IOA Re has operated in the insurance/reinsurance marketplace as a Managing General Underwriter since the early days in the late 1940s.

Company Details

Throughout this time, our organization has seen many market cycles and has continued to stay focused on our “Mission” to be the recognized leader in the reinsurance industry for creative, innovative and profitable underwriting and services to our clients, while challenging ourselves to meet the highest standards of integrity, quality, professionalism and performance. We will provide an environment for our employees which fosters and rewards creativity, growth and achievement.


Choosing to self-fund an employee benefit plan is a serious and complicated matter; a decision which should not be taken lightly. Many factors must be considered in order to structure a self-funded plan properly so that it is in harmony with the philosophy of the employer, while meeting the needs of the plan members - what benefits will be offered, plan exclusions, cost sharing between the employer and employees and eligibility criteria, to name but a few. However, all of the hard work and great ideas which went into the design of the benefit plan can be lost if the financial viability of the self-funded plan is not indemnified against the impact of catastrophic claims. This is the purpose of stop loss insurance. Just as the need for stop loss is critical to maintaining the financial viability of a self-funded plan, so too is the selection of the entity providing you with the stop loss policy.

Why IOA Re…?

Stability… The market for medical stop loss coverage has experienced substantial turmoil over its relatively brief history. A great many firms on the supply side of stop loss (carriers, reinsurers and managing general underwriters) which were active in the market during the 1990s are no longer in the business today. IOA Re has been underwriting medical stop loss for 28 years, making it one of the oldest managing general underwriters in the business today.

Strength… In exchange for the premiums you pay to a stop loss carrier, you receive a promise – the promise to pay claims once they reach a predetermined amount. Shouldn’t the ability of the carrier to fulfill this obligation be of the utmost concern? We, at IOA Re, believe it should be and, therefore, only represents carriers which have been rated “A” or higher by A.M. Best Company.

Currently, IOA Re underwrites on behalf of the following carriers:

Experience… IOA Re’s stop loss team is led by Charles (a.k.a. Chuck) Place. Mr. Place has more than 38 years of insurance industry experience in a variety of roles in underwriting and rate development. Mr. Place has acted as Director of Underwriting, developed underwriting and pricing manuals, structured reinsurance arrangements for all forms of accident and health insurance and is responsible for the continued profitability of significant blocs of insurance and reinsurance business. Prior to joining IOA Re in 1985, Mr. Place had various levels of underwriting responsibility at INA, CNA and CIGNA.

In order to bring underwriting expertise closer to its customers, IOA Re has organized its medical stop loss division into three regional offices. Each regional office is run by a Vice President of Underwriting with a proven record of solving our clients’ most complex needs while producing a profit for our carriers. Please reference the “office locations” link above for specific contact information.



Buyers and brokers of workers’ compensation reinsurance are looking for ways to soften the potential spikes in underwriting result losses due to catastrophic claims which have time and time again devastated insurance companies writing this line of business.

It is our intent to innovate and offer products which are competitive in the Workers’ Compensation Reinsurance market and to establish long-lasting relationships with both clients and producers of this business.

Why IOA Re…?

Stability… IOA Re has been operating and underwriting Workers’ Compensation and Special Risks for more than 50 years. In the mid-1940s, IOA Re petitioned Lloyds’ Underwriters and secured a personal accident binding authority that remained in place for over 50 years. This is just one example of IOA Re’s ability to operate in varying market conditions and trends.

Strength… Workers’ Compensation reinsurance is designed to protect insurers from catastrophic claims which would adversely affect their company’s loss ratios and balance sheet. With this in mind, IOA Re is committed to offering innovative solutions to the Workers’ Compensation reinsurance market.

Currently, IOA Re underwrites on behalf of the following carriers:

 Experience… IOA Re’s Workers’ Compensation team is led by Jeff Circuit, who has been working in the Workers’ Compensation marketplace for the last 15 years and has 17 years of total experience in the industry. Direct access to an experienced team is one of the benefits of working with IOA Re.

Location: East Norriton,, PA, United States

Types of Insurance

Employee Benefit Trusts:

  • Stop-Loss Insurance Services
  • HMO Excess Reinsurance
  • Provider Excess Loss

Self-Insured Workers Compensation (USA):

  • Stop-Loss Insurance Services