About Us

About The River Agency

The River Agency is a wholly owned subsidiary of OMS National Insurance Company, RRG (OMSNIC). The agency was formed to offer OMSNIC malpractice coverage to multistate OMS groups and to OMS in states without a dedicated OMSNIC independent agent, including Alaska, Hawaii and Oregon.



The tradition of OMS working together has been part of OMSNIC’s DNA since our founding. In fact, the very formation of the company was the result of oral and maxillofacial surgeons coming together to confront a crisis. When a new crisis arrived in the form of a pandemic, OMSNIC partnered with AAOMS and OMS advisors to help OMS practices around the country survive the financial strains and safety challenges that were suddenly thrust upon us.

OMSNIC is the only professional liability insurance company owned by oral and maxillofacial surgeons where practicing colleagues represent your interests and advocate for the Specialty. As part of your OMS community, OMSNIC is committed to the safety and success of every OMS practice.


Endorsed by AAOMS, the professional organization representing the majority of OMS in the United States

Rated A (Excellent) by A.M. Best

Financial strength rated A (Excellent) by A.M. Best

99% of our policyholders
          renew each year

99% of our policyholders renew each year

More than 8 out of 10 OMS
          choose OMSNIC

More than 8 out of 10 OMS choose OMSNIC

94% of OMSNIC Claims That Go to Trial Have a Favorable Outcome

94% of OMSNIC claims that go to trial have a favorable outcome

99% Satisfaction Rating

99% satisfaction rating for our national panel of defense attorneys from OMSNIC policyholders with claims