Founded in 1972 by W. T. Shively, Tower Hill has become one of Florida's largest writers of residential property insurance. Tower Hill Insurance Group, LLC. handles all aspects of the daily operations for multiple companies, including its affiliates: Tower Hill Preferred, Tower Hill Prime, Omega, and Tower Hill Select insurance companies. Tower Hill offers Florida homeowners insurance, renters insurance, condo insurance, dwelling fire insurance, and flood insurance.

Through its commercial lines department, Tower Hill also provides business/policyholders with comprehensive property, liability, and other miscellaneous commercial coverages for the operations of mobile home parks, mobile home dealers, self-storage facilities, office/retail buildings, residential homeowner associations, and other commercially-owned residential properties.