Established in 1974, Medical Excess is a medical underwriting company that provides a variety of medical risk management solutions for educational institutions, government entities, and medium and large employers. It specializes in insurance and reinsurance risks associated with employer medical stop loss and transplant carve out exposures. The company offers claims administration, risk analysis, premium collection, documentation, desk auditing, data management, accounting and reporting services. It additionally provides resource identification, program development, broker support, evaluation and consulting solutions. The company is a part of American International Group, which is one of the leading insurance and financial services organizations in the world with operations in more than 130 countries worldwide. Medical Excess maintains one of its locations in Indianapolis.