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.
Rheumatoid arthritis â Foot and ankle arthritis is usually seen in people suffering from rheumatoid arthritis. This is a type of an autoimmune disease. In this, the immune system starts to attack and kill the bodyâs own cells, including the tissues of the joints.