The TMLT story
TMLT's founders created a company to provide the service and support Texas physicians deserved.

TMLT Board of Trustees 1979-1980
In 1979, TMLT was created by physician members of the Texas Medical Association to establish a source of affordable and stable malpractice insurance in Texas. Today, led by a Board of Trustees whose members are all physicians, TMLT sets the standard for coverage and service that is unmatched in Texas and in our industry.
The history of TMLT is a story of vision, creativity, dedication, and courage. The idea of forming a self-insurance trust led by physicians sprang from a handful of physicians and a young Austin attorney in the mid-1970s. They wanted to create their own company that would provide the kind of service and support Texas physicians deserved.
TMLT was successful from the beginning, as these same physician leaders recruited the right insurance professionals to lead the new company. Working together, the Board of Trustees and staff took TMLT from a fledgling start up with a handful of employees and a few hundred policyholders, to the leading writer of medical liability insurance in Texas. And TMLT is now expanding beyond Texas through its affiliate, Lone Star Alliance, RRG. We now cover more than 25,000 health care professionals.
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