Skip to main content
Article

Inside Medical Liability: 2024 financial results—Investment gains lead the way to a healthy bottom line

15 June 2025

In the summer issue of Inside Medical Liability, a publication of the Medical Professional Liability Association, we summarize the 2024 financial results for 69 specialty writers, a composite of the largest industry operators. Using data obtained from S&P Global Market Intelligence and Milliman Datalytics-Defense, we have compiled financial metrics for the industry.

Read the full article at Inside Medical Liability.

Key findings

  • Direct written medical professional liability (MPL) premium rose 2.4% to over $5.3 billion—a record high.
  • Carriers released about $140 million in prior-year reserves, lower than in 2023.
  • Operating ratio improved by about two points, driven by a three-point gain in investment income.
  • Policyholders’ surplus increased by about $750 million, similar to 2023.
  • Policyholder dividends remained about $140 million, similar to 2023, about half the average paid between 2007 and 2018.

Read our previous analysis of 2023 MPL financial results here.


About the Author(s)

We’re here to help