Rebecca West, J.D.

Chief Executive Officer

Rebecca is responsible for the overall day-to-day management of the Trust. She has been CEO since creating the Trust in 1989. Rebecca specializes in health care and corporate law and is available for advice and counsel on health care matters. Rebecca sets annual funding rates based on actuarial studies, manages cash flow on a month to month basis, oversees investments and the investment policy and assures that the Trust has a clean annual audit by an outside audit firm.


Bruce D. Gehle, J.D.

Chief Operating Officer

Bruce works with Rebecca to direct the Trust’s overall functions, including strategic planning, investment review, budgeting and funding requirements, premium assessments, cash flow, claims reserves and disposition, HIPAA compliance, supervision of Trust risk management, and oversight of legal service support to Trust Covered Persons.  Bruce directs Trust educational programming with an annual lecture series, and supports to the UVA School of Medicine’s Clinical Departments by providing focused medical/legal education to attendings and their house staff.   Physicians also consult Bruce for specific advice on a broad range of health law matters including Board of Medicine investigations, OCR complaints, medical staff issues, fraud and abuse, contract review and negotiation, and legal issues with transitioning to outside employment.


John E. Peterson, Jr., J.D.

Litigation Counsel

John serves as Litigation Counsel for the Trust, representing Trust covered clinicians in medical malpractice cases.  John also provides general legal and risk management advice for clinical issues.












Andrew G. H. Miller, J.D.

Associate Legal Counsel

Andrew provides legal advice and representation to Trust covered persons under the direction and supervision of the Chief Operating Officer and General Counsel. He also participates in Trust educational programming and writes a blog on medical professional liability issues.



Judy L. Fortineux, A.R.M.

Chief of Staff

Judy oversees Trust administrative staff and ensures efficient and effective support services for all areas of Trust responsibility.  She also handles many of the Trust’s human resource responsibilities including payroll and benefits.  She manages all Trust Covered Person databases and underwriting processes.  In addition to her administrative responsibilities, Judy coordinates and provides risk management services to Trust Covered Persons.  She is certified as a risk manager by the American Association of Health Care Risk Managers. She works in conjunction with Trust attorneys to provide day-to-day advice and assistance to Trust clinicians in addition to maintaining risk management records and data. Judy also facilitates providing proof of coverage and claims history upon request.

Lance Frasier

Manager of Finance and Operations

Lance is responsible for managing the financial operations of the Trust, including accounting and reporting, audit, budget, and tax filings.   Lance is also in charge of the Trust’s Information Technology services.





Brenna C. Crowley

Litigation Paralegal

Brenna is responsible for assisting the Trust Claims attorneys with defense of malpractice claims and cases filed against Trust Covered Persons.


The Trust is also served by two Administrative Assistants, Tammy Tuthill and Venisha Best.