit
CRNAs who want streamlined enrollment and clear pricing
How CRNAs access it
Direct-to-consumer online
  • Best for: CRNAs who prefer an online-first process and transparent quoting.
  • Watch for: Verify endorsements, limits, and any contract-specific requirements before binding.

Coverys

CRNA context
Common in hospital-employed models where the carrier relationship is driven by the health system rather than the individual CRNA.
Coverage type
Primarily claims-made; structure varies by program
Consent to settle
Varies by policy form
License defense
Varies; confirm administrative coverage options
Tail / prior acts
Tail options available; confirm whether tail is required on exit
Portability
Good within established arrangements; confirm state and setting scope
Best fit
CRNAs in hospital-employed or group-based models seeking established carrier backing
How CRNAs access it
Often via brokers, groups, or employer arrangements
  • Best for: CRNAs who want an established malpractice carrier often used in institutional settings.
  • Watch for: Confirm defense costs, consent-to-settle terms, and tail handling when leaving a group or facility.

ProAssurance

CRNA context
Frequently appears through broker-placed group arrangements rather than direct CRNA enrollment, limiting individual negotiation flexibility.
Coverage type
Claims-made common; availability varies by region
Consent to settle
Policy-specific
License defense
Varies by policy; confirm scope
Tail / prior acts
Tail and prior acts options may be available; confirm details
Portability
Good for stable placements; confirm multi-state needs
Best fit
CRNAs encountering broker-placed coverage through groups or systems
How CRNAs access it
Often through brokers and group arrangements
  • Best for: CRNAs who need a carrier option available through brokered placements.
  • Watch for: Confirm policy form, limits, and how tail or prior acts coverage is managed during transitions.

ISMIE Mutual Insurance Company

CRNA context
Most relevant in regions where ISMIE dominates institutional malpractice placements, making carrier choice geography-dependent.
Coverage type
Claims-made common; regional availability
Consent to settle
Varies by policy and jurisdiction
License defense
Varies; confirm administrative coverage features
Tail / prior acts
Tail options exist; confirm requirements
Portability
Best for clinicians practicing within covered regions
Best fit
CRNAs practicing in regions where ISMIE is commonly used
How CRNAs access it
Often through regional brokers or facility arrangements
  • Best for: CRNAs in states/regions where ISMIE has an established presence.
  • Watch for: Confirm state availability and whether coverage extends across multiple facilities or assignments.

COPIC

CRNA context
Often tied to specific hospital systems or regional groups, which can affect tail obligations when leaving a facility.
Coverage type
Primarily claims-made; regional emphasis
Consent to settle
Varies by policy form
License defense
Varies; confirm board/administrative coverage
Tail / prior acts
Tail options available; confirm retirement and exit provisions
Portability
Best in regional footprint; confirm multi-state needs
Best fit
CRNAs practicing in regions where COPIC is commonly used by systems and groups
How CRNAs access it
Often through employer or broker placements
  • Best for: CRNAs working in markets where COPIC is a common institutional carrier.
  • Watch for: Confirm tail requirements and how coverage responds when leaving a facility or group.

Admiral Insurance Company

CRNA context
Typically appears in non-standard or layered placements when risks fall outside traditional admitted malpractice programs.
Coverage type
Specialty / excess and surplus placements (varies)
Consent to settle
Varies by policy and placement
License defense
Varies; confirm what is included in specialty forms
Tail / prior acts
Varies by claims-made structure and placement terms
Portability
Placement-dependent; confirm covered entities and locations
Best fit
CRNAs encountering non-standard placements through brokers
How CRNAs access it
Brokered placements
  • Best for: CRNAs who need specialty coverage placements not available through standard channels.
  • Watch for: Specialty forms can vary widely; verify exclusions, limits, and defense cost treatment.

Hudson Insurance Group

CRNA context
Most commonly seen as excess or specialty coverage within broker-structured programs rather than primary standalone malpractice.
Coverage type
Specialty insurer; placement varies by broker/program
Consent to settle
Varies by policy form
License defense
Varies; confirm administrative coverage options
Tail / prior acts
Varies; confirm claims-made terms if applicable
Portability
Placement-dependent; confirm covered states and settings
Best fit
CRNAs encountering layered, excess, or specialty malpractice structures
How CRNAs access it
Brokered placements
  • Best for: CRNAs who see Hudson appear in brokered malpractice programs.
  • Watch for: Confirm whether this is primary or excess coverage and how defense costs apply.

Great American Insurance Group

CRNA context
Often encountered as the underwriting entity behind brokered or group malpractice programs rather than a CRNA-selected retail policy.
Coverage type
Specialty carrier group; underwriting varies by subsidiary and placement
Consent to settle
Varies by policy form
License defense
Varies; confirm scope for administrative matters
Tail / prior acts
Varies; confirm claims-made requirements and options
Portability
Placement-dependent; verify states and facilities
Best fit
CRNAs encountering brokered or group-arranged malpractice programs
How CRNAs access it
Brokers and group arrangements
  • Best for: CRNAs who need access to specialty market options through brokers.
  • Watch for: Confirm underwriting entity, exclusions, and how limits and defense costs are applied.

Provider descriptions are for general educational purposes only and do not constitute endorsements. Policy terms, pricing, limits, and availability vary by state and underwriting. CRNAs should review policy details carefully and confirm coverage features before purchasing.

Reviewed by Kelley Nichols, CRNA

Co-Founder of TheCRNA.com, with over two decades of experience in critical care and anesthesia practice, actively working as a CRNA and providing clinical oversight across TheCRNA.com.

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