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Self Insured and Captive Insurance


Traditional Insurance
High Risk Providers and Surplus Market Insurance
Self-Insured and Captive Insurance


Self-Insured Insurance plans are about control. It's about retaining some of the risk to reduce your insurance costs and then deciding what to do with those savings.  The method to moving from a “first dollar/guaranteed cost” malpractice insurance policy to fully self-insured can be a daunting and treacherous task wrought with unnecessary costs and work. Fifth Avenue Services keeps the malpractice insurance process simple on your end.



We help establish self-insured programs.



Types of Self-Insurance Programs:

  • Deductibles
  • Risk Retention Groups
  • Rent a Captive
  • Pure Captive
  • Group Captive
  • Association Captives
  • Offshore Captives


Services Include:

  • Captive Management
    • Application and Licensure (Domestic, Foreign, Multi State)
    • Financial Management (Accounting, Reporting)
    • Regulatory Compliance (Tax Returns, Filings, Audits)
  • Policyholder Services
    • Underwriting
    • Billing
    • Policy Issuance
    • Marketing
    • Claims Handling
    • Risk Management Programs
  • Insurance and Reinsurance
    • Domestic
    • International
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Fifth Avenue Physician Services.
4111 S. Darlington Ave. Ste 1200 Tulsa, OK 74169 Office (918)392-7880 Fax (918)355-3439
108 E. 5th Street, Suite B Edmond, OK 73034 Office (405)285-5000 Fax (405)285-5010 Toll Free (800)460-2900