About Us2024-03-27T15:02:49-05:00


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Sapphire Blue is a Managing General Underwriter offering professional and general liability coverage for a wide variety of healthcare facilities, with a strong focus in senior living. Our mission is to find the best senior living facilities and provide them with superior liability protection at a highly competitive price. We deliver industry expertise, market knowledge and creative solutions that address the unique risks facing the growing U.S. healthcare industry.

Nancy McMahon
President & CEO

NANCY MCMAHON is President and CEO of Sapphire Blue, part of Ryan Specialty Underwriting Managers’ Healthcare and Life Sciences Division. Sapphire Blue specializes in medical professional liability with a focus on the long term care industry.

In 2001, Nancy became a founding member of Sapphire Blue, LLC, a managing general underwriter specializing in long term care. Prior to that, Nancy joined Professional Underwriters Corporation to become Director of Medical Professional Liability and was responsible for launching a new long term care program with Lloyd’s of London. In 1997 Nancy joined CNA as a Senior Underwriter for CNA Healthpro, underwriting all classes of medical professional liability.

Nancy began her insurance career 24 years ago as a reinsurance technician with Alexander and Alexander. Later, she was a broker with Avreco.


Erin Federau, J.D.

ERIN FEDERAU is an Underwriter at Sapphire Blue, part of Ryan Specialty Underwriting Managers’ Healthcare and Life Sciences Division. Sapphire Blue specializes in medical professional liability with a focus on the senior living industry. Erin joined Sapphire Blue in September, 2016 to focus on underwriting senior living business.

Prior to joining Sapphire Blue, Erin was Assistant Vice President with Highland Risk Services, Inc. where she started as an Executive Account Manager. Throughout her tenure there, she counseled agents on alternative risk transfer placements, negotiated terms and conditions for risk transfer business and built a book of Professional and Cyber Lability business for senior living accounts. Prior to that, Erin held various legal positions.

Erin graduated with a Bachelor of Arts in Criminal Justice from Olivet College and a Juris Doctorate from Michigan State University.

rsgSapphire Blue is a part of the Ryan Specialty family. Ryan Specialty is a service provider of specialty products and solutions for insurance brokers, agents and carriers. Ryan Specialty provides distribution, underwriting, product development, administration and risk management services by acting as a managing underwriter and a wholesale broker. Ryan Specialty’s mission is to provide industry-leading innovative specialty insurance solutions for insurance brokers, agents and carriers. ryansg.com (NYSE:RYAN)

Ryan Specialty was founded in 2010 by Patrick G. Ryan, the widely respected insurance veteran, founder and former Chairman and CEO of Aon Corporation. Mr. Ryan saw the need in the marketplace for a specialty organization dedicated exclusively to creating sophisticated insurance solutions for risks that demand innovation, proven leadership, outstanding industry expertise and quality services on behalf of brokers, agents and carriers.

Within Ryan Specialty, Sapphire Blue falls within the Underwriting Managers specialty. Underwriting Managers delivers an independent and entrepreneurial approach to the specialty lines space by providing a unique platform for operational, legal, actuarial and technical support. Underwriting Managers’ exceptional resources and back office support allows underwriters to focus on the risk itself, delivering a superior level of service to brokers, agents and carriers.

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Sapphire Blue is a series of RSG Underwriting Managers, LLC, a Delaware limited liability company based in Illinois. RSG Underwriting Managers, LLC, is a subsidiary of Ryan Specialty, LLC. Sapphire Blue works directly with brokers, agents and insurance carriers, and as such does not solicit insurance from the public. Some products may only be available in certain states, and some products may only be available from surplus lines insurers. In California: RSG Insurance Services, LLC (License #0E50879). ©2024 Ryan Specialty Group, LLC