In 2005, the mutual insurance company became NGM Insurance Company with the conversion to a mutual holding company structure and the formation of Main Street America Mutual Holdings Inc. The company also redomesticated to the State of Florida.
Rheumatoid arthritis (RA) is an autoimmune disease that causes inflammation of the joints. Because many symptoms of RA are similar to those of a variety of other diseases, diagnosis can be difficult. A correct diagnosis requires clinical evaluation, X-rays, and a series of laboratory tests.
There are over 100 types of arthritis. The most common forms are osteoarthritis (degenerative joint disease) and rheumatoid arthritis. Osteoarthritis usually occurs with age and affects the fingers, knees, and hips. Rheumatoid arthritis is an autoimmune disorder that often affects the hands and feet.