What Is a Risk Retention Group? A Guide for Long-Term Care Providers
Risk Retention Groups: A Smarter Approach to Liability Insurance
In an unpredictable insurance marketplace, senior care providers seeking liability insurance are often left with limited options. Traditional carriers continue to raise premiums while narrowing coverage, creating a growing gap between the protection facilities need and what they can realistically afford.
As the demands of long-term care evolve, it’s clear that the traditional liability insurance model isn’t built for sustainability or for the level of control operators deserve.
By uniting providers with shared goals and similar risks, risk retention groups (RRGs) give members the power to create solutions that work for their specific needs and facilities. Risk retention groups are not just an alternative to traditional insurance—they’re an innovative solution to how liability coverage can function in a specialized, high-stakes field like long-term care.
At Future Care Risk Retention Group (RRG), we believe insurance should do more than protect against loss. It should be a catalyst for stability, growth, and improved quality of care.
Through our member-owned model, we align directly with the mission of senior care providers: protecting residents, strengthening operations, and securing the long-term future of care delivery.
When your insurer is your partner—and not just your provider—you gain the confidence to focus on what matters most: your team, your residents, and your mission.
What Is a Risk Retention Group (RRG)?
Created under the Liability Risk Retention Act (LRRA), a risk retention group is a liability insurance company that is owned and governed by its members. Risk retention group members are organizations that share similar risks and operate in the same industry, such as senior care.
RRGs can provide insurance across state lines with streamlined regulatory oversight compared to traditional insurance companies. Instead of relying on a traditional insurer to make decisions, RRG members have a direct say in how their coverage is structured, priced, and managed.
The Benefits of a Risk Retention Group for Long-Term Care Providers
For many long-term care and senior care providers, joining a risk retention group offers more than just a new liability insurance option—it represents a shift in control, purpose, and long-term value.
1. Greater Control and Flexibility
Members collectively govern the group, shaping coverage and policies around their industry’s unique needs rather than the priorities of traditional carriers.
2. Financial Stability and Predictability
Because RRGs are member-owned, profits can be used to strengthen reserves, reduce premiums, or return value to members—helping stabilize long-term insurance costs.
3. Industry-Specific Expertise
An RRG formed around and led by experts in long-term care understands its members’ environment, regulations, and claims patterns, allowing for targeted risk management and faster support.
4. Collaboration and Shared Learning
Members benefit from shared data, insights, and best practices that lead to smarter operational and clinical improvements across the network.
5. Aligned Incentives
Unlike traditional insurance carriers, an RRG’s success is tied directly to its members’ success—creating true partnership and accountability.
How a Risk Retention Group Works: A Member-Owned Model Based on Shared Values
RRGs are unique in that they are owned and governed by the very individuals and organizations they insure. This means that policyholders aren’t passive participants—they are active stakeholders with a voice in how the group operates, invests, and manages claims.
This like-minded, member-owned structure fosters trust, transparency, and collaboration. Every decision—from underwriting and loss control to claims handling—is made with the members’ collective interests in mind, not outside shareholders. The result is a model where performance and protection move hand in hand.
Because RRGs operate under the oversight of their domiciliary state, they can write policies in multiple states without needing to be licensed in each one—offering nationwide flexibility.
Why RRGs Are a Better Solution for Long-Term Care Facilities: Making Your Insurance Work for You
Senior care and long-term care operators face unique challenges: complex regulatory oversight, evolving clinical risks, and increasing litigation. Traditional insurers often lack the specialized insight or flexibility to respond to these pressures. Traditional insurance can also feel transactional—premiums go out, and policyholders hope coverage responds when needed.
In contrast, a member-owned risk retention group model like Future Care RRG is designed to protect long-term care facilities with customized liability coverage, proactive risk management, and claims strategies that promote long-term stability. An RRG creates a cycle of reinvestment: member premiums fuel not just claims payments, but education, data analytics, and risk management programs that reduce losses and strengthen operations.
The dollars invested through an RRG circulate back into initiatives that improve member performance, expand coverage capabilities, and stabilize the long-term cost of risk. In doing so, members gain not only financial protection but also measurable operational value.
The Future Care RRG Difference: Built by and for Senior Care Providers
Future Care RRG was founded by leaders in senior care who recognized the need for an insurance solution built around providers’ priorities, not the marketplace’s.
We understand the complexities of liability and risk management in long-term care and have created solutions that empower providers to stay protected and resilient in a rapidly changing industry.
As a member-driven insurer, Future Care RRG delivers far more than traditional coverage. Here’s how our approach translates the RRG model into measurable value for our members:
Comprehensive Liability Coverage tailored for long-term care facilities, including Professional Liability, General Liability, and Employee Benefits Liability.
Collaborative Risk Management through proactive programs and clinical partnerships that enhance operational safety and quality of care.
Claims Support You Can Trust, backed by our partnership with Pendulum Claims Management, ensuring experienced guidance and responsive resolution.
Financial Strength supported by reinsurance partners rated “A” by AM Best and a Financial Stability Rating (FSR) of “A, Exceptional” by Demotech, Inc.
Through these advantages, our members benefit from the coverage, control, and collaboration that define the Future Care RRG experience.
Learn more about The Future Care Advantage and how our innovative solutions help members thrive.
Is a Risk Retention Group Right for You?
If you’re a long-term care or senior care provider looking for liability insurance with greater control, financial stability, and a partner that understands your challenges, a risk retention group could be the right fit.
Ask yourself:
Are rising premiums and limited coverage options impacting your operations?
Do you want more transparency and input in how your insurance program is managed?
Would you benefit from a collaborative network that shares your goals and risks?
If so, explore how Future Care RRG can help you gain the stability and protection you deserve.
Start by submitting a Quick Indication Form to receive a personalized overview of coverage options tailored to your organization.
You can also learn more about our story and member-first mission on our About Future Care RRG page.
Final Thoughts: A Partnership for Sustainable Long-Term Care Success
At its core, an RRG is about partnership and accountability. Members share in the outcomes of their collective performance—benefiting directly from sound risk management and shared best practices. This alignment encourages proactive engagement, fosters a culture of prevention, and builds enduring financial strength.
By joining forces within a risk retention group, organizations take ownership of their destiny—transforming insurance from a static expense into a strategic advantage. It’s not just about protecting against loss; it’s about building an ecosystem where insurance becomes a driver of growth, confidence, and operational success.
Through the risk retention group model, Future Care RRG helps long-term care facilities and senior care providers protect what matters most: their residents, their staff, and their reputation.
Ready to Explore a Better Liability Insurance Solution?
Submit a Quick Indication Form to receive a tailored coverage overview for your senior care facility.
This blog was written by Future Care Risk Retention Group (RRG). Future Care RRG provides Professional Liability, General Liability, Employee Benefit Liability, and supplemental coverages for senior care providers nationwide.