The group's principle activity is to provide management services. The group operates through three divisions include Midlands Claim Administrators, Inc., Midlands Injury Management, Inc. and Midlands Management of Texas, Inc. The group’s Midlands Claim Administrators, Inc. provides claim administration and adjusting services. The group’s Midlands Injury Management, Inc. provides utilization reviews, vocational rehabilitation and medical case management. The group operates from United States.