In this report, we summarize results from the first quarter of 2022 for composite of medical professional liability (MPL) specialty writers, our 13th year of tracking the metrics. The data used in our analysis covers 20 years and consists of aggregate statutory financial information compiled from S&P Global Market Intelligence. The current composite includes 175 MPL specialty companies with total direct written premium of more than $6.5 billion in 2021. In this issue, we discuss the following key metrics:

• Premium growth
• Reserves
• Combine ratios
• Underwriting income vs. investment gain
• Policyholder surplus

This article was originally published in the July 2022 issue of Medical Liability Monitor.