Why work with us

Our close relationships with our clients and their brokers are underpinned by our depth of knowledge in the casualty classes we offer, the quality of our contract execution and our commitment to providing innovative products that deliver when needed.

Our product lines

We provide professional and general liability coverage either as insurance, or as facultative reinsurance, through open market placements, line slips, or by issuing binding authorities.

Acting in both lead and following roles, writing primary and/or excess layers, we work with:

Large well-established health systems in the US. These include:

  • Regional, specialist and community hospital systems, including several children’s hospitals;
  • Physician groups both inside and outside of the US;
  • Long-term care nursing homes and multi-state skilled nursing providers, through to single location assisted and independent living facilities; and
  • Allied health providers from; worldwide nurse staffing agencies, to single state radiology service providers.

Small hospital products

We have created two packaged insurance products specifically designed to meet the needs of small community hospitals and critical access hospitals. Whilst designed as easy-to-buy packages, both products also offer the flexibility to meet individual requirements.

Brokers can find us at Lloyd's: Box 250.

For more information about healthcare liability insurance from Barbican, contact:

Ondine Bourrut Lacouture

Ondine Bourrut Lacouture

Business Group Leader - Casualty Treaty, HPL & GL
work +44 (0)20 7082 1834
work cell +44 (0)75 8450 5013

Ondine joined Barbican in March 2011 and is business group leader for casualty treaty, HPL and GL.

Prior to joining the company, she was at Faraday Syndicate 435 where she wrote a lead book on US casualty reinsurance.

Ondine brings over fifteen years extensive experience of treaty underwriting to Barbican. After an MSc in insurance and risk management at CASS Business School, she joined Zurich Re in 1997 to train on the property side. In 1999, Ondine joined Alea in London and moved on to casualty, underwriting both treaty and binding authority business.

James Barrett

James Barrett

Underwriting Manager - Healthcare Liability
work +44 (0)20 7082 2556

James joined Barbican in 2018 and is underwriting manager for healthcare.

Prior to joining Barbican, James was a senior healthcare underwriter and vice president at Swiss Re, having joined the firm in 2011. Prior to that, he worked at Chaucer Syndicates in the institutional healthcare liability team.

Barrett is FCII and CPCU qualified.

Amy Musto

Amy Musto

Assistant Underwriter - Healthcare Liability
work +44 (0)20 7082 1892

Amy joined Barbican in November 2012 and is assistant underwriter for healthcare.

Prior to joining Barbican, Amy worked for insurance auditing firm GPA Consulting.

Amy is Cert CII qualified.

Barbican at the Box

BOX 250 T: +44 (0) 20 7327 8292/8212

View availability

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