ST. LOUIS--(BUSINESS WIRE)--Jan 29, 2026--
Safety National Casualty Corporation announced changes to the company’s executive management structure today to support organizational growth. The following realignment of responsibilities will become effective on April 1, 2026.
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Nick Kriegel, Chief Operating Officer, will take on the additional responsibility of providing executive management oversight to the Claims and Business Intelligence and Planning Departments.
Cyndee Morton, President, will take on the additional responsibility of providing executive management oversight to the Safety National Re Treaty Reinsurance Department.
Katie Flynn, currently Corporate Senior Vice President, Chief Accounting Officer, and Assistant Treasurer, will assume the role of Chief Financial Officer and Treasurer at Safety National.
Rob Leitner, currently Executive Vice President of Business Development, will assume the role of Chief Client Officer at Safety National.
Tom Grove will retire as Chief Client Officer and as a member of executive management. He will assume a new role as Executive Advisor for Safety National.
Mark Wilhelm, currently Executive Chairman, will continue as Chairman of the Board at Safety National with a heavier focus on his expanded role as International Broker Relationships Leader for the Tokio Marine Group.
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Mark Wilhelm, Executive Chairman, will continue as Chairman of the Board at Safety National. The adjustment to his responsibilities will allow him to focus on his expanded role as International Broker Relationships Leader for the Tokio Marine Group, working with brokerage executive leadership to raise awareness of the Tokio Marine Group’s collective strength and expertise to help facilitate domestic and global solutions.
Tom Grove will retire as Chief Client Officer and as a member of executive management after over 30 years with Safety National. He will assume a new role as Executive Advisor, providing strategic guidance and working on special projects with the executive management team.
Rob Leitner, Executive Vice President of Business Development, will assume the role of Chief Client Officer. In this position, he will provide executive management oversight to the Business Development, Client Engagement, Marketing and Communications, and Risk Control Departments.
Katie Flynn, Corporate Senior Vice President, Chief Accounting Officer, and Assistant Treasurer, will assume the role of Chief Financial Officer and Treasurer. In this position, she will provide executive management oversight to the Actuarial, Finance, and Ceded Reinsurance Departments.
Cyndee Morton, President, will take on the additional responsibility of providing executive management oversight to the Safety National Re Treaty Reinsurance Department along with continuing in her current executive management role.
Nick Kriegel, Chief Operating Officer, will take on the additional responsibility of providing executive management oversight to the Claims and Business Intelligence and Planning Departments along with continuing in his current executive management role.
Duane Hercules, Chief Executive Officer, and Gus Aivaliotis, Deputy Chief Executive Officer, will continue in their current executive management roles.
In response to Tom Grove’s pending retirement, Safety National’s Chief Executive Officer Duane Hercules said, “Tom Grove has played an important role in helping to shape Safety National’s growth and long-term success. We are grateful that he will continue supporting our succession efforts in an executive advisory role. When he ultimately retires, he will leave a legacy defined by commitment and achievement.”
Safety National is a leading specialty insurance and reinsurance provider.With a rich history spanning over 80 years, Safety National offers specialized expertise, flexible program and placement design, and unique claims proficiency. Safety National is a member of the Tokio Marine Group and is rated A++ (Superior), FSC XV by A.M. Best. Learn more atwww.safetynational.com.
Nick Kriegel, Chief Operating Officer, will take on the additional responsibility of providing executive management oversight to the Claims and Business Intelligence and Planning Departments.
Cyndee Morton, President, will take on the additional responsibility of providing executive management oversight to the Safety National Re Treaty Reinsurance Department.
Katie Flynn, currently Corporate Senior Vice President, Chief Accounting Officer, and Assistant Treasurer, will assume the role of Chief Financial Officer and Treasurer at Safety National.
Rob Leitner, currently Executive Vice President of Business Development, will assume the role of Chief Client Officer at Safety National.
Tom Grove will retire as Chief Client Officer and as a member of executive management. He will assume a new role as Executive Advisor for Safety National.
Mark Wilhelm, currently Executive Chairman, will continue as Chairman of the Board at Safety National with a heavier focus on his expanded role as International Broker Relationships Leader for the Tokio Marine Group.
CREIGHTON, Neb. (AP) — Rick and Jane Saint John chose to live in the small town of Creighton, Nebraska, for one main reason: its hospital.
The couple has a child with nonverbal autism and epilepsy who requires up to three hospital visits a week. And Creighton's critical access hospital has been a lifeline for Jane: not only is she employed there, but three years ago, doctors saved her life when she contracted bacterial pneumonia. If she had waited another day for care, doctors said, her organs would have begun to shut down.
“And if we had had to drive the hour to the Yankton (South Dakota) hospital," Rick Saint John said, his voice breaking with emotion, "it could have cost her her life.”
So the Saint Johns were shocked to hear that Avera Creighton Hospital faces financial peril. A $50 billion government fund meant to transform rural health care will do little to help. It's a problem that millions of Americans in rural areas are awakening to as they realize there's no windfall coming for the vulnerable hospitals near their homes.
Hundreds of rural hospitals across the country are facing closures after years of funding problems. The issue was compounded last summer by the Trump administration's massive cuts to Medicaid, the government's safety net for low-income Americans, whose reimbursements have long helped hospitals meet their bottom lines.
Outcry over the funding cuts prompted Republican lawmakers to create $50 billion in new rural health grants, but critics say that funding is intended for innovative health care delivery solutions — not propping up hospitals buckling under current pressures.
“It won’t pay to keep the lights on. And it won’t turn the lights back on once they’ve been turned off,” said Dr. Ben Young, an infectious disease specialist and policy expert with public health advocacy group Wellness Equity Alliance.
Rural Americans’ health care worries reflect broader national concerns about access and rising prices of care as the cost of living spikes — anxieties that could prove pivotal in this year’s midterm elections.
The $50 billion Rural Health Transformation Program included in President Donald Trump's tax-and-spending law last year was billed by Republicans as a way to help hospitals in rural areas. Last summer, Health Secretary Robert F. Kennedy Jr. touted it as the “biggest infusion in history” for rural hospitals and pledged it will “restore and revitalize these communities.”
Hospitals and health industry experts have warned that while the fund — $10 billion per year allocated across all states for five years — offers some support to struggling rural hospitals, it won’t save them. One reason is that the sum doesn't come close to offsetting the $137 billion that rural hospitals expect to lose over the next decade, according to health research nonprofit KFF. Millions of people are expected to lose Medicaid benefits as a result of new Medicaid work requirements going into effect in 2027 — changes the Trump administration has maintained will crack down on fraudsters rather than cut off eligible enrollees.
Administrators say the new $50 billion fund is not meant to shore up ailing rural hospitals or maintain the status quo, but to transform rural health care through tech, workforce and other innovations. Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz in a December video said it “gives states the tools to design solutions that last, not Band-Aids that fail.”
The White House echoed that Wednesday, saying the fund is intended to fund “big ideas” to improve rural health care access long-term.
“Decades of mismanagement by career politicians in Washington have left rural communities with limited care options," White House spokesman Kush Desai said.
State applications show a wide range of proposals. Some pitches sought to improve emergency medical services and modernize rural facilities, while others looked to make school lunches healthier, expand physical fitness programs, beef up telehealth and expand AI-driven technologies to help monitor patients.
Avera Creighton Hospital CEO Theresa Guenther argues her hospital is not in danger of closing. but conceded that Medicaid cuts will be painful — a sentiment shared by most rural hospitals, she said.
“Medicaid cuts will have an impact to us, and we — as well as many others — will have to figure out what that looks like moving forward,” she said. Her hospital hopes to get a piece of the $50 billion fund to help manage patients' chronic diseases — like diabetes — and to help cover workforce costs.
Nebraska, which received $218 million for the rural health grants' first installment, plans to spend some $90 million on healthier food options at schools, recruiting more health care workers and mobile sensors to remotely monitor chronically ill patients in rural areas, among other things. But for rural critical access hospitals at risk of closing, it offers $10 million to “right size” them by getting rid of inpatient care, where bed occupancy is typically low.
Republican state Sen. Barry DeKay said hospitals like Creighton's are vital, despite it's low occupancy rate. The hospital is in his district; even his mother received life-extending care there following a hip replacement. He's worried that the Medicaid cuts could hurt all the state's rural hospitals.
“I'll try to be working as hard as I can to get as much money to rural hospitals — whether it's in my district or any other rural district in the state,” he said.
Rick Saint John acknowledged he knows little about how Nebraska will use the federal funds, but he thinks it should go to helping hospitals like Creighton’s remain intact.
“The hospital is very important to this community, and for more than just medical care,” he said, citing job losses if the hospital loses services or closes.
The fund has seen pushback from hospital groups over an issue that's shaping up as important for 2026 voters.
The Colorado Hospital Association sent a letter in December to state lawmakers accusing them of ignoring input from rural hospitals during the application process.
The Nebraska Hospital Association, which endorsed Republican U.S. Sen. Deb Fischer’s 2024 reelection bid based on her advocacy for rural health care, has criticized both the cuts and the $50 billion fund. Fischer voted last summer for the Medicaid cuts.
That and other efforts by the state to limit Medicaid spending sends a message “that access to health care is not a priority," the group said.
Some Republican state lawmakers across the country have expressed unease with parts of the fund and have sought ways to use it to help struggling rural hospitals.
Under pressure, some rural states are making their own moves to help.
Wyoming enacted a law allowing rural hospitals to file Chapter 9 bankruptcy, normally reserved for financially stressed cities to reorganize debts and repay creditors while protecting them from legal action.
In North Dakota, during a special session to allocate the state’s federal rural health funds, the Republican-led Legislature passed an unrelated bill that aims to rescue a rural hospital with a low-interest loan of up to $5 million administered through the state-owned bank.
It's hoped the plan will keep the hospital open in a vast rural area where it employs 5% of the surrounding county's residents, hospital board member Matt Hager said.
Young, the expert with Wellness Equity Alliance, sees dark days ahead for rural hospitals.
“I am not optimistic in the short term,” he said. “Because these hospitals are facing immediate financial shortfalls, are barely financially operating currently, and they need operating support now.”
Swenson reported from New York. Associated Press writer Jack Dura contributed to this report from Bismarck, North Dakota.
Avera Creighton Hospital CEO Theresa Guenther is seen in her office, Feb. 24, 2026, in Creighton, Neb. (AP Photo/Margery A. Beck)
Nebraska State Sen. Barry DeKay, R-Niobrara, is seen on the floor of the Nebraska State Capitol, Feb. 5, 2026, in Lincoln, Neb. (AP Photo/Margery A. Beck)
Jane and Rick Saint John hold hands on Feb. 24, 2026, as they recall how Jane received life-saving care three years ago at Avera Creighton Hospital, in rural Creighton, Neb. (AP Photo/Margery A. Beck)
Jane and Rick Saint John discuss how important their local hospital, Avera Creighton Hospital, is in their rural community, Feb. 24, 2026, in Creighton, Neb. (AP Photo/Margery A. Beck)
Avera Creighton Hospital is seen on Feb. 24, 2026, in Creighton, Neb. (AP Photo/Margery A. Beck)
