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Welcome, ICMG Members. It was a pleasure connecting with you at the ICMG Annual Conference.

Legacy Re, a Georgia-domiciled captive reinsurance company specializing in health risk management for trade associations and large employers. We partner with A+ rated insurance carriers to deliver ERISA-compliant solutions that combine the financial strength of traditional insurance with the flexibility of modern self-funding models.

ICMG brings together senior leaders who understand that sustainable growth depends on disciplined structures, aligned partnerships, and long-term execution. Legacy Re exists to support exactly that — by providing the reinsurance foundation that allows innovative health benefit programs to scale responsibly.

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Why Legacy Re Engages in Industry Leadership Conversations

Legacy Re engages in industry forums where senior leaders are actively shaping the future of healthcare and benefits strategy.

In recent conversations with executives and partners — including those we met at ICMG — a consistent set of challenges has emerged: rising healthcare costs, increasing regulatory complexity, and growing pressure to move beyond traditional fully insured models without introducing unnecessary risk.

Legacy Re participates in these conversations to support what comes next:

Program execution

Risk stabilization

Regulatory confidence

Long-term sustainability


We don’t replace existing relationships. We strengthen them from behind the scenes.

Why Legacy Re Exists

The health benefits market is under increasing strain.

Trade associations and large employers face mounting challenges:

  • Premium volatility eroding budget predictability
  • Limited customization within fully insured plans
  • Barriers to transitioning into self-funded arrangements
  • ERISA and state-level compliance complexity
  • Difficulty recruiting and retaining agents for association programs
While alternative funding strategies offer opportunity, many initiatives stall due to unmanaged risk exposure or lack of reinsurance support.

Legacy Re was created to close that gap.

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What Legacy Re Does

Advanced Reinsurance for Health Risks

Legacy Re focuses exclusively on health-related reinsurance, providing the backbone that enables modern benefit structures, including:

Medical Reinsurance

Pharmacy Reinsurance

Ancillary Benefit Reinsurance

Specific and Aggregate Stop-Loss Protection



Our solutions support level-funded, partially self-insured, and captive-aligned programs, all structured to meet ERISA requirements while improving financial predictability.

Flexible Program Structures

Legacy Re supports a range of funding arrangements designed to meet diverse organizational needs:
  • Level-Funded Programs
  • Partially Self-Insured Arrangements
  • Fully Self-Funded Programs
  • Captive Structures for Sophisticated Buyers<
Each structure is tailored to balance flexibility, risk management, and compliance.

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Strategic Carrier Partnerships

Backed by A+ Rated Carriers

Legacy Re collaborates with top-tier insurance carriers to provide fronting services and quota-share arrangements, ensuring:

Financial security and regulatory credibility

Seamless policy issuance and administration

Reduced implementation friction

Confidence for distributors, advisors, and associations



These partnerships allow organizations to explore innovative strategies without sacrificing stability.

Our partners don’t just implement solutionsthey win more business because of them.

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Who We Serve

Trade Associations

Legacy Re specializes in supporting single trade association health plans built around industry-specific needs.

We enable:
  • ERISA-compliant association health arrangements
  • Industry-aligned benefit design
  • Agent-driven recruitment programs

Ideal for: Associations with 500+ potential members seeking to enhance member value through health benefits.


Large Employers

We support organizations seeking alternatives to fully insured health plans.

Ideal for: Employers with 100+ employees evaluating level-funded or self-funded strategies.

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Distributor & Advisor Advantage

Legacy Re is designed with partners in mind.

For Distributors and Advisors

Differentiated positioning beyond traditional renewals

Reinsurance-backed risk mitigation

ERISA-compliant structures

Streamlined execution and implementation support

For End Clients

Greater cost predictability

Customizable benefit design

Improved transparency and governance

Long-term program sustainability


How It Works

1. Confidential discussion
2. Feasibility and risk review
3. Program structuring
4. Underwriting and pricing
5. Coordinated implementation
6. Ongoing oversight

Typical timeline: 90–120 days.

Governance & Compliance

Legacy Re operates under a disciplined governance framework:

  • Georgia captive insurance regulations
  • ERISA Title I compliance
  • A+ rated carrier oversight
  • Independent actuarial and financial reviews
  • Ongoing compliance monitoring

Who This Is For — And Who It Isn’t

This Is For You If You Are:

  • Evaluating alternative health funding strategies
  • A distributor or advisor supporting association or large-group programs
  • Focused on long-term stability, not short-term arbitrage
This Is Not For You If You Are:
  • Seeking transactional stop-loss quotes
  • Focused solely on pricing without structure
  • Not involved in strategy or program execution

Choose Your Path

Both options lead to the same confidential intake.

Leadership Track — Strategy & Risk Alignment

For those evaluating funding models and long-term viability.

Partner Track — Distribution & Program Enablement

For distributors and advisors focused on execution and scale.

Take the Next Step

As part of the ICMG community, you’re invited to continue the conversation.

This is not a sales pitch — it’s a working discussion to determine whether Legacy Re is the right reinsurance partner for your organization or partner ecosystem.

Request a Strategic Conversation

Request a Strategic Conversation

This is not a sales pitch. It’s a working discussion to explore alignment across coverage, care, and infrastructure.

ADDRESS

4201 Spring Valley Road, Suite 1500
Dallas, Texas 75244