In the May issue of Inside Medical Liability, a publication of the Medical Professional Liability Association, we summarize the 2025 financial results for 74 of the largest specialty writers. Using data obtained from S&P Global Market Intelligence and Milliman Datalytics-Defense, we have compiled financial metrics for the industry.
Key findings:
- Direct written medical professional liability (MPL) premium rose 1.7% to more than $6.9 billion, its highest level since 2006.
- Carriers released about $190 million in prior-year reserves in 2025, in line with 2024.
- Operating ratio for the past two years is modestly better than the results posted from 2021 through 2023.
- Policyholders’ surplus increased by roughly 5% in 2025, reaching $23.4 billion.
- Industry surplus continues to rise despite underwriting losses reflected in combined ratios above 100%, as investment income has rebounded from the lows seen between 2020 and 2022.
- Policyholder dividends for the composite have been relatively consistent over the past five years, averaging about $140 million annually.
Read the full article at Inside Medical Liability.