Executive Bios

AAFP Insurance Services, Inc. is not your typical insurance provider and that starts with the people at the top.


  • J. Thomas Koch – President

    For Tom Koch, designing and delivering quality, cost effective insurance coverage to family physicians has been more a passion than a job. Literally, he has devoted his entire 40-year career not just to insurance, but to AAFP Insurance Services.

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    “I started as a part-timer in the summers when I was in college – stuffing envelopes and calculating by hand premium age rate changes. So, I guess you could say I started in the mailroom. I had the unique opportunity to learn the business from the ground up.”


  • Richard L. Marsh – Vice President and Treasurer

    Rick Marsh, a Certified Public Accountant, handles the balance sheets and income statements for AAFP Insurance Services. A graduate of Northwest Missouri State University, with a degree in accounting, Rick’s primary responsibility since joining Insurance Services in 1989 is to make sure the numbers come out right.

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    He is the first to admit, however, that his job is about much more than numbers. “What I do directly impacts members,” he says, referring to his role in helping to make sure that new insurance policies provide rates and terms that are attractive for members, while also being financially sustainable for the organization.