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Current Table

Medical Professional Liability Insurance, 2014-2023

($000)

Year Net premiums
written (1)
Annual percent
change
Combined
ratio (2)
Annual point
change (3)
2014 $8,475,474 -0.7% 104.8 15.4 pts.
2015 8,201,438 -3.2 102.3 -2.5
2016 8,194,935 -0.1 106.4 4.1
2017 8,062,046 -1.6 101.6 -4.8
2018 8,403,838 4.2 104.2 2.6
2019 8,724,352 3.8 112.3 8.1
2020 9,018,671 3.4 113.7 1.4
2021 10,038,410 11.3 107.9 -5.8
2022 10,615,760 5.8 102.4 -5.5
2023 11,083,170 4.4 109.8 7.4

(1) After reinsurance transactions, excludes state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded numbers.

Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.

 
MEDICAL MALPRACTICE INSURANCE, 1999-2008

($000)

Year Net premiums written (1) Annual percent change Combined ratio (2) Annual point change (3)
1999 $5,181,729 3.1% 128.6 NA
2000 5,726,696 10.5 127.9 -0.7 pts.
2001 6,256,399 9.2 150.4 22.5
2002 7,440,970 18.9 138.0 -12.4
2003 8,753,854 17.6 138.8 0.8
2004 9,124,240 4.2 108.6 -30.2
2005 9,734,772 6.7 100.1 -8.6
2006 10,378,325 6.6 89.5 -10.6
2007 9,958,513 -4.0 81.9 -7.6
2008 9,521,129 -4.4 76.8 -5.1

(1) After reinsurance transactions, excluding state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded data.

NA=Data not available.

Source: National Association of Insurance Commissioners (NAIC) Annual Statement Database, via Highline Data, LLC. Copyrighted information. No portion of this work may be copied or redistributed without the express written permission of Highline Data, LLC.

 
MEDICAL MALPRACTICE INSURANCE, 2000-2009

($000)

Year Net premiums written (1) Annual percent change Combined ratio (2) Annual point change (3)
2000 $5,642,255 9.5% 132.4 3.7 pts.
2001 6,164,040 9.2 153.7 21.3
2002 7,366,524 19.5 141.9 -11.8
2003 8,729,912 18.5 138.7 -3.3
2004 9,124,240 4.5 109.9 -28.8
2005 9,982,528 9.4 100.3 -9.5
2006 10,395,927 4.1 90.8 -9.6
2007 9,953,517 -4.3 84.9 -5.9
2008 9,521,116 -4.3 79.3 -5.6
2009 9,206,180 -3.3 85.5 6.3

(1) After reinsurance transactions, excluding state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded data.

Source: SNL Financial LC.

 
MEDICAL MALPRACTICE INSURANCE, 2001-2010

($000)

Year Net premiums written (1) Annual percent change Combined ratio (2) Annual point change (3)
2001 $6,190,643 9.7% 153.6 21.1 pts.
2002 7,366,524 19.0 141.9 -11.6
2003 8,729,912 18.5 138.7 -3.3
2004 9,124,240 4.5 109.9 -28.8
2005 9,982,528 9.4 100.3 -9.5
2006 10,395,927 4.1 90.8 -9.6
2007 9,953,517 -4.3 84.9 -5.9
2008 9,521,116 -4.3 79.3 -5.6
2009 9,206,649 -3.3 85.5 6.3
2010 9,092,317 -1.2 88.9 3.4

(1) After reinsurance transactions, excluding state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded data.

Source: SNL Financial LC.

 
MEDICAL MALPRACTICE INSURANCE, 2002-2011

($000)

Year Net premiums written (1) Annual percent change Combined ratio (2) Annual point change (3)
2002 $7,366,524 19.0% 141.9 -11.6 pts.
2003 8,729,912 18.5 138.7 -3.3
2004 9,124,240 4.5 109.9 -28.8
2005 9,982,568 9.4 100.3 -9.5
2006 10,395,927 4.1 90.8 -9.6
2007 9,953,517 -4.3 84.9 -5.9
2008 9,521,116 -4.3 79.3 -5.6
2009 9,206,649 -3.3 85.5 6.3
2010 9,095,726 -1.2 88.9 3.4
2011 8,854,332 -2.7 87.9 -1.0

(1) After reinsurance transactions, excluding state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded data.

Source: SNL Financial LC.

 
MEDICAL MALPRACTICE INSURANCE, 2003-2012

($000)

Year Net premiums written (1) Annual percent change Combined ratio (2) Annual point change (3)
2003 $8,753,854 17.6% 139.0 -0.1 pts.
2004 9,124,240 4.2 109.0 -30.1
2005 8,619,572 -5.5 95.3 -13.6
2006 10,378,325 20.4 90.6 -4.7
2007 9,958,513 -4.0 84.7 -5.9
2008 9,521,113 -4.4 79.2 -5.5
2009 9,206,794 -3.3 85.5 6.3
2010 9,096,345 -1.2 88.9 3.4
2011 8,833,365 -2.9 88.0 -1.0
2012 8,687,643 -1.6 93.1 5.2

(1) After reinsurance transactions, excludes state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded data.

Source: SNL Financial LC.

 
MEDICAL MALPRACTICE INSURANCE, 2004-2013

($000)

Year Net premiums written (1) Annual percent change Combined ratio (2) Annual point change (3)
2004 $9,124,240 4.2% 109.0 -30.1 pts.
2005 8,619,612 -5.5 95.3 -13.7
2006 10,378,325 20.4 90.6 -4.7
2007 9,958,513 -4.0 84.7 -5.9
2008 9,521,113 -4.4 79.2 -5.5
2009 9,206,794 -3.3 85.5 6.3
2010 9,096,345 -1.2 88.9 3.4
2011 8,833,365 -2.9 88.0 -1.0
2012 8,713,595 -1.4 93.1 5.2
2013 8,530,830 -2.1 89.4 -3.8

(1) After reinsurance transactions, excludes state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded data.

Source: SNL Financial LC.

 
MEDICAL MALPRACTICE INSURANCE, 2005-2014

($000)

Year Net premiums written (1) Annual percent change Combined ratio (2) Annual point change (3)
2005 $8,619,612 -5.5% 95.3 -13.7 pts.
2006 10,378,325 20.4 90.6 -4.7
2007 9,958,513 -4.0 84.7 -5.9
2008 9,521,113 -4.4 79.2 -5.5
2009 9,206,794 -3.3 85.5 6.3
2010 9,096,345 -1.2 88.9 3.4
2011 8,833,365 -2.9 88.0 -1.0
2012 8,713,595 -1.4 93.1 5.2
2013 8,530,659 -2.1 89.4 -3.7
2014 8,475,474 -0.6 106.0 16.6

(1) After reinsurance transactions, excludes state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded data.

Source: SNL Financial LC.

 
Medical Malpractice Insurance, 2006-2015

($000)

Year Net premiums written (1) Annual percent change Combined ratio (2) Annual point change (3)
2006 $10,378,325 20.4% 90.6 -4.7 pts.
2007 9,958,513 -4.0 84.7 -5.9
2008 9,521,113 -4.4 79.2 -5.5
2009 9,206,794 -3.3 85.5 6.3
2010 9,096,345 -1.2 88.9 3.4
2011 8,833,365 -2.9 88.0 -1.0
2012 8,713,595 -1.4 93.1 5.2
2013 8,531,233 -2.1 89.4 -3.8
2014 8,475,474 -0.7 106.0 16.6
2015 8,201,438 -3.2 102.3 -3.7

(1) After reinsurance transactions, excludes state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded numbers.

Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.

 
Medical Malpractice Insurance, 2007-2016

($000)

Year Net premiums written (1) Annual percent change Combined ratio (2) Annual point change (3)
2007 $9,958,513 -4.0% 84.7 -5.9 pts.
2008 9,521,113 -4.4 79.2 -5.5
2009 9,206,794 -3.3 85.5 6.3
2010 9,096,345 -1.2 88.9 3.4
2011 8,833,365 -2.9 88.0 -1.0
2012 8,713,595 -1.4 93.1 5.2
2013 8,531,233 -2.1 89.4 -3.8
2014 8,475,474 -0.7 106.0 16.6
2015 8,201,438 -3.2 102.3 -3.7
2016 8,194,585 -0.1 106.4 4.1

(1) After reinsurance transactions, excludes state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded numbers.

Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.

 
Medical Malpractice Insurance, 2008-2017

($000)

Year Net premiums written (1) Annual percent change Combined ratio (2) Annual point change (3)
2008 $9,521,113 -4.4% 79.2 -5.5 pts.
2009 9,206,794 -3.3 85.5 6.3
2010 9,096,345 -1.2 88.9 3.4
2011 8,833,365 -2.9 88.0 -1.0
2012 8,713,595 -1.4 93.1 5.2
2013 8,531,233 -2.1 89.4 -3.8
2014 8,475,474 -0.7 104.8 15.4
2015 8,201,438 -3.2 102.3 -2.5
2016 8,194,935 -0.1 106.4 4.1
2017 8,062,046 -1.6 101.6 -4.8

(1) After reinsurance transactions, excludes state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded data.

Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.

 
Medical Professional Liability Insurance, 2009-2018

($000)

Year Net premiums written (1) Annual percent change Combined ratio (2) Annual point change (3)
2009 $9,206,794 -3.3% 85.5 6.3 pts.
2010 9,096,345 -1.2 88.9 3.4
2011 8,833,365 -2.9 88.0 -1.0
2012 8,713,595 -1.4 93.1 5.2
2013 8,531,233 -2.1 89.4 -3.8
2014 8,475,474 -0.7 104.8 15.4
2015 8,201,438 -3.2 102.3 -2.5
2016 8,194,935 -0.1 106.4 4.1
2017 8,062,046 -1.6 101.6 -4.8
2018 8,344,628 3.5 104.2 2.6

(1) After reinsurance transactions, excludes state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded numbers.

Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute

 
Medical Professional Liability Insurance, 2010-2019

($000)

Year Net premiums
written (1)
Annual percent
change
Combined
ratio (2)
Annual point
change (3)
2010 $9,096,345 -1.2% 88.9 3.4 pts.
2011 8,833,365 -2.9 88.0 -1.0
2012 8,713,595 -1.4 93.1 5.2
2013 8,531,233 -2.1 89.4 -3.8
2014 8,475,474 -0.7 104.8 15.4
2015 8,201,438 -3.2 102.3 -2.5
2016 8,194,935 -0.1 106.4 4.1
2017 8,062,046 -1.6 101.6 -4.8
2018 8,403,838 4.2 104.2 2.6
2019 8,724,352 3.8 112.3 8.1

(1) After reinsurance transactions, excludes state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded numbers.

Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.

 
Medical Professional Liability Insurance, 2011-2020

($000)

Year Net premiums
written (1)
Annual percent
change
Combined
ratio (2)
Annual point
change (3)
2011 $8,833,365 -2.9% 88.0 -1.0 pts.
2012 8,713,595 -1.4 93.1 5.2
2013 8,531,233 -2.1 89.4 -3.8
2014 8,475,474 -0.7 104.8 15.4
2015 8,201,438 -3.2 102.3 -2.5
2016 8,194,935 -0.1 106.4 4.1
2017 8,062,046 -1.6 101.6 -4.8
2018 8,403,838 4.2 104.2 2.6
2019 8,724,352 3.8 112.3 8.1
2020 9,014,879 3.3 113.7 1.4

(1) After reinsurance transactions, excludes state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded numbers.

Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.

 
Medical Professional Liability Insurance, 2012-2021

($000)

Year Net premiums
written (1)
Annual percent
change
Combined
ratio (2)
Annual point
change (3)
2012 $8,713,595 -1.4% 93.1 5.2 pts.
2013 8,531,233 -2.1 89.4 -3.8
2014 8,475,474 -0.7 104.8 15.4
2015 8,201,438 -3.2 102.3 -2.5
2016 8,194,935 -0.1 106.4 4.1
2017 8,062,046 -1.6 101.6 -4.8
2018 8,403,838 4.2 104.2 2.6
2019 8,724,352 3.8 112.3 8.1
2020 9,018,671 3.4 113.7 1.4
2021 9,744,625 8.0 108.2 -5.4

(1) After reinsurance transactions, excludes state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded numbers.

Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.

 
Medical Professional Liability Insurance, 2013-2022

($000)

Year Net premiums
written (1)
Annual percent
change
Combined
ratio (2)
Annual point
change (3)
2013 $8,531,233 -2.1% 89.4 -3.8 pts.
2014 8,475,474 -0.7 104.8 15.4
2015 8,201,438 -3.2 102.3 -2.5
2016 8,194,935 -0.1 106.4 4.1
2017 8,062,046 -1.6 101.6 -4.8
2018 8,403,838 4.2 104.2 2.6
2019 8,724,352 3.8 112.3 8.1
2020 9,018,671 3.4 113.7 1.4
2021 10,036,298 11.3 107.9 -5.8
2022 10,040,703 0.0 102.8 -5.1

(1) After reinsurance transactions, excludes state funds.
(2) After dividends to policyholders. A drop in the combined ratio represents an improvement; an increase represents a deterioration.
(3) Calculated from unrounded numbers.

Source: NAIC data, sourced from S&P Global Market Intelligence, Insurance Information Institute.