Table of Contents


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
ýQuarterly report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
For the quarterly period ended September 30, 20172019 or
¨Transition report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
For the transition period from to
Commission file number 0-16533
ProAssurance Corporation
(Exact Name of Registrant as Specified in Its Charter)
Delaware63-1261433
(State or Other Jurisdiction of
Incorporation or Organization)
(IRS Employer Identification No.)
  
100 Brookwood Place,Birmingham,AL35209
(Address of Principal Executive Offices)(Zip Code)
  
(205)877-4400 
(Registrant’s Telephone Number,
Including Area Code)
(Former Name, Former Address, and Former
Fiscal Year, if Changed Since Last Report)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, par value $0.01 per sharePRANew York Stock Exchange
Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  ý    No  ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter), during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  ý    No  ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of "large accelerated filer," "accelerated filer," "smaller reporting company," and "emerging growth company" in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer ý  Accelerated filer ¨
Non-accelerated filer ¨(Do not check if a smaller reporting company) Smaller reporting company ¨
Emerging growth company 
¨

     
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).     Yes  ¨   No  ý
As of October 31, 2017,2019, there were 53,415,23653,791,436 shares of the registrant’s common stock outstanding.

Glossary of Terms and Acronyms


When the following terms and acronyms appear in the text of this report, they have the meanings indicated below.
TermMeaning
AADAnnual aggregate deductible
AOCIAccumulated other comprehensive income (loss)
ASUAccounting Standards Update
BEATBase erosion anti-abuse tax
BoardBoard of Directors of ProAssurance Corporation
BOLIBusiness owned life insurance
Council of Lloyd'sThe governing body for Lloyd's of London
CODMChief Operating Decision Maker
CommutationAn agreement between a ceding insurer and the reinsurer that provides for the valuation, payment, and complete discharge of all obligations between the parties under a particular reinsurance contract
DPACDeferred policy acquisition costs
Eastern ReEastern Re, LTD, S.P.C.
EBUBEarned but unbilled premium
E&OErrors and Omissions
FALFunds at Lloyd's
FASBFinancial Accounting Standards Board
FHLBFederal Home Loan Bank
FHLMCFederal Home Loan Mortgage Corporation
FNMAFederal National Mortgage Association
GAAPGenerally accepted accounting principles in the United States of America
GILTIGlobal intangible low-taxed income
GNMAGovernment National Mortgage Association
HCPLHealthcare professional liability
IBNRIncurred but not reported
Inova ReInova Re, LTD, S.P.C.
IRSInternal Revenue Service
LIBORLondon Interbank Offered Rate
LLCLimited liability company
Lloyd'sLloyd's of London market
LPLimited partnership
LPTLoss portfolio transfer
Medical technology liabilityMedical technology and life sciences products liability
Mortgage LoansTwo ten-year mortgage loans collectively with an original borrowing amount of approximately $40 million, each entered into by a subsidiary of ProAssurance
NAICNational Association of Insurance Commissioners
NAVNet asset value
NOLNet operating loss
NRSRONationally recognized statistical rating organization
NYSENew York Stock Exchange
OCIOther comprehensive income (loss)
OTTIOther-than-temporary impairment
PCAOBPublic Company Accounting Oversight Board
Revolving Credit AgreementProAssurance's $250 million revolving credit agreement

TermMeaning
ROEReturn on equity
ROURight-of-use
SAPStatutory accounting principles
SECSecurities and Exchange Commission
SPASpecial Purpose Arrangement
SPCSegregated portfolio cell
Specialty P&CSpecialty Property and Casualty
Syndicate 1729Lloyd's of London Syndicate 1729
Syndicate 6131Lloyd's of London Syndicate 6131, a Special Purpose Arrangement with Lloyd's of London Syndicate 1729
Syndicate Credit AgreementUnconditional revolving credit agreement with the Premium Trust Fund of Syndicate 1729
TCJATax Cuts and Jobs Act H.R.1 of 2017
U.K.United Kingdom of Great Britain and Northern Ireland
ULAEUnallocated loss adjustment expense
VIEVariable interest entity

Caution Regarding Forward-Looking Statements
Any statements in this Form 10-Q that are not historical facts are specifically identified as forward-looking statements. These statements are based upon our estimates and anticipation of future events and are subject to significant risks, assumptions and uncertainties that could cause actual results to vary materially from the expected results described in the forward-looking statements. Forward-looking statements are identified by words such as, but not limited to, "anticipate," "believe," "estimate," "expect," "hope," "hopeful," "intend," "likely," "may," "optimistic," "possible," "potential," "preliminary," "project," "should," "will" and other analogous expressions. There are numerous factors that could cause our actual results to differ materially from those in the forward-looking statements. Thus, sentences and phrases that we use to convey our view of future events and trends are expressly designated as forward-looking statements as are sections of this Form 10-Q that are identified as giving our outlook on future business.
Forward-looking statements relating to our business include among other things: statements concerning future liquidity and capital requirements, investment valuation and performance, return on equity, financial ratios, net income, premiums, losses and loss reserve, premium rates and retention of current business, competition and market conditions, the expansion of product lines, the development or acquisition of business in new geographical areas, the availability of acceptable reinsurance, actions by regulators and rating agencies, court actions, legislative actions, payment or performance of obligations under indebtedness, payment of dividends and other matters.
These forward-looking statements are subject to significant risks, assumptions and uncertainties, including, among other things, the following factors that could affect the actual outcome of future events:
Ÿchanges in general economic conditions, including the impact of inflation or deflation and unemployment;
Ÿour ability to maintain our dividend payments;
Ÿregulatory, legislative and judicial actions or decisions that could affect our business plans or operations;operations, including the impact of Brexit;
Ÿthe enactment or repeal of tort reforms;
Ÿformation or dissolution of state-sponsored insurance entities providing coverages now offered by ProAssurance which could remove or add sizable numbers of insureds from or to the private insurance market;
Ÿchanges in the interest and tax rate environment;
Ÿresolution of uncertain tax matters and changes in tax laws;laws, including the impact of the TCJA;
Ÿchanges in U.S. laws or government regulations regarding financial markets or market activity that may affect the U.S. economy and our business;
Ÿchanges in the ability of the U.S. government to meet its obligations that may affect the U.S. economy and our business;
Ÿperformance of financial markets affecting the fair value of our investments or making it difficult to determine the value of our investments;
Ÿchanges in requirements or accounting policies and practices that may be adopted by our regulatory agencies, the FASB, the SEC, the PCAOB or the NYSE that may affect our business;
Ÿchanges in laws or government regulations affecting the financial services industry, the property and casualty insurance industry or particular insurance lines underwritten by our subsidiaries;
Ÿthe effect on our insureds, particularly the insurance needs of our insureds, and our loss costs, of changes in the healthcare delivery system and/or changes in the U.S. political climate that may affect healthcare policy or our business;
Ÿconsolidation of our insureds into or under larger entities which may be insured by competitors, or may not have a risk profile that meets our underwriting criteria or which may not use external providers for insuring or otherwise managing substantial portions of their liability risk;
Ÿuncertainties inherent in the estimate of our loss and loss adjustment expense reserve and reinsurance recoverable;
Ÿchanges in the availability, cost, quality or collectability of insurance/reinsurance;
Ÿthe results of litigation, including pre- or post-trial motions, trials and/or appeals we undertake;
Ÿeffects on our claims costs from mass tort litigation that are different from that anticipated by us;
Ÿallegations of bad faith which may arise from our handling of any particular claim, including failure to settle;
Ÿloss or consolidation of independent agents, agencies, brokers or brokerage firms;
Ÿchanges in our organization, compensation and benefit plans;

Ÿchanges in the business or competitive environment may limit the effectiveness of our business strategy and impact our revenues;

Ÿour ability to retain and recruit senior management;
Ÿthe availability, integrity and security of our technology infrastructure or that of our third-party providers of technology infrastructure, including any susceptibility to cyber-attacks which might result in a loss of information or operating capability;
Ÿthe impact of a catastrophic event, as it relates to both our operations and our insured risks;
Ÿthe impact of acts of terrorism and acts of war;
Ÿthe effects of terrorism-related insurance legislation and laws;
Ÿguaranty funds and other state assessments;
Ÿour ability to achieve continued growth through expansion into new markets or through acquisitions or business combinations;
Ÿchanges to the ratings assigned by rating agencies to our insurance subsidiaries, individually or as a group;
Ÿprovisions in our charter documents, Delaware law and state insurance laws may impede attempts to replace or remove management or may impede a takeover;
Ÿstate insurance restrictions may prohibit assets held by our insurance subsidiaries, including cash and investment securities, from being used for general corporate purposes;
Ÿtaxing authorities can take exception to our tax positions and cause us to incur significant amounts of legal and accounting costs and, if our defense is not successful, additional tax costs, including interest and penalties; and
Ÿexpected benefits from completed and proposed acquisitions may not be achieved or may be delayed longer than expected due to business disruption; loss of customers, employees or key agents; increased operating costs or inability to achieve cost savings; and assumption of greater than expected liabilities, among other reasons.
Additional risks, assumptions and uncertainties that could arise from our membership in the Lloyd's of London market and our participation in Syndicate 1729Lloyd's Syndicates include, but are not limited to, the following:
Ÿmembers of Lloyd's are subject to levies by the Council of Lloyd's based on a percentage of the member's underwriting capacity, currently a maximum of 3%, but can be increased by Lloyd's;
ŸSyndicate operating results can be affected by decisions made by the Council of Lloyd's which the management of Syndicate 1729 hasand Syndicate 6131 have little ability to control, such as a decision to not approve the business plan of Syndicate 1729 or Syndicate 6131, or a decision to increase the capital required to continue operations, and by our obligation to pay levies to Lloyd's;
ŸLloyd's insurance and reinsurance relationships and distribution channels could be disrupted or Lloyd's trading licenses could be revoked, making it more difficult for a Lloyd's Syndicate 1729 to distribute and market its products;
Ÿrating agencies could downgrade their ratings of Lloyd's as a whole; and
ŸSyndicate 1729 and Syndicate 6131 operations are dependent on a small, specialized management team and the loss of their services could adversely affect the Syndicate’s business. The inability to identify, hire and retain other highly qualified personnel in the future could adversely affect the quality and profitability of Syndicate 1729’s or Syndicate 6131's business.
Our results may differ materially from those we expect and discuss in any forward-looking statements. The principal risk factors that may cause these differences are described in "Item 1A, Risk Factors" in our Form 10-K and other documents we file with the SEC, such as our current reports on Form 8-K and our regular reports on Form 10-Q.
We caution readers not to place undue reliance on any such forward-looking statements, which are based upon conditions existing only as of the date made, and advise readers that these factors could affect our financial performance and could cause actual results for future periods to differ materially from any opinions or statements expressed with respect to future periods in any current statements. Except as required by law or regulations, we do not undertake and specifically decline any obligation to publicly release the result of any revisions that may be made to any forward-looking statements to reflect events or circumstances after the date of such statements or to reflect the occurrence of anticipated or unanticipated events.

 TABLE OF CONTENTS 
   
 
 
   
 
   
 
   
 
   
   
   
   
 

ProAssurance Corporation and Subsidiaries
Condensed Consolidated Balance Sheets (Unaudited)
(In thousands, except share data)
September 30,
2017
 December 31,
2016
September 30,
2019
 December 31,
2018
Assets      
Investments      
Fixed maturities, available for sale, at fair value; amortized cost, $2,429,092 and $2,586,821, respectively$2,468,350
 $2,613,406
Equity securities, trading, at fair value; cost, $376,074 and $353,744, respectively411,796
 387,274
Fixed maturities, available for sale, at fair value; amortized cost, $2,251,040 and $2,116,825, respectively$2,301,535
 $2,093,798
Fixed maturities, trading, at fair value; cost, $44,766 and $38,445, respectively45,295
 38,188
Equity investments, at fair value; cost, $389,319 and $450,931, respectively409,100
 442,937
Short-term investments294,379
 442,084
270,836
 308,319
Business owned life insurance61,652
 60,134
65,653
 64,096
Investment in unconsolidated subsidiaries331,897
 340,906
366,606
 367,757
Other investments, $51,789 and $31,501 at fair value, respectively, otherwise at cost or amortized cost103,764
 81,892
Other investments, $34,133 and $31,344 at fair value, respectively, otherwise at cost or amortized cost37,049
 34,287
Total Investments3,671,838
 3,925,696
3,496,074
 3,349,382
Cash and cash equivalents119,005
 117,347
102,211
 80,471
Premiums receivable262,686
 223,480
283,944
 261,466
Receivable from reinsurers on paid losses and loss adjustment expenses7,408
 5,446
15,089
 11,558
Receivable from reinsurers on unpaid losses and loss adjustment expenses313,876
 273,475
357,811
 343,820
Prepaid reinsurance premiums47,529
 39,723
53,232
 40,631
Deferred policy acquisition costs51,691
 46,809
58,099
 54,116
Deferred tax asset, net13,957
 10,256
19,016
 29,108
Real estate, net32,305
 31,814
30,629
 31,114
Intangible assets84,496
 84,406
Operating lease ROU assets20,563
 
Intangible assets, net72,284
 76,776
Goodwill210,725
 210,725
210,725
 210,725
Other assets109,638
 96,004
104,682
 111,559
Total Assets$4,925,154
 $5,065,181
$4,824,359
 $4,600,726
Liabilities and Shareholders’ Equity   
Liabilities and Shareholders' Equity   
Liabilities      
Policy liabilities and accruals      
Reserve for losses and loss adjustment expenses$2,040,698
 $1,993,428
$2,215,775
 $2,119,847
Unearned premiums422,009
 372,563
459,260
 415,211
Reinsurance premiums payable34,769
 30,001
58,552
 55,614
Total Policy Liabilities2,497,476
 2,395,992
2,733,587
 2,590,672
Operating lease liabilities21,298
 
Other liabilities176,328
 422,285
193,069
 199,295
Debt less debt issuance costs400,460
 448,202
Debt less unamortized debt issuance costs286,947
 287,757
Total Liabilities3,074,264
 3,266,479
3,234,901
 3,077,724
Shareholders’ Equity   
Common shares, par value $0.01 per share, 100,000,000 shares authorized, 62,822,376 and 62,660,234 shares issued, respectively628
 627
Shareholders' Equity   
Common shares, par value $0.01 per share, 100,000,000 shares authorized, 63,115,253 and 62,989,421 shares issued, respectively631
 630
Additional paid-in capital380,595
 376,518
385,181
 384,713
Accumulated other comprehensive income (loss), net of deferred tax expense (benefit) of $13,985 and $9,894, respectively25,459
 17,399
Accumulated other comprehensive income (loss), net of deferred tax expense (benefit) of $10,602 and ($4,355), respectively39,134
 (16,911)
Retained earnings1,864,136
 1,824,088
1,581,789
 1,571,847
Treasury shares, at cost, 9,408,925 shares and 9,408,977 shares, respectively(419,928) (419,930)
Total Shareholders’ Equity1,850,890
 1,798,702
Total Liabilities and Shareholders’ Equity$4,925,154
 $5,065,181
Treasury shares, at cost, 9,352,373 shares as of each respective period end(417,277) (417,277)
Total Shareholders' Equity1,589,458
 1,523,002
Total Liabilities and Shareholders' Equity$4,824,359
 $4,600,726
See accompanying notes.

ProAssurance Corporation and Subsidiaries
Condensed Consolidated Statements of Changes in Capital (Unaudited)
(In thousands)
  Common Stock Additional Paid-in Capital Accumulated Other Comprehensive Income (Loss) Retained Earnings Treasury Stock Total
Balance at July 1, 2019 $631
 $385,200
 $31,729
 $1,581,273
 $(417,277) $1,581,556
Common shares issued for compensation and effect of shares reissued to stock purchase plan 
 20
 
 
 
 20
Share-based compensation 
 (11) 
 
 
 (11)
Net effect of restricted and performance shares issued 
 (28) 
 
 
 (28)
Dividends to shareholders 
 
 
 (16,677) 
 (16,677)
Other comprehensive income (loss) 
 
 7,405
 
 
 7,405
Net income 
 
 
 17,193
 
 17,193
Balance at September 30, 2019 $631

$385,181

$39,134

$1,581,789

$(417,277)
$1,589,458
             
  Common Stock Additional Paid-in Capital Accumulated Other Comprehensive Income (Loss) Retained Earnings Treasury Stock Total
Balance at December 31, 2018 $630
 $384,713
 $(16,911) $1,571,847
 $(417,277) $1,523,002
Cumulative-effect adjustment-
ASU 2018-07 adoption*
 
 
 
 (444) 
 (444)
Common shares issued for compensation and effect of shares reissued to stock purchase plan 
 832
 
 
 
 832
Share-based compensation 
 2,309
 
 
 
 2,309
Net effect of restricted and performance shares issued 1
 (2,673) 
 
 
 (2,672)
Dividends to shareholders 
 
 
 (49,992) 
 (49,992)
Other comprehensive income (loss) 
 
 56,045
 
 
 56,045
Net income 
 
 
 60,378
 
 60,378
Balance at September 30, 2019 $631

$385,181

$39,134

$1,581,789

$(417,277)
$1,589,458
* See Note 1 for discussion of accounting guidance adopted during the period.
Continued on the following page.

Continued from the previous page.Continued from the previous page.
Common Stock Additional Paid-in Capital Accumulated Other Comprehensive Income (Loss) Retained Earnings Treasury Stock Total Common Stock Additional Paid-in Capital Accumulated Other Comprehensive Income (Loss) Retained Earnings Treasury Stock Total
Balance at December 31, 2016$627
 $376,518
 $17,399
 $1,824,088
 $(419,930) $1,798,702
Cumulative-effect adjustment-
ASU 2016-09 adoption*

 425
 
 (276) 
 149
Common shares reacquired
 
 
 
 
 
Balance at July 1, 2018 $630
 $383,001
 $(16,143) $1,625,137
 $(418,009) $1,574,616
Common shares issued for compensation and effect of shares reissued to stock purchase plan
 1,873
 
 
 2
 1,875
 
 34
 
 
 
 34
Share-based compensation
 7,110
 
 
 
 7,110
 
 1,604
 
 
 
 1,604
Net effect of restricted and performance shares issued and stock options exercised1
 (5,331) 
 
 
 (5,330)
Net effect of restricted and performance shares issued 
 (1) 
 
 
 (1)
Dividends to shareholders
 
 
 (49,598) 
 (49,598) 
 
 
 (16,622) 
 (16,622)
Other comprehensive income (loss)
 
 8,060
 
 
 8,060
 
 
 (3,964) 
 
 (3,964)
Net income
 
 
 89,922
 
 89,922
 
 
 
 31,228
 
 31,228
Balance at September 30, 2017$628
 $380,595
 $25,459
 $1,864,136
 $(419,928) $1,850,890
Balance at September 30, 2018 $630
 $384,638
 $(20,107) $1,639,743
 $(418,009) $1,586,895
                       
Common Stock Additional Paid-in Capital Accumulated Other Comprehensive Income (Loss) Retained Earnings Treasury Stock Total Common Stock Additional Paid-in Capital Accumulated Other Comprehensive Income (Loss) Retained Earnings Treasury Stock Total
Balance at December 31, 2015$625
 $365,399
 $23,855
 $1,988,035
 $(419,560) $1,958,354
Common shares reacquired
 
 
 
 (2,106) (2,106)
Balance at December 31, 2017 $628
 $383,077
 $14,911
 $1,614,186
 $(418,007) $1,594,795
Cumulative-effect adjustment-
ASU 2016-01 adoption
 
 
 
 8,334
 
 8,334
Cumulative-effect adjustment-
ASU 2018-02 adoption
 
 
 3,416
 (3,416) 
 
Common shares issued for compensation and effect of shares reissued to stock purchase plan1
 2,147
 
 
 
 2,148
 
 1,350
 
 
 (2) 1,348
Share-based compensation
 7,458
 
 
 
 7,458
 
 4,083
 
 
 
 4,083
Net effect of restricted and performance shares issued and stock options exercised1
 (3,011) 
 
 
 (3,010)
Net effect of restricted and performance shares issued 2
 (3,872) 
 
 
 (3,870)
Dividends to shareholders
 
 
 (49,370) 
 (49,370) 
 
 
 (50,868) 
 (50,868)
Other comprehensive income (loss)
 
 32,460
 
 
 32,460
 
 
 (38,434) 
 
 (38,434)
Net income
 
 
 96,233
 
 96,233
 
 
 
 71,507
 
 71,507
Balance at September 30, 2016$627
 $371,993
 $56,315
 $2,034,898
 $(421,666) $2,042,167
Balance at September 30, 2018 $630
 $384,638
 $(20,107) $1,639,743
 $(418,009) $1,586,895
           
* See Note 1 of the Notes to Condensed Consolidated Financial Statements for discussion of accounting guidance adopted during the period.
See accompanying notes.

ProAssurance Corporation and Subsidiaries
Condensed Consolidated Statements of Income and Comprehensive Income (Unaudited)
(In thousands, except per share data)
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
2017 2016 2017 20162019 2018 2019 2018
Revenues              
Net premiums earned$192,303
 $185,275
 $555,559
 $539,587
$215,788
 $206,070
 $633,086
 $616,819
Net investment income23,729
 25,261
 69,592
 75,284
23,681
 23,266
 70,038
 67,677
Equity in earnings (loss) of unconsolidated subsidiaries4,164
 (3,349) 8,489
 (6,607)(1,277) 5,228
 (7,240) 12,247
Net realized investment gains (losses):              
OTTI losses
 (100) (419) (10,834)(66) (86) (202) (490)
Portion of OTTI losses recognized in other comprehensive income before taxes
 
 248
 1,068
36
 
 124
 
Net impairment losses recognized in earnings
 (100) (171) (9,766)(30) (86) (78) (490)
Other net realized investment gains (losses)7,749
 15,837
 18,981
 28,080
1,164
 12,459
 47,142
 3,141
Total net realized investment gains (losses)7,749
 15,737
 18,810
 18,314
1,134
 12,373
 47,064
 2,651
Other income510
 1,428
 4,581
 5,963
2,548
 2,388
 7,419
 7,155
Total revenues228,455
 224,352
 657,031
 632,541
241,874
 249,325
 750,367
 706,549
Expenses              
Net losses and loss adjustment expenses129,356
 118,082
 364,058
 335,936
161,614
 147,605
 489,808
 439,120
Underwriting, policy acquisition and operating expenses              
Operating expense32,606
 34,060
 102,062
 101,862
32,778
 35,213
 100,729
 101,634
DPAC amortization24,505
 21,752
 70,044
 64,873
29,083
 26,631
 85,231
 77,178
Segregated portfolio cells dividend expense (income)2,891
 3,196
 14,076
 5,895
3,621
 5,255
 1,375
 9,787
Interest expense4,124
 3,748
 12,402
 11,285
4,274
 3,599
 12,850
 11,262
Total expenses193,482
 180,838
 562,642
 519,851
231,370
 218,303
 689,993
 638,981
Income before income taxes34,973
 43,514
 94,389
 112,690
10,504
 31,022
 60,374
 67,568
Provision for income taxes              
Current expense (benefit)13,690
 13,736
 12,111
 16,407
3,013
 (1,637) 4,864
 (4,140)
Deferred expense (benefit)(7,666) (4,056) (7,644) 50
(9,702) 1,431
 (4,868) 201
Total income tax expense (benefit)6,024
 9,680
 4,467
 16,457
(6,689) (206) (4) (3,939)
Net income28,949
 33,834
 89,922
 96,233
17,193
 31,228
 60,378
 71,507
Other comprehensive income (loss), after tax, net of reclassification adjustments(605) (4,974) 8,060
 32,460
7,405
 (3,964) 56,045
 (38,434)
Comprehensive income$28,344
 $28,860
 $97,982
 $128,693
Earnings per share:       
Comprehensive income (loss)$24,598
 $27,264
 $116,423
 $33,073
Earnings per share       
Basic$0.54
 $0.64
 $1.68
 $1.81
$0.32
 $0.58
 $1.12
 $1.33
Diluted$0.54
 $0.63
 $1.68
 $1.80
$0.32
 $0.58
 $1.12
 $1.33
Weighted average number of common shares outstanding:              
Basic53,413
 53,222
 53,377
 53,199
53,762
 53,620
 53,732
 53,585
Diluted53,614
 53,456
 53,586
 53,419
53,856
 53,773
 53,831
 53,735
Cash dividends declared per common share$0.31
 $0.31
 $0.93
 $0.93
$0.31
 $0.31
 $0.93
 $0.93
See accompanying notes.

ProAssurance Corporation and Subsidiaries
Condensed Consolidated Statements of Cash Flows (Unaudited)
(In thousands)
 Nine Months Ended September 30
 2019 2018
Operating Activities   
Net income$60,378
 $71,507
Adjustments to reconcile net income to net cash provided by operating activities:   
Depreciation and amortization, net of accretion14,073
 16,544
(Increase) decrease in cash surrender value of BOLI(1,557) (1,525)
Net realized investment (gains) losses(47,064) (2,651)
Share-based compensation2,323
 4,145
Deferred income tax expense (benefit)(4,868) 201
Policy acquisition costs, net of amortization (net deferral)(3,983) (5,989)
Equity in (earnings) loss of unconsolidated subsidiaries7,240
 (12,247)
Distributed earnings from unconsolidated subsidiaries11,690
 23,906
Other2,026
 490
Other changes in assets and liabilities:   
Premiums receivable(22,478) (45,602)
Reinsurance related assets and liabilities(27,185) 5,741
Other assets(3,552) (1,961)
Reserve for losses and loss adjustment expenses95,928
 51,446
Unearned premiums44,049
 46,114
Other liabilities1,783
 (3,725)
Net cash provided (used) by operating activities128,803
 146,394
Investing Activities   
Purchases of:   
Fixed maturities, available for sale(553,186) (717,119)
Fixed maturities, trading(6,339) (33,086)
Equity investments(74,649) (169,160)
Other investments(24,088) (22,557)
Funding of qualified affordable housing project tax credit partnerships(322) (74)
Investment in unconsolidated subsidiaries(53,630) (54,496)
Proceeds from sales or maturities of:   
Fixed maturities, available for sale416,805
 809,095
Equity investments149,720
 138,423
Other investments24,583
 21,853
Return of invested capital from unconsolidated subsidiaries35,902
 48,545
Net sales or maturities (purchases) of short-term investments37,975
 227,513
Unsettled security transactions, net change15,211
 (4,273)
Purchases of capital assets(7,133) (7,672)
Repayments (advances) under Syndicate Credit Agreement13,450
 (878)
Other(16) (1,331)
Net cash provided (used) by investing activities(25,717) 234,783
Continued on the following page.   
 Nine Months Ended September 30
 2017 2016
Operating Activities   
Net income$89,922
 $96,233
Adjustments to reconcile income to net cash provided by operating activities:   
Depreciation and amortization, net of accretion21,024
 25,509
(Increase) decrease in cash surrender value of BOLI(1,518) (1,537)
Net realized investment (gains) losses(18,810) (18,314)
Share-based compensation7,110
 7,458
Deferred income taxes(7,644) 50
Policy acquisition costs, net of amortization (net deferral)(4,882) (5,221)
Equity in (earnings) loss of unconsolidated subsidiaries(8,489) 6,607
Other(548) (689)
Other changes in assets and liabilities:   
Premiums receivable(39,206) (23,873)
Reinsurance related assets and liabilities(45,401) (19,049)
Other assets1,188
 16,411
Reserve for losses and loss adjustment expenses47,270
 (7,307)
Unearned premiums49,446
 44,418
Other liabilities8,569
 8,296
Net cash provided (used) by operating activities98,031
 128,992
Investing Activities   
Purchases of:   
Fixed maturities, available for sale(449,717) (540,370)
Equity securities, trading(127,916) (76,838)
Other investments(35,445) (15,832)
Funding of qualified affordable housing tax credit limited partnerships(394) (963)
Investment in unconsolidated subsidiaries(30,530) (39,051)
Proceeds from sales or maturities of:   
Fixed maturities, available for sale599,374
 582,379
Equity securities, trading116,833
 56,670
Other investments16,479
 10,952
Distributions from unconsolidated subsidiaries47,364
 7,720
Net sales or maturities (purchases) of short-term investments141,538
 (135,743)
Unsettled security transactions, net change(10,935) 16,665
Purchases of capital assets(8,620) (7,797)
Purchases of intangible assets(2,984) 
Other(2,745) (1,520)
Net cash provided (used) by investing activities252,302
 (143,728)
Continued on following page.   


 Nine Months Ended September 30
 2019 2018
Continued from the previous page.   
Financing Activities   
Repayments under Revolving Credit Agreement
 (123,000)
Repayments of Mortgage Loans(1,086) (1,047)
Dividends to shareholders(76,574) (299,894)
Capital contribution received from (return of capital to) external segregated portfolio cell participants(983) (267)
Other(2,703) (3,905)
Net cash provided (used) by financing activities(81,346) (428,113)
Increase (decrease) in cash and cash equivalents21,740
 (46,936)
Cash and cash equivalents at beginning of period80,471
 134,495
Cash and cash equivalents at end of period$102,211
 $87,559
Significant Non-Cash Transactions   
Dividends declared and not yet paid$16,677
 $16,622
Operating ROU assets obtained in exchange for operating lease liabilities$3,729
 $
 Nine Months Ended September 30
 2017 2016
Financing Activities   
Repayments under revolving credit agreement(48,000) 
Repurchase of common stock
 (2,106)
Dividends to shareholders(298,704) (102,354)
External capital contribution received for segregated portfolio cells2,989
 9,703
Other(4,960) (2,704)
Net cash provided (used) by financing activities(348,675) (97,461)
Increase (decrease) in Cash and cash equivalents1,658
 (112,197)
Cash and cash equivalents at beginning of period117,347
 241,100
Cash and cash equivalents at end of period$119,005
 $128,903
Significant non-cash transactions   
Dividends declared and not yet paid$16,558
 $16,462

See accompanying notes.


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ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019




1. Basis of Presentation
The accompanying unaudited Condensed Consolidated Financial Statements include the accounts of ProAssurance Corporation and its consolidated subsidiaries (ProAssurance, PRA or the Company). The financial statements have been prepared in accordance with GAAP for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of management, all adjustments considered necessary for a fair presentation, consisting of normal recurring adjustments, have been included. ProAssurance’s results for the nine months ended September 30, 20172019 are not necessarily indicative of the results that may be expected for the year ending December 31, 2017.2019. The accompanying Condensed Consolidated Financial Statements should be read in conjunction with the Consolidated Financial Statements and Notes contained in ProAssurance’s December 31, 20162018 report on Form 10-K. In connection with its preparation of the Condensed Consolidated Financial Statements, ProAssurance evaluated events that occurred subsequent to September 30, 20172019 for recognition or disclosure in its financial statements and notes to financial statements.
ProAssurance operates in four5 reportable segments as follows: Specialty P&C, Workers' Compensation Insurance, Segregated Portfolio Cell Reinsurance, Lloyd's SyndicateSyndicates and Corporate. For more information on the Company's segment reporting, including the nature of products and services provided and for financial information by segment, refer to Note 11 of the Notes to Condensed Consolidated Financial Statements.
Reclassifications
In the second quarter of 2017, ProAssurance began presenting separately the components of Underwriting, policy acquisition and operating expense as Operating expense and DPAC amortization on the Condensed Consolidated Statements of Income and Comprehensive Income in order to provide additional details for investors. The Condensed Consolidated Statements of Income and Comprehensive Income for the three and nine months ended September 30, 2016 have been reclassified to conform to the current period presentation. Total Underwriting, policy acquisition and operating expense as well as Net income for all periods presented was not affected by the change in presentation.14.
Other Liabilities
Other liabilities consisted of the following:
(In thousands) September 30, 2019 December 31, 2018
SPC dividends payable $56,417
 $53,604
Unpaid shareholder dividends 16,677
 43,446
All other 119,975
 102,245
Total other liabilities $193,069
 $199,295
(In thousands) September 30, 2017 December 31, 2016
SPC dividends payable $46,353
 $34,289
Unpaid dividends 16,558
 265,659
All other 113,417
 122,337
Total other liabilities $176,328
 $422,285

SPC dividends payable arerepresents the cumulative undistributed earningsequity contractually payable to the external preferred shareholderscell participants of SPCs operated by ProAssurance's Cayman Islands subsidiary,subsidiaries, Inova Re and Eastern Re.
Unpaid dividends represent common stock dividends declared by ProAssurance's Board of Directors that had not yet been paid.paid as of September 30, 2019. Unpaid dividends at December 31, 2016 reflect2018 included a special dividend declared in late 2016the fourth quarter of 2018 that was paid in January 2017.2019.
Accounting Changes AdoptedPolicies
Improvements to Employee Share-Based Payment Accounting
Effective for fiscal years beginning after December 15, 2016 and interim periods within those fiscal years,Except as added below, the FASB issued guidancesignificant accounting policies followed by ProAssurance in making estimates that simplifies several aspectsmaterially affect financial reporting are summarized in Note 1 of the Notes to Consolidated Financial Statements in ProAssurance’s December 31, 2018 report on Form 10-K.
Due to the adoption of ASU 2016-02 at the beginning of 2019, ProAssurance began following the accounting policy described below:
Leases
ProAssurance is involved in a number of leases, primarily for share-based payment transactions, includingoffice facilities. The Company determines if an arrangement is a lease at the income tax consequences, classificationinception date of cash flows,the contract and the classification of awardsclassifies all leases as either equityfinancing or liabilities. Underoperating. Operating leases are included in operating lease ROU assets and operating lease liabilities on the new guidance,Condensed Consolidated Balance Sheet as of September 30, 2019. The ROU asset represents the difference betweenright to use the deductionunderlying asset for tax purposesthe lease term. As of September 30, 2019, ProAssurance has no leases that are classified as financing leases.
Operating ROU assets and the compensation cost recognized for financial reporting purposes is to beoperating lease liabilities are initially recognized as income tax expenseof the lease commencement date based on the present value of the remaining lease payments, discounted over the term of the lease using a discount rate determined based on information available as of the commencement date. As the majority of ProAssurance's lessors do not provide an implicit discount rate, the Company uses its collateralized incremental borrowing rate in determining the current period and included with other income tax cash flows as an operating activity. The threshold for equity classification has also been revised to permit withholdings uppresent value of remaining lease payments. Due to the maximum statutory tax rates inadoption of ASU 2016-02 (see further discussion that follows), the applicable jurisdictions. The update also provides an accounting policy election to account for forfeitures as they occur. ProAssurance adopted the guidanceCompany used its collateralized incremental borrowing rate as of January 1, 2017. The primary effects2019 for operating leases that commenced prior to that date. Subsequent to the initial recognition, the operating ROU asset is amortized over the lease term on a straight-line basis as operating lease expense which is included as a component of the adoptionoperating expense on the current period are the following: (1) using a prospective application, ProAssurance recorded unrecognized excess tax benefitsCondensed Consolidated Statements of $2.6 million as current tax expense for the nine months ended September 30, 2017 (unrecognized excess tax benefits were nominal for the 2017 three-month period), (2) using a modified retrospective application, ProAssurance elected to recognize forfeitures as they occurIncome and recorded a $0.4 million increase to Additional paid-in capital, and a respective $0.3 million


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ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


reduction to Retained earningsComprehensive Income for the three and a $0.1 million increase to deferred taxes to reflect the incremental share-based compensation expense, netnine months ended September 30, 2019 and 2018. Leases with an initial term of related tax impacts, that would have been recognized in prior years under the modified guidancetwelve months or less are considered short-term and (3) excess tax benefits from share-based compensation of $2.2 million was reclassified from financing activities to operating activities inare not recorded on the Condensed Consolidated StatementsBalance Sheet; lease expense for these leases is also recognized on a straight-line basis over the lease term. Additionally, for leases entered into or reassessed after the adoption of Cash Flows.ASU 2016-02, ProAssurance accounts for lease and non-lease components of a contract as a single lease component.
Interests Held Through Related PartiesOperating lease ROU assets are evaluated for impairment whenever events or changes in circumstances indicate that are Under Common Controlthe carrying amount may not be recoverable. The carrying amount of a ROU asset is not recoverable if it exceeds the sum of the undiscounted cash flows expected to result from the use of the underlying leased asset over the remaining lease term. That assessment is based on the carrying amount of the ROU asset at the date it is tested for recoverability and an impairment loss is measured and recognized as the amount by which the carrying amount of the ROU asset exceeds its fair value.
Accounting Changes Adopted
Leases (ASU 2016-02)
Effective for fiscal years beginning after December 15, 2016 and interim periods within those fiscal years, the FASB issued additional guidance regarding consolidation of legal entities such as LPs/LLCs and securitization structures (collateralized debt obligations, collateralized loan obligations, and mortgage-backed security transactions). The new guidance modifies the criteria used by a reporting entity when determining if it is a primary beneficiary of a VIE when there are entities under common control and the reporting entity has indirect interests in the VIE through related party relationships. ProAssurance adopted the guidance as of January 1, 2017. Adoption of the guidance had no material effect on ProAssurance’s results of operations or financial position.
Simplifying the Transition to the Equity Method of Accounting
Effective for fiscal years beginning after December 15, 2016 and interim periods within those fiscal years, the FASB issued guidance that eliminates the requirement for retroactive restatement when an investment qualifies for use of the equity method as a result of an increase in the level of ownership interest or degree of influence. The new guidance provides that the cost of acquiring an additional interest in an investee is to be added to the current basis of an investor’s previously held interest and the equity method of accounting adopted as of the date the investment becomes qualified for equity method accounting with no retroactive adjustment of the investment. If an available-for-sale equity security qualifies for the equity method of accounting, the unrealized holding gain or loss in AOCI is to be recognized through earnings at the date the investment becomes qualified for use of the equity method. ProAssurance adopted the guidance as of January 1, 2017. Adoption of the guidance had no material effect on ProAssurance’s results of operations or financial position.
Clarifying the Definition of a Business
Effective for fiscal years beginning after December 15, 2017 and interim periods within those fiscal years, the FASB issued guidance which provides clarification of the definition of a business, affecting areas such as acquisitions, disposals, goodwill and consolidation. The new guidance intends to assist entities with determining whether a transaction should be accounted for as an acquisition or disposal of assets or a business. The guidance will be applied prospectively to any transaction occurring within the period of adoption. ProAssurance early adopted the guidance during the third quarter of 2017 and adoption of the guidance had no material effect on ProAssurance’s results of operations or financial position.
Accounting Changes Not Yet Adopted
Restricted Cash
Effective for fiscal years beginning after December 15, 2017 and interim periods within those fiscal years, the FASB issued guidance related to the classification of restricted cash presented in the statement of cash flows with the objective of reducing diversity in practice. Under the new guidance, entities are required to include restricted cash and restricted cash equivalents with cash and cash equivalents when reconciling beginning-of-period and end-of-period total amounts as presented on the statement of cash flows. ProAssurance plans to adopt the guidance beginning January 1, 2018. Adoption is not expected to have a material effect on ProAssurance’s results of operations, financial position or cash flows.
Intra-Entity Transfers of Assets Other than Inventory
Effective for fiscal years beginning after December 15, 2017 and interim periods within those fiscal years, the FASB issued guidance which reduces the complexity in accounting standards related to the income tax consequences of intra-entity transfers of assets other than inventory. Under the new guidance, entities are required to recognize income tax consequences of an intra-entity transfer of assets other than inventory when the transfer occurs instead of delaying recognition until the asset has been sold to an outside party. ProAssurance is in the process of evaluating the effect the new guidance would have on its results of operations and financial position and plans to adopt the guidance beginning January 1, 2018. Adoption of the guidance is not expected to have a material effect on ProAssurance’s results of operations or financial position.
Classification of Certain Cash Receipts and Cash Payments
Effective for fiscal years beginning after December 15, 2017 and interim periods within those fiscal years, the FASB issued guidance related to the classification of certain cash receipts and cash payments presented in the statement of cash flows with the objective of reducing diversity in practice. ProAssurance plans to adopt the guidance beginning January 1, 2018. Adoption is not expected to have a material effect on ProAssurance’s results of operations, financial position or cash flows.

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Table of Contents
ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017

Revenue from Contracts with Customers
Effective for fiscal years beginning after December 15, 2017 the FASB issued guidance related to revenue from contracts with customers. The core principle of the new guidance is that revenue is recognized to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. ProAssurance plans to adopt the guidance beginning January 1, 2018 under the modified retrospective method. As the majority of ProAssurance's revenues come from insurance contracts which fall under the scope of other FASB standards, only an insignificant amount of the Company's revenue is subject to the updated guidance. Therefore, adoption of the guidance is not expected to have a material effect on ProAssurance’s results of operations or financial position.
Recognition and Measurement of Financial Assets and Financial Liabilities
Effective for fiscal years beginning after December 15, 2017 and interim periods within those fiscal years, the FASB issued guidance that requires equity investments (except those accounteda lessee to recognize for all leases (with the exception of short-term leases) a lease liability, which is a lessee's obligation to make lease payments arising from a lease, measured on a discounted basis, and a right-of-use asset, which is an asset that represents the lessee's right to use, or control the use of, a specified asset for the lease term. ProAssurance adopted the guidance as of January 1, 2019 using a modified retrospective application and elected the transition option provided that allows companies to continue to apply legacy GAAP in comparative periods. Also, ProAssurance elected the package of practical expedients permitted under the equity method of accounting,guidance, which allowed the Company to carryforward its historical lease classification, its assessment on whether a contract is or thosecontains a lease and its initial direct costs for any leases that result in consolidation of the investee)existed prior to be measured at fair value with changes in fair value recognized in net income. The new guidance also specifies that an entity use the exit price notion when measuring the fair value of financial instruments for disclosure purposes and present financial assets and liabilities by measurement category and form of financial asset. Other provisionsadoption of the new guidance include: revised disclosure requirements relatedstandard. Furthermore, ProAssurance elected to combine lease and non-lease components and to keep leases with an initial term of 12 months or less off the presentation in comprehensive income of changesCondensed Consolidated Balance Sheet and recognize the associated lease payments in the fair valueCondensed Consolidated Statements of liabilities; elimination, for public companies,Income and Comprehensive Income on a straight-line basis over the lease term. ProAssurance recognized total ROU assets and total lease liabilities of disclosure requirements relativeapproximately $19 million on the Condensed Consolidated Balance Sheet as of January 1, 2019 which relate to ProAssurance's real estate operating leases; the method(s) and significant assumptions underlying fair values disclosed forCompany does not consider these leases to be material to its financial instruments measured at amortized cost; and simplified impairment assessments for equity investments without readily determinable fair values. ProAssurance plansposition. Adoption of this guidance had no material impact on ProAssurance's results of operation or cash flows.
ProAssurance's Revolving Credit Agreement contains a financial covenant regarding permitted leverage ratios based upon Consolidated Funded Indebtedness to Consolidated Total Capitalization; however, adoption of this guidance had no material impact on this covenant. ProAssurance’s Mortgage Loans also contain a financial covenant regarding permitted leverage ratios, principally based upon SAP Consolidated Net Worth; however, as the NAIC did not adopt the guidance beginning January 1, 2018, with the cumulative effect of the adoption made to retained earnings. The majority of ProAssurance's equity investments are either measured at fair value or accounted for under the equity method of accounting. As of September 30, 2017, approximately 1% of the Company's total investments would be impacted by the guidance and therefore,principles found in ASU 2016-02, adoption of the guidance is not expected to have a material effecthad no impact on ProAssurance’s results of operations or financial position.
Modification Accounting for Employee Share-Based Payment Awards
Effective for fiscal years beginning after December 15, 2017 and interim periods within those fiscal years, the FASB issued guidance which reduces the complexity in accounting standards when there is a change in the terms or conditions of a share-based payment award. The new guidance clarifies that an entity should apply the modification accounting guidance if the value, vesting conditions or classification of the award changes. ProAssurance plans to adopt the guidance beginning January 1, 2018. Adoption of the guidance is not expected to have a material effect on ProAssurance’s results of operations or financial position.this covenant.
Premium Amortization on Purchased Callable Debt Securities (ASU 2017-08)
Effective for fiscal years beginning after December 15, 2018 and interim periods within those fiscal years, the FASB issued guidance that will require the premium for certain callable debt securities to be amortized over a shorter period than is currently required. Currently, amortization is permitted over the contractual life of the instrument, and the guidance shortens the amortization to the earliest call date. The purpose of the guidance is to more closely align the amortization period of premiums to expectations incorporated in market pricing on the underlying securities. ProAssurance plans to adoptadopted the guidance beginningas of January 1, 2019. AdoptionAs ProAssurance amortizes the premium on callable debt securities to the earliest call date, adoption of the guidance is not expected to have ahad no material effect on ProAssurance’s results of operations, financial position or financial position.cash flows.
LeasesDerivatives and Hedging (ASU 2017-12)
Effective for fiscal years beginning after December 15, 2018 and interim periods within those fiscal years, the FASB issued guidance thatto improve financial reporting of hedging relationships to better portray the entity's risk management activities in the consolidated financial statements. The new guidance eliminates the requirement to separately measure and report hedge ineffectiveness and requires a lessee to recognize for all leases (with the exception of short-term leases) a lease liability, which is a lessee's obligation to make lease payments arising from a lease, measured on a discounted basis, and a right-of-use asset, which is an asset that representsentire change in the lessee's right to use, or control the usefair value of a specified asset forhedging instrument to be presented in the lease term.same income statement line as the hedged item. ProAssurance plans to adoptadopted the guidance beginningas of January 1, 2019. Adoption of the guidanceProAssurance's derivative instrument at September 30, 2019 is not expected to havedesignated as a materialhedging instrument; therefore, adoption had no effect on ProAssurance’sProAssurance's results of operations, or financial position as ProAssurance does not have any leases it believes to be material.or cash flows.


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ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


Improvements to Nonemployee Share-Based Payment Accounting (ASU 2018-07)
Effective for fiscal years beginning after December 15, 2018 and interim periods within those fiscal years, the FASB issued guidance which reduces the complexity in accounting for nonemployee share-based payment awards. The new guidance substantially aligns the accounting for nonemployee share-based payment awards with the accounting guidance for employee share-based payment awards with certain exceptions, including the inputs used in estimating the fair value of the nonemployee awards and the period of time and pattern of expense recognition. ProAssurance adopted the guidance as of January 1, 2019 using a modified retrospective application and recorded a cumulative-effect adjustment of approximately $0.4 million to beginning retained earnings in the Condensed Consolidated Statement of Changes in Capital for the nine months ended September 30, 2019. Adoption had no material effect on ProAssurance's results of operations, financial position or cash flows.
Derivatives and Hedging - Inclusion of the Secured Overnight Financing Rate (SOFR) Overnight Index Swap as a Benchmark Interest Rate for Hedge Accounting Purposes (ASU 2018-16)
Effective for fiscal years beginning after December 15, 2018 and interim periods within those fiscal years, the FASB issued new guidance that permits the use of the Overnight Index Swap Rate based on the Secured Financing Rate as a U.S. benchmark interest rate for hedge accounting purposes. ProAssurance adopted the guidance as of January 1, 2019. As of September 30, 2019, ProAssurance's derivative instrument is not designated as a hedging instrument; therefore, adoption had no effect on ProAssurance's results of operations, financial position or cash flows.
Accounting Changes Not Yet Adopted
Improvements to Financial Instruments - Credit Losses (ASU 2016-13)
Effective for fiscal years beginning after December 15, 2019 and interim periods within those fiscal years, the FASB issued guidance that replaces the incurred loss impairment methodology, which delays recognition of credit losses until a probable loss has been incurred, with a methodology that reflects expected credit losses and requires consideration of a broader range of reasonable and supportable information to inform credit loss estimates. Under the new guidance, credit losses are required to be recorded through an allowance for credit losses account and the income statement will reflect the initial recognition of lifetime expected credit losses for any newly recognized financial assets as well as increases or decreases of expected credit losses that have taken place during the period. Credit losses on available-for-sale fixed maturity securities will be required to be presented as an allowance, rather than as a write-down of the asset, limited to the amount by which the fair value is below amortized cost. Adoption of this guidance is not expected to have a material impact on ProAssurance's available-for-sale fixed maturity portfolio. In addition, ProAssurance's premiums receivable and receivables from reinsurers are also included in the scope of this new guidance; however, ProAssurance has not historically experienced material credit losses due to the financial condition of an insured or reinsurer. ProAssurance plans to adopt the guidance beginning January 1, 2020 and is in the process of evaluating the effect the new guidance would have on its results of operations and financial position.
Simplifying the Test for Goodwill Impairment (ASU 2017-04)
Effective for the fiscal years beginning after December 15, 2019 and interim periods within those fiscal years, the FASB issued guidance that simplifies the requirements to test goodwill for impairment for business entities that have goodwill reported in their financial statements. The guidance eliminates the second step of the impairment test which measures a goodwill impairment loss by comparing the implied fair value of a reporting unit's goodwill with the carrying amount. In addition, the guidance also eliminates the requirements for any reporting unit with a zero or negative carrying amount to perform a qualitative assessment. ProAssurance plans to adopt the guidance beginning January 1, 2020. Adoption is not expected to have a material effect on ProAssurance’s results of operations, financial position or financial position.cash flows.
ImprovementsChanges to Financial Instruments - Credit Lossesthe Disclosure Requirements for Fair Value Measurement (ASU 2018-13)
Effective for fiscal years beginning after December 15, 2019 and interim periods within those fiscal years, the FASB issued guidance that replaces the incurred loss impairment methodology, which delays recognition of credit losses until a probable loss has been incurred, with a methodology that reflects expected credit losseseliminates, modifies and requires consideration of a broader range of reasonable and supportable informationadds certain disclosure requirements related to inform credit loss estimates. Under thefair value measurements. The new guidance credit losses are requiredeliminates the requirements to be recorded through an allowancedisclose the transfers between Level 1 and Level 2 of the fair value hierarchy, the policy for credit losses accountthe timing of transfers between levels of the fair value hierarchy and the income statement reflectsvaluation process for Level 3 fair value measurements while it modifies existing disclosure requirements related to measurement uncertainty and the measurementrequirement to disclose the timing of liquidation of an investee's assets for newly recognized financial assets,investments in certain entities that calculate NAV. The new guidance also adds requirements to disclose changes in unrealized gains and losses included in OCI for recurring Level 3 fair value measurements as well as increasesthe range and weighted average used to develop significant unobservable inputs for Level 3 fair value measurements. An entity is permitted to early adopt any eliminated or decreasesmodified disclosure requirements and delay adoption of expected credit losses that have taken place during the period. ProAssurance is in the process of evaluating the effect the new guidance would have on its results of operations and financial position and plans to adopt the guidance beginning January 1, 2020. Adoption ofadditional disclosure requirements until the guidance is not expectedeffective. During the third quarter of 2018, ProAssurance elected to haveearly adopt the provisions that eliminate and modify certain disclosure requirements within Note 2 on a material effect on ProAssurance’s results of operations or financial position.retrospective basis and


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ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


adoption of these certain provisions had no material effect on ProAssurance’s results of operations, financial position or cash flows as it affected disclosures only. ProAssurance plans to adopt the additional disclosure requirements beginning January 1, 2020 and adoption is not expected to have a material effect on ProAssurance’s results of operations, financial position or cash flows.
Intangibles - Goodwill and Other-Internal-Use Software (ASU 2018-15)
Effective for fiscal years beginning after December 15, 2019 and interim periods within those fiscal years, the FASB amended the new standard regarding accounting for implementation costs in cloud computing arrangements. The amended guidance substantially aligns the requirements for capitalizing implementation costs incurred in a hosting arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software. ProAssurance plans to adopt the guidance beginning January 1, 2020. Adoption is not expected to have a material effect on ProAssurance’s results of operations, financial position or cash flows.
Targeted Improvements to Related Party Guidance for VIEs (ASU 2018-17)
Effective for fiscal years beginning after December 15, 2019 and interim periods within those fiscal years, the FASB amended guidance which improves the consistency of the application of the VIE guidance for common control arrangements. The amended guidance requires an entity to consider indirect interests held through related parties under common control on a proportional basis rather than as the equivalent of a direct interest in its entirety when determining whether a decision-making fee is a variable interest. ProAssurance plans to adopt the guidance beginning January 1, 2020. As of September 30, 2019 ProAssurance does not have any material indirect interests held through related parties under common control; therefore, adoption is not expected to have a material effect on ProAssurance’s results of operations, financial position or cash flows.
Collaborative Arrangements (ASU 2018-18)
Effective for fiscal years beginning after December 15, 2019 and interim periods within those fiscal years, the FASB issued new guidance which clarifies how to assess whether certain transactions between participants in a collaborative arrangement should be accounted for under the revenue from contracts with customers accounting standard when the counterpart is a customer. In addition, the guidance precludes an entity from presenting consideration from a transaction in a collaborative arrangement as revenue from contracts with customers if the counterparty is not a customer for that transaction. ProAssurance plans to adopt the guidance beginning January 1, 2020 and adoption is not expected to have a material effect on ProAssurance’s results of operations, financial position or cash flows.


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Table of Contents
ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2019

2. Fair Value Measurement
Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. A three level hierarchy has been established for valuing assets and liabilities based on how transparent (observable) the inputs are that are used to determine fair value, with the inputs considered most observable categorized as Level 1 and those that are the least observable categorized as Level 3. Hierarchy levels are defined as follows:
 Level 1:quoted (unadjusted) market prices in active markets for identical assets and liabilities. For ProAssurance, Level 1 inputs are generally quotes for debt or equity securities actively traded in exchange or over-the-counter markets.
 Level 2:market data obtained from sources independent of the reporting entity (observable inputs). For ProAssurance, Level 2 inputs generally include quoted prices in markets that are not active, quoted prices for similar assets or liabilities, and results from pricing models that use observable inputs such as interest rates and yield curves that are generally available at commonly quoted intervals.
 Level 3:the reporting entity'sentity’s own assumptions about market participant assumptions based on the best information available in the circumstances (non-observable inputs). For ProAssurance, Level 3 inputs are used in situations where little or no Level 1 or 2 inputs are available or are inappropriate given the particular circumstances. Level 3 inputs include results from pricing models for which some or all of the inputs are not observable, discounted cash flow methodologies, single non-binding broker quotes and adjustments to externally quoted prices that are based on management judgment or estimation.
Fair values of assets measured at fair value on a recurring basis as of September 30, 20172019 and December 31, 20162018 are shown in the following tables. Where applicable, the tables also indicate the fair value hierarchy of the valuation techniques utilized to determine those fair values. For some assets, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. When this is the case, the asset is categorized based on the level of the most significant input to the fair value measurement. Assessments of the significance of a particular input to the fair value measurement require judgment and consideration of factors specific to the assets being valued.


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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


September 30, 2017September 30, 2019
Fair Value Measurements Using TotalFair Value Measurements Using Total
(In thousands)Level 1 Level 2 Level 3 Fair ValueLevel 1 Level 2 Level 3 Fair Value
Assets:              
Fixed maturities, available for sale              
U.S. Treasury obligations$
 $148,372
 $
 $148,372
$
 $120,920
 $
 $120,920
U.S. Government-sponsored enterprise obligations
 18,772
 
 18,772

 22,334
 
 22,334
State and municipal bonds
 693,398
 
 693,398

 293,397
 
 293,397
Corporate debt, multiple observable inputs2,406
 1,255,413
 
 1,257,819

 1,344,542
 
 1,344,542
Corporate debt, limited observable inputs
 
 14,963
 14,963

 
 4,107
 4,107
Residential mortgage-backed securities
 201,691
 
 201,691

 201,843
 
 201,843
Agency commercial mortgage-backed securities
 11,835
 
 11,835

 10,182
 
 10,182
Other commercial mortgage-backed securities
 16,190
 
 16,190

 71,411
 1,126
 72,537
Other asset-backed securities
 101,770
 3,540
 105,310

 227,653
 4,020
 231,673
Equity securities      
Fixed maturities, trading
 45,295
 
 45,295
Equity investments      
Financial75,274
 
 
 75,274
60,565
 
 
 60,565
Utilities/Energy53,553
 
 
 53,553
42,074
 
 
 42,074
Consumer oriented53,569
 
 
 53,569
41,307
 
 
 41,307
Industrial51,002
 
 
 51,002
40,880
 
 
 40,880
Bond funds119,155
 
 
 119,155
164,399
 
 
 164,399
All other59,243
 
 
 59,243
38,021
 
 
 38,021
Short-term investments288,796
 5,583
 
 294,379
229,787
 41,049
 
 270,836
Other investments747
 30,614
 428
 31,789
18
 32,598
 1,517
 34,133
Other assets
 675
 
 675
Total assets categorized within the fair value hierarchy$703,745
 $2,483,638
 $18,931
 3,206,314
$617,051
 $2,411,899
 $10,770
 3,039,720
LP/LLC and investment fund interests carried at NAV which approximates fair value. These interests, reported as a part of Investment in unconsolidated subsidiaries and Other investments, respectively, are not categorized within the fair value hierarchy.      222,541
Assets carried at NAV, which approximates fair value and which are not categorized within the fair value hierarchy, reported as a part of:       
Equity investments      21,854
Investment in unconsolidated subsidiaries      274,517
Total assets at fair value      $3,428,855
      $3,336,091


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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


 December 31, 2018
 Fair Value Measurements Using Total
(In thousands)Level 1 Level 2 Level 3 Fair Value
Assets:       
Fixed maturities, available for sale       
U.S. Treasury obligations$
 $120,201
 $
 $120,201
U.S. Government-sponsored enterprise obligations
 35,354
 
 35,354
State and municipal bonds
 293,772
 
 293,772
Corporate debt, multiple observable inputs2,319
 1,216,834
 
 1,219,153
Corporate debt, limited observable inputs
 
 4,322
 4,322
Residential mortgage-backed securities
 181,238
 
 181,238
Agency commercial mortgage-backed securities
 13,108
 
 13,108
Other commercial mortgage-backed securities
 30,993
 
 30,993
Other asset-backed securities
 191,807
 3,850
 195,657
Fixed maturities, trading
 38,188
 
 38,188
Equity investments      
Financial62,344
 
 
 62,344
Utilities/Energy46,533
 
 
 46,533
Consumer oriented47,462
 
 
 47,462
Industrial41,487
 
 
 41,487
Bond funds174,753
 
 
 174,753
All other50,066
 
 
 50,066
Short-term investments265,910
 42,409
 
 308,319
Other investments
 31,341
 3
 31,344
Other assets
 1,884
 
 1,884
Total assets categorized within the fair value hierarchy$690,874

$2,197,129

$8,175

2,896,178
Assets carried at NAV, which approximates fair value and which are not categorized within the fair value hierarchy, reported as a part of:       
Equity investments      20,292
Investment in unconsolidated subsidiaries      268,436
Total assets at fair value      $3,184,906
 December 31, 2016
 Fair Value Measurements Using Total
(In thousands)Level 1 Level 2 Level 3 Fair Value
Assets:       
Fixed maturities, available for sale       
U.S. Treasury obligations$
 $146,539
 $
 $146,539
U.S. Government-sponsored enterprise obligations
 30,235
 
 30,235
State and municipal bonds
 800,463
 
 800,463
Corporate debt, multiple observable inputs2,339
 1,261,842
 
 1,264,181
Corporate debt, limited observable inputs
 
 14,810
 14,810
Residential mortgage-backed securities
 217,906
 
 217,906
Agency commercial mortgage-backed securities
 12,783
 
 12,783
Other commercial mortgage-backed securities
 19,611
 
 19,611
Other asset-backed securities
 103,871
 3,007
 106,878
Equity securities      
Financial81,749
 
 
 81,749
Utilities/Energy52,869
 
 
 52,869
Consumer oriented61,284
 
 
 61,284
Industrial54,265
 
 
 54,265
Bond funds79,843
 10,159
 
 90,002
All other27,181
 19,924
 
 47,105
Short-term investments437,580
 4,504
 
 442,084
Other investments1,956
 29,542
 3
 31,501
Total assets categorized within the fair value hierarchy$799,066

$2,657,379

$17,820

3,474,265
LP/LLC and investment fund interests carried at NAV which approximates fair value. These interests, reported as a part of Investment in unconsolidated subsidiaries and Other investments, respectively, are not categorized within the fair value hierarchy.      204,719
Total assets at fair value      $3,678,984

The fair values for securities included in the Level 2 category, with the few exceptions described below, were developed by one of several third party, nationally recognized pricing services, including services that price only certain types of securities. Each service uses complex methodologies to determine values for securities and subject the values they develop to quality control reviews. Management selected a primary source for each type of security in the portfolio and reviewed the values provided for reasonableness by comparing data to alternate pricing services and to available market and trade data. Values that appeared inconsistent were further reviewed for appropriateness. Any value that did not appear reasonable was discussed with the service that provided the value and adjusted, if necessary. There were no material changes to the values supplied by the pricing services during the three and nine months ended September 30, 20172019.

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ProAssurance Corporation and 2016.Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2019

Level 2 Valuations
Below is a summary description of the valuation methodologies primarily used by the pricing services for securities in the Level 2 category, by security type:
U.S. Treasury obligations were valued based on quoted prices for identical assets, or, in markets that are not active, quotes for similar assets, taking into consideration adjustments for variations in contractual cash flows and yields to maturity.
U.S. Government-sponsored enterprise obligations were valued using pricing models that consider current and historical market data, normal trading conventions, credit ratings, and the particular structure and characteristics of the security being valued, such as yield to maturity, redemption options, and contractual cash flows. Adjustments to model inputs or model results were included in the valuation process when necessary to reflect recent regulatory, government or corporate actions or significant economic, industry or geographic events affecting the security’s fair value.

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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017

State and municipal bonds were valued using a series of matrices that considered credit ratings, the structure of the security, the sector in which the security falls, yields, and contractual cash flows. Valuations were further adjusted, when necessary, to reflect the expected effect on fair value of recent significant economic or geographic events or ratings changes.
Corporate debt, multiple observable inputs consisted primarily of corporate bonds, but also included a small number of bank loans. The methodology used to value Level 2 corporate bonds was the same as the methodology previously described for U.S. Government-sponsored enterprise obligations. Bank loans were valued based on an average of broker quotes for the loans in question, if available. If quotes were not available, the loans were valued based on quoted prices for comparable loans or, if the loan was newly issued, by comparison to similar seasoned issues. Broker quotes were compared to actual trade prices to permit assessment of the reliability of the quotes; unreliable quotes were not considered in quoted averages.
Residential and commercial mortgage-backed securities were valued using a pricing matrix which considers the issuer type, coupon rate and longest cash flows outstanding. The matrix used was based on the most recently available market information. Agency and non-agency collateralized mortgage obligations were both valued using models that consider the structure of the security, current and historical information regarding prepayment speeds, ratings and ratings updates, and current and historical interest rate and interest rate spread data.
Other asset-backed securities were valued using models that consider the structure of the security, monthly payment information, current and historical information regarding prepayment speeds, ratings and ratings updates, and current and historical interest rate and interest rate spread data. Spreads and prepayment speeds consider collateral type.
Equity securities were securities not traded on an exchange onFixed maturities, trading, are held by the valuation date. TheLloyd's Syndicates segment and include U.S. Treasury obligations, U.S. Government-sponsored enterprise obligations, corporate debt with multiple observable inputs and other asset-backed securities. These securities were valued using the most recently available quotesrespective valuation methodologies discussed above for the securities.each security type.
Short-term investments are were securities maturing within one year, carried at costfair value which approximated the fair valuecost of the securitysecurities due to the short term to maturity.their short-term nature.
Other investments consisted primarily of convertible bonds valued using a pricing model that incorporated selected dealer quotes as well as current market data regarding equity prices and risk free rates. If dealer quotes were unavailable for the security being valued, quotes for securities with similar terms and credit status were used in the pricing model. Dealer quotes selected for use were those considered most accurate based on parameters such as underwriter status and historical reliability.
Level 3 ValuationsOther assets consisted of an interest rate cap derivative instrument, which is discussed in Note 10, valued using a model which considers the volatilities from other instruments with similar maturities, strike prices, durations and forward yield curves.
Below is a summary description of the valuation processes and methodologies used as well as quantitative information regarding securities in the Level 3 category.
Level 3 Valuation Processes
Level 3 securities are priced by the Chief Investment Officer.
Level 3 valuations are computed quarterly. Prices are evaluated quarterly against prior period prices and the expected change in prices.
ProAssurance's Level 3 securities are primarily NRSRO rated debt instruments for which comparable market inputs are commonly available for evaluating the securities in question. Valuation of these debt instruments is not overly sensitive to changes in the unobservable inputs used.


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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


Level 3 Valuations
Below is a summary description of the valuation methodologies used as well as quantitative information regarding securities in the Level 3 category, by security type:
Level 3 Valuation Methodologies
Corporate debt, limited observable inputs consisted of corporate bonds valued using dealer quotes for similar securities or discounted cash flow models using yields currently available for similar securities. Similar securities are defined as securities of comparable credit quality that have like terms and payment features. Assessments of credit quality were based on NRSRO ratings, if available, or were determined by management if not available. At September 30, 2019, 57% of the securities were rated and the average rating was BBB+. At December 31, 2018, 54% of the securities were rated and the average rating was BBB+.
Other commercial mortgage-backed and other asset-backed securities consisted of securitizations of receivables valued using dealer quotes for similar securities or discounted cash flow models using yields currently available for similar securities. Similar securities are defined as securities of comparable credit quality that have like terms and payment features. Assessments of credit quality were based on NRSRO ratings, if available, or were subjectively determined by management if not available. At September 30, 2017, 73%2019, 42% of the securities were rated and the average rating was BBB+.AA-. At December 31, 2016, 84%2018, 25% of the securities were rated and the average rating was BBB+.AAA.
Other asset-backed securities consisted of securitizations of receivables valued using dealer quotes for similar securities or discounted cash flow models using yields currently available for similar securities.
Other investments consisted of convertible securities for which limited observable inputs were available at September 30, 20172019 and at December 31, 2016.2018. The securities were valued internally based on expected cash flows, including the expected final recovery, discounted at a yield that considered the lack of liquidity and the financial status of the issuer.
Quantitative Information Regarding Level 3 Valuations
  Fair Value at      
($ in thousands) September 30, 2019 December 31, 2018 Valuation Technique Unobservable Input Range
(Weighted Average)
Assets:          
Corporate debt, limited observable inputs $4,107 $4,322 Market Comparable
Securities
 Comparability Adjustment 0% - 5% (2.5%)
      Discounted Cash Flows Comparability Adjustment 0% - 5% (2.5%)
Other commercial mortgage-backed securities $1,126  Market Comparable
Securities
 Comparability Adjustment 0% - 5% (2.5%)
      Discounted Cash Flows Comparability Adjustment 0% - 5% (2.5%)
Other asset-backed securities $4,020 $3,850 Market Comparable
Securities
 Comparability Adjustment 0% - 5% (2.5%)
      Discounted Cash Flows Comparability Adjustment 0% - 5% (2.5%)
Other investments $1,517 $3 Discounted Cash Flows Comparability Adjustment 0% - 10% (5%)
  Fair Value at      
(In thousands) September 30, 2017 December 31, 2016 Valuation Technique Unobservable Input Range
(Weighted Average)
Assets:          
Corporate debt, limited observable inputs $14,963 $14,810 Market Comparable
Securities
 Comparability Adjustment 0% - 5% (2.5%)
      Discounted Cash Flows Comparability Adjustment 0% - 5% (2.5%)
Other asset-backed securities $3,540 $3,007 Market Comparable
Securities
 Comparability Adjustment 0% - 5% (2.5%)
      Discounted Cash Flows Comparability Adjustment 0% - 5% (2.5%)
Other investments $428 $3 Discounted Cash Flows Comparability Adjustment 0% - 10% (5%)

The significant unobservable inputs used in the fair value measurement of the above listed securities were the valuations of comparable securities with similar issuers, credit quality and maturity. Changes in the availability of comparable securities could result in changes in the fair value measurements.


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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


Fair Value Measurements - Level 3 Assets
The following tables (the Level 3 Tables) present summary information regarding changes in the fair value of assets measured at fair value using Level 3 inputs.
September 30, 2017September 30, 2019
Level 3 Fair Value Measurements – AssetsLevel 3 Fair Value Measurements – Assets
(In thousands)Corporate Debt Asset-backed Securities All other investments TotalCorporate Debt Asset-backed Securities Other investments Total
Balance June 30, 2017$17,849
 $3,005
 $5
 $20,859
Balance June 30, 2019$2,304
 $4,163
 $624
 $7,091
Total gains (losses) realized and unrealized:              
Included in earnings, as a part of:              
Net investment income(52) 
 
 (52)
 (23) 
 (23)
Net realized investment gains (losses)
 
 2
 2
Included in other comprehensive income(18) (45) 
 (63)74
 14
 
 88
Purchases1
 580
 
 581
1,545
 
 1,296
 2,841
Sales(858) 
 
 (858)(1,566) (24) 
 (1,590)
Transfers in989
 
 423
 1,412
1,750
 1,016
 
 2,766
Transfers out(2,948) 
 
 (2,948)
 
 (405) (405)
Balance September 30, 2017$14,963
 $3,540
 $428
 $18,931
Balance September 30, 2019$4,107
 $5,146
 $1,517
 $10,770
Change in unrealized gains (losses) included in earnings for the above period for Level 3 assets held at period-end$
 $
 $
 $
$
 $
 $2
 $2
September 30, 2017September 30, 2019
Level 3 Fair Value Measurements – AssetsLevel 3 Fair Value Measurements – Assets
(In thousands)Corporate Debt Asset-backed Securities All other investments TotalCorporate Debt Asset-backed Securities Other investments Total
Balance December 31, 2016$14,810
 $3,007
 $3
 $17,820
Balance December 31, 2018$4,322
 $3,850
 $3
 $8,175
Total gains (losses) realized and unrealized:              
Included in earnings, as a part of:              
Net investment income(125) 
 
 (125)2
 (163) 
 (161)
Net realized investment gains (losses)13
 
 (124) (111)
 
 35
 35
Included in other comprehensive income(296) (47) 140
 (203)85
 224
 
 309
Purchases11,890
 580
 
 12,470
2,850
 
 1,466
 4,316
Sales(4,418) 
 (912) (5,330)(3,702) (30) 
 (3,732)
Transfers in999
 
 1,321
 2,320
1,750
 2,216
 418
 4,384
Transfers out(7,910) 
 
 (7,910)(1,200) (951) (405) (2,556)
Balance September 30, 2017$14,963
 $3,540

$428
 $18,931
Balance September 30, 2019$4,107
 $5,146

$1,517
 $10,770
Change in unrealized gains (losses) included in earnings for the above period for Level 3 assets held at period-end$
 $
 $
 $
$
 $
 $35
 $35



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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


September 30, 2016September 30, 2018
Level 3 Fair Value Measurements – AssetsLevel 3 Fair Value Measurements – Assets
(In thousands)State and Municipal Bonds Corporate Debt Asset-backed Securities All other investments TotalCorporate Debt Asset-backed Securities Other investments Total
Balance June 30, 2016$
 $17,810
 $755
 $1,556
 $20,121
Balance June 30, 2018$8,380
 $9,420
 $5
 $17,805
Total gains (losses) realized and unrealized:                
Included in earnings, as a part of:                
Net investment income
 (28) 
 (3) (31)(37) 1
 
 (36)
Net realized investment gains (losses)
 
 1
 1
Included in other comprehensive income
 324
 (2) 8
 330
(12) 15
 
 3
Purchases
 
 
 193
 193
2,000
 
 
 2,000
Sales
 (709) 
 
 (709)(926) 
 
 (926)
Transfers in900
 
 1,000
 919
 2,819

 
 
 
Transfers out
 (5,110) 
 
 (5,110)
 (2,277) 
 (2,277)
Balance September 30, 2016$900
 $12,287
 $1,753
 $2,673
 $17,613
Balance September 30, 2018$9,405
 $7,159
 $6
 $16,570
Change in unrealized gains (losses) included in earnings for the above period for Level 3 assets held at period-end$
 $
 $
 $
 $
$
 $
 $1
 $1
 September 30, 2018
 Level 3 Fair Value Measurements – Assets
(In thousands)Corporate Debt Asset-backed Securities Other investments Total
Balance December 31, 2017$13,703
 $4,986
 $409
 $19,098
Total gains (losses) realized and unrealized:       
Included in earnings, as a part of:       
Net investment income(111) 2
 
 (109)
Net realized investment gains (losses)(8) 
 (37) (45)
Included in other comprehensive income(140) (126) 
 (266)
Purchases8,005
 16,678
 
 24,683
Sales(5,475) (185) (366) (6,026)
Transfers in2,627
 
 
 2,627
Transfers out(9,196) (14,196) 
 (23,392)
Balance September 30, 2018$9,405
 $7,159

$6
 $16,570
Change in unrealized gains (losses) included in earnings for the above period for Level 3 assets held at period-end$
 $
 $(37) $(37)

 September 30, 2016
 Level 3 Fair Value Measurements – Assets
(In thousands)State and Municipal Bonds Corporate Debt Asset-backed Securities All other investments Total
Balance December 31, 2015$
 $14,500
 $757
 $
 $15,257
Total gains (losses) realized and unrealized:         
Included in earnings, as a part of:         
Net investment income
 (64) 
 (7) (71)
Net realized investment gains (losses)
 (75) 
 
 (75)
Included in other comprehensive income
 453
 3
 8
 464
Purchases
 5,995
 3,500
 1,753
 11,248
Sales
 (3,406) (702) 
 (4,108)
Transfers in900
 
 1,000
 919
 2,819
Transfers out
 (5,116) (2,805) 
 (7,921)
Balance September 30, 2016$900
 $12,287
 $1,753

$2,673
 $17,613
Change in unrealized gains (losses) included in earnings for the above period for Level 3 assets held at period-end$
 $
 $
 $
 $


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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


Transfers
There were no transfers between the Level 1 and Level 2 categories during the three months ended September 30, 2017. During the nine months ended September 30, 2017, equity securities of approximately $35.4 million were transferred from Level 2 to Level 1. During the three and nine months ended September 30, 2016, equity securities of approximately $10.2 million were transferred from Level 2 to Level 1.
Transfers shown in the preceding Level 3 tables were as of the end of the quarter in which the transfer occurred. All transfers were to or from Level 2.
All transfers during the three and nine months ended September 30, 20172019 and 20162018 related to securities held for which the level of market activity for identical or nearly identical securities varies from period to period. The securities were valued using multiple observable inputs when those inputs were available; otherwise the securities were valued using limited observable inputs.
Fair Values Not Categorized
Investments in unconsolidated subsidiaries at bothAt September 30, 20172019 and December 31, 2016 included interests in investment fund2018, certain LPs/LLCs and Other investments at September 30, 2017 included interests in certain investment funds that measure fund assets at fair value on a recurring basis and that provide a NAV for theProAssurance's interest. The carrying value of these interests is based on the NAV provided and was considered to approximate the fair value of the interests. For investment in unconsolidated subsidiaries, ProAssurance recognizes any changes in the NAV of its interests in equity in earnings (loss) of unconsolidated subsidiaries during the period of change. In accordance with GAAP, the fair value of these investments was not classified within the fair value hierarchy. Additional information regardingThe amount of ProAssurance's unfunded commitments related to these investments isas of September 30, 2019 and fair values of these investments as of September 30, 2019 and December 31, 2018 were as follows:
 Unfunded
Commitments
 Fair Value
(In thousands)September 30,
2017
 September 30,
2017
 December 31,
2016
Investments in LPs/LLCs:     
Private debt funds (1)
$12,006 $42,650
 $55,637
Long equity fund (2)
None 7,396
 6,268
Long/short equity funds (3)
None 30,904
 28,926
Non-public equity funds (4)
$86,985 92,887
 89,691
Multi-strategy fund of funds (5)
None 8,966
 8,448
Structured credit fund (6)
None 6,394
 4,273
Long/short commodities fund (7)
None 12,648
 11,476
Strategy focused fund (8)
$4,304 696
 
Other investments:     
Mortgage fund (9)
None 20,000
 
   $222,541
 $204,719
 Unfunded
Commitments
 Fair Value
(In thousands)September 30,
2019
 September 30,
2019
 December 31,
2018
Equity investments:     
Mortgage fund (1)
NaN $21,854
 $20,292
Investment in unconsolidated subsidiaries:     
Private debt funds (2)
$16,869 14,651
 18,196
Long equity fund (3)
NaN 4,787
 6,561
Long/short equity funds (4)
NaN 29,808
 28,805
Non-public equity funds (5)
$77,188 124,759
 114,811
Multi-strategy fund of funds (6)
NaN 9,739
 9,322
Credit funds (7)
$2,216 41,889
 29,164
Long/short commodities fund (8)
NaN 14,329
 12,958
Strategy focused funds (9)
$46,945 34,555
 48,619
   274,517
 268,436
Total investments carried at NAV  $296,371

$288,728
Below is additional information regarding each of the investments listed in the table above as of September 30, 2019.
(1) 
This investment fund is focused on the structured mortgage market. The fund will primarily invest in U.S. Agency mortgage-backed securities. Redemptions are allowed at the end of any calendar quarter with a prior notice requirement of 65 days and are paid within 45 days at the end of the redemption dealing day.
(2)
This investment is comprised of interests in twothree unrelated LP funds that are structured to provide interest distributions primarily through diversified portfolios of private debt instruments. One LP allows redemption by special consent; the other doestwo do not permit redemption. Income and capital are to be periodically distributed at the discretion of the LPs over an anticipated time frame that spans from three to eight years.
(2)(3) 
TheThis fund is a LP that holds long equities of public international companies. Redemptions are allowed at the end of any calendar month with a prior notice requirement of 15 days and are paid within 10 days of the end of the calendar month of the redemption request.
(3)(4) 
TheThis investment is comprised of interests in multiple unrelated LP funds. The funds hold primarily long and short North American equities and target absolute returns using strategies designed to take advantage of market opportunities. The funds generally permit quarterly or semi-annual capital redemptions subject to notice requirements of 30 to 90 days. For some funds, redemptions above specified thresholds (lowest threshold is 90%) may be only partially payable until after a fund audit is completed and are then payable within 30 days.


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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


(4)(5) 
TheThis investment is comprised of interests in multiple unrelated LP funds, each structured to provide capital appreciation through diversified investments in private equity, which can include investments in buyout, venture capital, debt including senior, second lien and mezzanine, distressed debt, collateralized loan obligations and other private equity-oriented LPs. Two of the LPs allow redemption by terms set forth in the LP agreements; the others do not permit redemption. Income and capital are to be periodically distributed at the discretion of the LP over time frames that are anticipated to span up to nineten years.
(5)(6) 
This fund is a LLC structured to build and manage low volatility, multi-manager portfolios that have little or no correlation to the broader fixed income and equity security markets. Redemptions are not permitted but offers to repurchase units of the LLC may be extended periodically.
(6)(7) 
This fundinvestment is acomprised of four unrelated LP seekingfunds. Two funds seek to obtain superior risk-adjusted absolute returns by acquiring and actively managingthrough a diversified portfolio of debt securities, including bonds, loans and other asset-backed instruments. RedemptionsA third fund focuses on private middle market company mezzanine loans, while the remaining fund seeks event driven opportunities across the corporate credit spectrum. Two funds are allowed redemptions at any quarter-end with a prior notice requirement of 90 days.days, one fund permits redemption at any quarter-end with a prior notice requirement of 180 days and one fund does not allow redemptions.
(7)(8) 
This fund is a LLC invested across a broad range of commodities and focuses primarily on market neutral, relative value strategies, seeking to generate absolute returns with low correlation to broad commodity, equity and fixed income markets. Following an initial one-year lock-up period, redemptions are allowed with a prior notice requirement of 30 days and are payable within 30 days.
(8)
(9) This investment is comprised of multiple unrelated LPs/LLCs funds. One fund is a LLC focused on investing in North American consumer products companies, comprised of equity and equity-related securities, as well as debt instruments. A second fund is focused on aircraft investments, along with components and assets related to aircrafts. For both funds, redemptions are not permitted. Another fund is a LP focused on North American energy infrastructure assets that allows redemption with consent of the General Partner. The remaining funds are real estate focused LPs, one of which allows for redemption with prior notice.
This fund is a LLC focused exclusively on investing in consumer product companies. The fund will invest exclusively in North American companies, comprised of equity and equity-related securities, as well as debt instruments. Redemptions are not permitted.
(9)
This investment fund is focused on the structured mortgage market. The fund will primarily invest in U.S. Agency mortgage-backed securities. Redemptions are allowed at the end of any calendar quarter with a prior notice requirement of 65 days and are paid within 45 days at the end of the redemption dealing day.
ProAssurance may not sell, transfer or assign its interest in any of the above LPs/LLCs without special consent from the LPs/LLCs.
Nonrecurring Fair Value Measurement
At September 30, 2019 and December 31, 2018, ProAssurance did 0t have any assets or liabilities that were measured at fair value on a nonrecurring basis.
Financial Instruments - Methodologies Other Than Fair Value
The following table provides the estimated fair value of ourthe Company's financial instruments that, in accordance with GAAP for the type of investment, are measured using a methodology other than fair value. All fairFair values provided primarily fall within the Level 3 fair value category.
 September 30, 2019 December 31, 2018
(In thousands)Carrying
Value
 Fair
Value
 Carrying
Value
 Fair
Value
Financial assets:       
BOLI$65,653
 $65,653
 $64,096
 $64,096
Other investments$2,916
 $2,916
 $2,943
 $2,943
Other assets$27,880
 $27,885
 $35,921
 $35,468
Financial liabilities:       
Senior notes due 2023*$250,000
 $272,735
 $250,000
 $264,810
Mortgage Loans*$37,978
 $37,978
 $39,064
 $39,064
Other liabilities$25,014
 $25,014
 $21,300
 $21,300
* Carrying value excludes unamortized debt issuance costs.
 September 30, 2017 December 31, 2016
(In thousands)Carrying
Value
 Fair
Value
 Carrying
Value
 Fair
Value
Financial assets:       
BOLI$61,652
 $61,652
 $60,134
 $60,134
Other investments$51,975
 $60,713
 $50,391
 $58,757
Other assets$34,412
 $34,311
 $29,111
 $28,960
Financial liabilities:       
Senior notes due 2023*$250,000
 $273,923
 $250,000
 $270,898
Revolving Credit Agreement*$152,000
 $152,000
 $200,000
 $200,000
Other liabilities$19,858
 $19,858
 $17,033
 $17,011
* Carrying value excludes debt issuance costs.

The fair value of the BOLI was equal to the cash surrender value associated with the policies on the valuation date.

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ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2019

Other investments listed in the table above include interests in certain investment fund LPs/LLCs accounted for using the cost method, investments in FHLB common stock carried at cost and an annuity investment carried at amortized cost. The estimated fair valueTwo of the LP/LLC interests was based on the equity valueProAssurance's insurance subsidiaries are members of the interest provided by the LP/LLC managers for the most recent quarter, which approximates the fair value of the interest.an FHLB. The estimated fair value of the FHLB common stock was based on the amount ProAssurancethe subsidiaries would receive if its membershiptheir memberships were canceled, as the membershipmemberships cannot be sold. The fair value of the annuity represents the present value of the expected future cash flows discounted using a rate available in active markets for similarly structured instruments.

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ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017

Other assets and Otherother liabilities primarily consisted of related investment assets and liabilities associated with funded deferred compensation agreements. Fair valuesThe fair value of the funded deferred compensation assets was based upon quoted market prices, which is categorized as a Level 1 valuation, and had a fair value of $25.2 million and $24.1 million at September 30, 2019 and December 31, 2018, respectively. The deferred compensation liabilities were based onare adjusted to match the NAVs provided byfair value of the underlying funds.deferred compensation assets. Other assets also included a secured note receivable and unsecured note receivable under two2 separate line of credit agreements. Fair value of these notes receivable was based on the present value of expected cash flows from the notes receivable, discounted at market rates on the valuation date for receivables with similar credit standings and similar payment structures.
The fair value of the debt was estimated based on the present value of expected future cash outflows, discounted at rates available on the valuation date for similar debt issued by entities with a similar credit standing to ProAssurance.




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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


3. Investments
Available-for-sale securitiesfixed maturities at September 30, 20172019 and December 31, 20162018 included the following:
 September 30, 2019
(In thousands)Amortized
Cost
 Gross Unrealized Gains Gross Unrealized Losses Estimated Fair Value
Fixed maturities, available for sale       
U.S. Treasury obligations$118,938
 $2,095
 $113
 $120,920
U.S. Government-sponsored enterprise obligations22,195
 147
 8
 22,334
State and municipal bonds282,398
 11,093
 94
 293,397
Corporate debt1,318,250
 33,313
 2,914
 1,348,649
Residential mortgage-backed securities199,386
 2,980
 523
 201,843
Agency commercial mortgage-backed securities9,926
 274
 18
 10,182
Other commercial mortgage-backed securities70,579
 2,061
 103
 72,537
Other asset-backed securities229,368
 2,351
 46
 231,673
 $2,251,040
 $54,314
 $3,819
 $2,301,535
        
 December 31, 2018
(In thousands)Amortized
Cost
 Gross Unrealized Gains Gross Unrealized Losses Estimated Fair Value
Fixed maturities, available for sale       
U.S. Treasury obligations$121,274
 $331
 $1,404
 $120,201
U.S. Government-sponsored enterprise obligations35,758
 25
 429
 35,354
State and municipal bonds289,544
 4,877
 649
 293,772
Corporate debt1,244,577
 3,328
 24,430
 1,223,475
Residential mortgage-backed securities184,463
 814
 4,039
 181,238
Agency commercial mortgage-backed securities13,296
 12
 200
 13,108
Other commercial mortgage-backed securities31,330
 38
 375
 30,993
Other asset-backed securities196,583
 254
 1,180
 195,657
 $2,116,825
 $9,679
 $32,706
 $2,093,798

 September 30, 2017
(In thousands)Amortized
Cost
 Gross Unrealized Gains Gross Unrealized Losses Estimated Fair Value
Fixed maturities       
U.S. Treasury obligations$148,194
 $954
 $776
 $148,372
U.S. Government-sponsored enterprise obligations18,756
 119
 103
 18,772
State and municipal bonds675,012
 20,086
 1,700
 693,398
Corporate debt1,254,878
 22,427
 4,523
 1,272,782
Residential mortgage-backed securities199,110
 3,401
 820
 201,691
Agency commercial mortgage-backed securities11,841
 63
 69
 11,835
Other commercial mortgage-backed securities16,135
 126
 71
 16,190
Other asset-backed securities105,166
 303
 159
 105,310
 $2,429,092
 $47,479
 $8,221
 $2,468,350
        
 December 31, 2016
(In thousands)Amortized
Cost
 Gross Unrealized Gains Gross Unrealized Losses Estimated Fair Value
Fixed maturities       
U.S. Treasury obligations$146,186
 $1,264
 $911
 $146,539
U.S. Government-sponsored enterprise obligations30,038
 388
 191
 30,235
State and municipal bonds790,154
 17,261
 6,952
 800,463
Corporate debt1,264,812
 22,659
 8,480
 1,278,991
Residential mortgage-backed securities216,285
 3,667
 2,046
 217,906
Agency commercial mortgage-backed securities12,837
 89
 143
 12,783
Other commercial mortgage-backed securities19,571
 177
 137
 19,611
Other asset-backed securities106,938
 207
 267
 106,878
 $2,586,821
 $45,712
 $19,127
 $2,613,406


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ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


The recorded cost basis and estimated fair value of available-for-sale fixed maturities at September 30, 20172019, by contractual maturity, are shown below. Actual maturities may differ from contractual maturities because borrowers may have the right to call or prepay obligations with or without call or prepayment penalties.
(In thousands)Amortized
Cost
 Due in one
year or less
 Due after
one year
through
five years
 Due after
five years
through
ten years
 Due after
ten years
 Total Fair
Value
Fixed maturities, available for sale           
U.S. Treasury obligations$118,938
 $20,157
 $79,402
 $20,928
 $433
 $120,920
U.S. Government-sponsored enterprise obligations22,195
 2,498
 6,005
 13,683
 148
 22,334
State and municipal bonds282,398
 12,027
 119,996
 128,137
 33,237
 293,397
Corporate debt1,318,250
 152,152
 783,362
 379,830
 33,305
 1,348,649
Residential mortgage-backed securities199,386
 
 
 
 
 201,843
Agency commercial mortgage-backed securities9,926
 
 
 
 
 10,182
Other commercial mortgage-backed securities70,579
 
 
 
 
 72,537
Other asset-backed securities229,368
 
 
 
 
 231,673
 $2,251,040
         $2,301,535

(In thousands)Amortized
Cost
 Due in one
year or less
 Due after
one year
through
five years
 Due after
five years
through
ten years
 Due after
ten years
 Total Fair
Value
Fixed maturities, available for sale           
U.S. Treasury obligations$148,194
 $30,655
 $93,222
 $21,495
 $3,000
 $148,372
U.S. Government-sponsored enterprise obligations18,756
 249
 8,362
 10,020
 141
 18,772
State and municipal bonds675,012
 57,500
 233,506
 295,098
 107,294
 693,398
Corporate debt1,254,878
 124,057
 737,639
 390,103
 20,983
 1,272,782
Residential mortgage-backed securities199,110
 
 
 
 
 201,691
Agency commercial mortgage-backed securities11,841
 
 
 
 
 11,835
Other commercial mortgage-backed securities16,135
 
 
 
 
 16,190
Other asset-backed securities105,166
 
 
 
 
 105,310
 $2,429,092
         $2,468,350
Excluding obligations of the U.S. Government, U.S. Government-sponsored enterprises and a U.S. Government obligations money market fund, no investment in any entity or its affiliates exceeded 10% of Shareholders’shareholders’ equity at September 30, 20172019.
Cash and securities with a carrying value of $46.645.4 million at September 30, 20172019 were on deposit with various state insurance departments to meet regulatory requirements. ProAssurance also held securities with a carrying value of $189.5 million at September 30, 2017 that are pledged as collateral security for advances under the Revolving Credit Agreement (see Note 7 of the Notes to Condensed Consolidated Financial Statements for additional detail on the Revolving Credit Agreement).
As a member of Lloyd's and a capital provider to Syndicate 1729 and Syndicate 6131, ProAssurance is required to maintain capital at Lloyd's, referred to as FAL. ProAssurance investments at At September 30, 2017 included2019, ProAssurance's FAL was comprised of available-for-sale fixed maturities with a fair value of $98.7124.6 million and short-term investments with a fair valuecash and cash equivalents of approximately $0.5$10.1 million on deposit with Lloyd's in order to satisfy these FAL requirements.

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ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2019

Investments Held in a Loss Position
The following tables provide summarized information with respect to investments held in an unrealized loss position at September 30, 2019 and December 31, 2018, including the length of time the investment had been held in a continuous unrealized loss position.
 September 30, 2019
 Total Less than 12 months 12 months or longer
 Fair Unrealized Fair Unrealized Fair Unrealized
(In thousands)Value Loss Value Loss Value Loss
Fixed maturities, available for sale           
U.S. Treasury obligations$36,227
 $113
 $14,341
 $54
 $21,886
 $59
U.S. Government-sponsored enterprise obligations5,492
 8
 
 
 5,492
 8
State and municipal bonds15,047
 94
 11,582
 90
 3,465
 4
Corporate debt171,938
 2,914
 87,163
 1,530
 84,775
 1,384
Residential mortgage-backed securities74,952
 523
 30,959
 81
 43,993
 442
Agency commercial mortgage-backed securities531
 18
 212
 
 319
 18
Other commercial mortgage-backed securities8,950
 103
 5,081
 87
 3,869
 16
Other asset-backed securities37,152
 46
 16,362
 13
 20,790
 33
 $350,289
 $3,819
 $165,700
 $1,855
 $184,589
 $1,964

 December 31, 2018
 Total Less than 12 months 12 months or longer
 Fair Unrealized Fair Unrealized Fair Unrealized
(In thousands)Value Loss Value Loss Value Loss
Fixed maturities, available for sale           
U.S. Treasury obligations$97,969
 $1,405
 $20,221
 $119
 $77,748
 $1,286
U.S. Government-sponsored enterprise obligations33,677
 429
 20,479
 126
 13,198
 303
State and municipal bonds63,094
 648
 30,924
 143
 32,170
 505
Corporate debt938,651
 24,429
 447,891
 8,804
 490,760
 15,625
Residential mortgage-backed securities157,120
 4,039
 27,311
 209
 129,809
 3,830
Agency commercial mortgage-backed securities9,822
 200
 4,566
 22
 5,256
 178
Other commercial mortgage-backed securities22,924
 375
 13,348
 164
 9,576
 211
Other asset-backed securities142,470
 1,181
 70,218
 236
 72,252
 945
 $1,465,727
 $32,706
 $634,958
 $9,823
 $830,769
 $22,883

As of September 30, 2019, excluding U.S. Government or U.S. Government-sponsored enterprise obligations, there were 291 debt securities (13.4% of all available-for-sale fixed maturity securities held) in an unrealized loss position representing 220 issuers. The greatest and second greatest unrealized loss positions among those securities were each approximately $0.2 million. The securities were evaluated for OTTI as of September 30, 2019.
As of December 31, 2018, excluding U.S. Government or U.S. Government-sponsored enterprise obligations, there were 1,044 debt securities (50.6% of all available-for-sale fixed maturity securities held) in an unrealized loss position representing 550 issuers. The greatest and second greatest unrealized loss positions among those securities were approximately $0.6 million and $0.5 million, respectively. The securities were evaluated for OTTI as of December 31, 2018.

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ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2019

Each quarter, ProAssurance performs a detailed analysis for the purpose of assessing whether any of the securities it holds in an unrealized loss position has suffered an OTTI. A detailed discussion of the factors considered in the assessment is included in Note 1 of the Notes to Consolidated Financial Statements included in ProAssurance's December 31, 2018 Form 10-K.
Fixed maturity securities held in an unrealized loss position at September 30, 2019, excluding asset-backed securities, have paid all scheduled contractual payments and are expected to continue doing so. Expected future cash flows of asset-backed securities, excluding those issued by GNMA, FNMA and FHLMC, held in an unrealized loss position were estimated as part of the September 30, 2019 OTTI evaluation using the most recently available six-month historical performance data for the collateral (loans) underlying the security or, if historical data was not available, sector based assumptions, and equaled or exceeded the current amortized cost basis of the security.
Other information regarding sales and purchases of fixed maturity available-for-sale securities is as follows:
 Three Months Ended
September 30
 Nine Months Ended
September 30
(In millions)2019 2018 2019 2018
Proceeds from sales (exclusive of maturities and paydowns)$21.9
 $61.3
 $115.2
 $556.3
Purchases$202.3
 $164.6
 $553.2
 $717.1

Equity Investments
ProAssurance's equity investments are carried at fair value with changes in fair value recognized in income as a component of net realized investment gains (losses) during the period of change. Equity investments on the Condensed Consolidated Balance Sheets as of September 30, 2019 and December 31, 2018 primarily included stocks, bond funds and investment funds.
Short-term Investments
ProAssurance's short-term investments, which have a maturity at purchase of one year or less, are primarily comprised of investments in U.S. treasury obligations, commercial paper and money market funds. Short-term investments are carried at fair value which approximates the cost of the securities due to their short-term nature.
BOLI
ProAssurance holds BOLI policies that are carried at the current cash surrender value of the policies (original cost $33 million)$33 million). All insured individuals were members of ProAssurance management at the time the policies were acquired. The primary purpose of the program is to offset future employee benefit expenses through earnings on the cash value of the policies. ProAssurance is the owner and beneficiary of these policies.

Net Investment Income

Net investment income by investment category was as follows:
26
 Three Months Ended
September 30
 Nine Months Ended
September 30
(In thousands)2019 2018 2019 2018
Fixed maturities$18,362
 $17,228
 $54,154
 $51,814
Equities3,942
 5,687
 13,755
 15,553
Short-term investments, including Other2,012
 1,330
 5,466
 3,968
BOLI645
 621
 1,557
 1,525
Investment fees and expenses(1,280) (1,600) (4,894) (5,183)
Net investment income$23,681
 $23,266
 $70,038
 $67,677


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Table of Contents
ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


Investment in Unconsolidated Subsidiaries
ProAssurance holds investmentsProAssurance's investment in unconsolidated subsidiaries accounted for under the equity method. The investments include the following:were as follows:
 September 30, 2019 Carrying Value
(In thousands)Percentage
Ownership
 September 30,
2019
 December 31,
2018
Qualified affordable housing project tax credit partnershipsSee below $50,989
 $65,677
Other tax credit partnershipsSee below 2,570
 3,757
All other investments, primarily investment fund LPs/LLCsSee below 313,047
 298,323
   $366,606
 $367,757
 Carrying Value
(In thousands)September 30,
2017
 December 31,
2016
Investment in LPs/LLCs:   
Qualified affordable housing tax credit partnerships$91,598
 $102,313
Other tax credit partnerships8,355
 11,459
All other LPs/LLCs231,944
 227,134
 $331,897
 $340,906

Qualified affordable housing project tax credit partnership interests held by ProAssurance generate investment returns by providing tax benefits to fund investors in the form of tax credits and project operating losses. The carrying value of these investments reflects ProAssurance's total commitments (both funded and unfunded) to the partnerships, less any amortization. ProAssurance's ownership percentage relative to two2 of the tax credit partnership interests is almost 100%; these interests had a carrying value of $34.5$19.1 million at September 30, 20172019 and $40.2$25.0 million at December 31, 2016.2018. ProAssurance's ownership percentage relative to the remaining tax credit partnership interests is less than 20%; these interests had a carrying value of $57.1$31.9 million at September 30, 20172019 and $62.1$40.7 million at December 31, 2016.2018. Since ProAssurance does not havehas the ability to exert controlinfluence over the partnerships;partnerships but does not control them, all are accounted for using the equity method. See further discussion of the entities in which ProAssurance holds passive interests in Note 12.
Other tax credit partnerships are comprised entirely of investments in historic tax credits.credit partnerships. The historic tax creditscredit partnerships generate investment returns by providing benefits to fund investors in the form of tax credits, tax-deductibletax deductible project operating losses and positive cash flows. The carrying value of these investments reflects ProAssurance's total funded commitments less any amortization. ProAssurance's ownership percentage relative to the historic tax credit partnerships is almost 100%. Since ProAssurance does not havehas the ability to exert controlinfluence over the partnerships;partnerships but does not control them, all are accounted for using the equity method.
As discussed See further discussion of the entities in additional detailwhich ProAssurance holds passive interests in Note 2 of the Notes to Condensed Consolidated Financial Statements, 12.
ProAssurance holds interests in certaininvestment fund LPs/LLCs that are investment funds which measure fund assets at fair value on a recurring basis and the fund managers provide a NAV for the interest. The carrying value of these interests is based on the NAV provided,other equity method investments and is considered to approximate the fair value of the interests; such interests totaled $202.5 million at September 30, 2017 and $204.7 million at December 31, 2016. ProAssurance also holds interests in other LPs/LLCs which are not considered to be investment funds; such interests totaled $29.4 million at September 30, 2017 and $22.4 million at December 31, 2016.funds. ProAssurance's ownership percentage relative to three2 of the LPs/LLCs is greater than 25%, which is expected to be reduced as the funds mature and other investors participate in the funds; these investments had a carrying value of $25.4$37.9 million at September 30, 20172019 and $18.5$25.9 million at December 31, 2016.2018. ProAssurance's ownership percentage relative to the remaining investments and LPs/LLCs is less than 25%; these interests had a carrying value of $206.5$275.1 million at September 30, 20172019 and $208.6$272.4 million at December 31, 2016.2018. ProAssurance does not have the ability to exert control over any of these funds.
Other Investments
Other investments at September 30, 2017 and December 31, 2016 were comprised as follows:
(In thousands)September 30,
2017
 December 31,
2016
Investments in LPs/LLCs, at cost$48,505
 $46,852
Convertible securities, at fair value31,789
 31,501
Investment funds, at fair value20,000
 
Other, principally FHLB capital stock, at cost3,470
 3,539
 $103,764
 $81,892
Investments in convertible securities are carried at fair value as permitted by the accounting guidance for hybrid financial instruments, with changes in fair value recognized in income as a component of Net realized investment gains (losses) during the period of change.
Investment funds measure fund assets at fair value on a recurring basis and the fund managers provide a NAV for the interest. The carrying value of these interests is based on the NAV provided, and is considered to approximate the fair value of

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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017

the interests, with changes in fair value recognized in income as a component of Net realized investment gains (losses) during the period of change.
FHLB capital stock is not marketable, but may be liquidated by terminating membership in the FHLB. The liquidation process can take up to five years.
Investments Held in a Loss Position
The following tables provide summarized information with respect to investments held in an unrealized loss position at September 30, 2017 and December 31, 2016, including the length of time the investment had been held in a continuous unrealized loss position.
 September 30, 2017
 Total Less than 12 months 12 months or longer
 Fair Unrealized Fair Unrealized Fair Unrealized
(In thousands)Value Loss Value Loss Value Loss
Fixed maturities, available for sale           
U.S. Treasury obligations$93,684
 $776
 $77,679
 $410
 $16,005
 $366
U.S. Government-sponsored enterprise obligations9,958
 103
 4,048
 20
 5,910
 83
State and municipal bonds104,279
 1,700
 69,891
 406
 34,388
 1,294
Corporate debt354,309
 4,523
 238,877
 1,286
 115,432
 3,237
Residential mortgage-backed securities65,541
 820
 52,366
 499
 13,175
 321
Agency commercial mortgage-backed securities4,515
 69
 4,138
 41
 377
 28
Other commercial mortgage-backed securities8,753
 71
 5,217
 38
 3,536
 33
Other asset-backed securities47,229
 159
 39,552
 110
 7,677
 49
 $688,268
 $8,221
 $491,768
 $2,810
 $196,500
 $5,411

 December 31, 2016
 Total Less than 12 months 12 months or longer
 Fair Unrealized Fair Unrealized Fair Unrealized
(In thousands)Value Loss Value Loss Value Loss
Fixed maturities, available for sale           
U.S. Treasury obligations$79,833
 $911
 $79,833
 $911
 $
 $
U.S. Government-sponsored enterprise obligations11,746
 191
 11,746
 191
 
 
State and municipal bonds224,884
 6,952
 219,276
 6,444
 5,608
 508
Corporate debt469,632
 8,480
 424,721
 5,662
 44,911
 2,818
Residential mortgage-backed securities103,680
 2,046
 100,542
 1,982
 3,138
 64
Agency commercial mortgage-backed securities4,579
 143
 4,192
 114
 387
 29
Other commercial mortgage-backed securities9,822
 137
 9,179
 134
 643
 3
Other asset-backed securities44,343
 267
 39,079
 256
 5,264
 11
 $948,519
 $19,127
 $888,568
 $15,694
 $59,951
 $3,433
As of September 30, 2017, excluding U.S. Government or U.S. Government-sponsored enterprise obligations, there were 501 debt securities (20.4% of all available-for-sale fixed maturity securities held) in an unrealized loss position representing 335 issuers. The greatest and second greatest unrealized loss positions among those securities were approximately $0.6 million and $0.4 million, respectively. The securities were evaluated for OTTI as of September 30, 2017.

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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017

As of December 31, 2016, excluding U.S. Government or U.S. Government-sponsored enterprise obligations, there were 703 debt securities (27.2% of all available-for-sale fixed maturity securities held) in an unrealized loss position representing 456 issuers. The greatest and second greatest unrealized loss positions among those securities were each approximately $0.5 million. The securities were evaluated for OTTI as of December 31, 2016.
Each quarter, ProAssurance performs a detailed analysis for the purpose of assessing whether any of the securities it holds in an unrealized loss position have suffered an OTTI. A detailed discussion of the factors considered in the assessment is included in Note 1 of the Notes to Consolidated Financial Statements included in ProAssurance's December 31, 2016 Form 10-K.
Fixed maturity securities held in an unrealized loss position at September 30, 2017, excluding asset-backed securities, have paid all scheduled contractual payments and are expected to continue doing so. Expected future cash flows of asset-backed securities, excluding those issued by GNMA, FNMA and FHLMC, held in an unrealized loss position were estimated as part of the September 30, 2017 OTTI evaluation using the most recently available six-month historical performance data for the collateral (loans) underlying the security or, if historical data was not available, sector based assumptions, and equaled or exceeded the current amortized cost basis of the security.
Net Investment Income
Net investment income by investment category was as follows:
 Three Months Ended
September 30
 Nine Months Ended
September 30
(In thousands)2017 2016 2017 2016
Fixed maturities$18,924
 $21,024
 $57,885
 $64,808
Equities4,495
 3,779
 12,437
 10,983
Short-term and Other investments1,147
 1,466
 2,926
 2,550
BOLI620
 639
 1,517
 1,537
Investment fees and expenses(1,457) (1,647) (5,173) (4,594)
Net investment income$23,729
 $25,261
 $69,592
 $75,284
Equity in Earnings (Loss) of Unconsolidated Subsidiaries
Equity in earnings (loss) of unconsolidated subsidiaries included losses from qualified affordable housing project tax credit investmentspartnerships and historic tax credit investments. The lossespartnerships. Losses recorded reflect ProAssurance's allocable portion of partnership operating losses. Losses from qualified affordable housing project tax credit investments were $3.4 million and $10.7 million for the three and nine months ended September 30, 2017, respectively, and $6.7 million and $14.9 million for the same respective periods of 2016. Tax credits recognized related to these investments totaled $4.6 million and $13.8 million for the three and nine months ended September 30, 2017, respectively, and $4.6 million and $13.9 million for the same respective periods of 2016. Losses from historic tax credit investments were $0.6 million and $3.4 million for the three and nine months ended September 30, 2017, respectively, and $1.6 million and $2.0 million for the same respective periods of 2016. Tax credits recognized related to these investments totaled $1.4 million and $4.0 million for the three and nine months ended September 30, 2017, respectively, and $2.7 million and $6.9 million for the same respective periods of 2016. Tax credits recognized reducedreduce income tax expense in the respective periods.

period they are recognized. Losses recorded and tax credits recognized related to ProAssurance's tax credit partnership investments were as follows:
29
 Three Months Ended
September 30
 Nine Months Ended
September 30
(In thousands)2019 2018 2019 2018
Qualified affordable housing project tax credit partnerships       
Losses recorded$5,077
 $4,661
 $14,674
 $14,373
Tax credits recognized$4,531
 $4,618
 $13,594
 $13,855
        
Historic tax credit partnerships       
Losses recorded$695
 $1,394
 $1,187
 $4,776
Tax credits recognized$103
 $570
 $309
 $1,925


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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


Net Realized Investment Gains (Losses)
Realized investment gains and losses are recognized on the first-in, first-out basis. The following table provides detailed information regarding Netnet realized investment gains (losses):
 Three Months Ended
September 30
 Nine Months Ended
September 30
(In thousands)2019 2018 2019 2018
Total OTTI losses:       
Corporate debt$(66) $(86) $(202) $(490)
Portion of OTTI losses recognized in other comprehensive income before taxes:       
Corporate debt36
 
 124
 
Net impairment losses recognized in earnings(30) (86) (78) (490)
Gross realized gains, available-for-sale fixed maturities654
 690
 2,028
 5,592
Gross realized (losses), available-for-sale fixed maturities(124) (1,400) (493) (5,172)
Net realized gains (losses), trading fixed maturities8
 (28) (18) (100)
Net realized gains (losses), equity investments2,451
 4,689
 13,459
 17,395
Net realized gains (losses), other investments397
 561
 974
 1,652
Change in unrealized holding gains (losses), trading fixed maturities278
 (42) 753
 (261)
Change in unrealized holding gains (losses), equity investments(2,157) 7,996
 27,775
 (15,104)
Change in unrealized holding gains (losses), convertible securities, carried at fair value(408) (260) 2,597
 (1,126)
Other65
 253
 67
 265
Net realized investment gains (losses)$1,134
 $12,373
 $47,064
 $2,651

 Three Months Ended
September 30
 Nine Months Ended
September 30
(In thousands)2017 2016 2017 2016
Total OTTI losses:       
State and municipal bonds$
 $(100) $
 $(100)
Corporate debt
 
 (419) (7,604)
Other investments
 
 
 (3,130)
Portion of OTTI losses recognized in other comprehensive income before taxes:       
Corporate debt
 
 248
 1,068
Net impairment losses recognized in earnings

(100)
(171) (9,766)
Gross realized gains, available-for-sale securities1,724
 3,898
 4,323
 8,969
Gross realized (losses), available-for-sale securities(262) (370) (1,730) (5,628)
Net realized gains (losses), Short-term investments(1) 
 (1) 18
Net realized gains (losses), trading securities3,603
 1,276
 10,958
 5,244
Net realized gains (losses), Other investments478
 335
 2,197
 833
Change in unrealized holding gains (losses), trading securities2,182
 9,816
 2,606
 17,663
Change in unrealized holding gains (losses), Other investments, carried at fair value23
 880
 621
 976
Other2
 2
 7
 5
Net realized investment gains (losses)$7,749

$15,737

$18,810
 $18,314
ProAssurance did not recognize OTTI duringFor the third quarter of 2017. During the 2017 nine-month period,three and nine months ended September 30, 2019, ProAssurance recognized a nominal amount of both credit related OTTI in earnings of $0.2 million and $0.2 million in non-credit OTTI in OCI, both of which related to a corporate bonds.
bond. ProAssurance recognized OTTI in earnings of $0.1 million and $9.8$0.5 million during the 2016 three-three and nine-month periods, respectively. ProAssurance recognized OTTI in earnings during the 2016 nine-month period of $6.5 million related to corporate bonds, including credit-related OTTI of $5.5 millionnine months ended September 30, 2018, respectively, related to debt instruments from tentwo issuers in the energy sector. The fair value of the bonds and the credit quality of the issuers had declined and ProAssurance recognized credit-related OTTI to reduce the amortized cost basis of the bonds to the present value of future cash flows expected to be received from the bonds. ProAssurance also recognized non-credit OTTI in OCI during the 2016 nine-month period of $0.9 million related to certain of these same bonds, as the fair value of the bonds was less than the present value of the expected future cash flows from the securities.
ProAssurance also recognized a $3.1 million OTTI in earnings during the 2016 nine-month period related to an investment fund that is accounted for using the cost method (classified as Other investments). The fund is focused on the energy sector and securities held by the fund declined in value during the first quarter of 2016. An OTTI was recognized to reduce ProAssurance's carrying value of the investment to the NAV reported by the fund.



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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017

The following table presents a roll forward of cumulative credit losses recorded in earnings related to impaired debt securities for which a portion of the OTTI was recorded in OCI.
 Three Months Ended
September 30
 Nine Months Ended
September 30
(In thousands)2019 2018 2019 2018
Balance beginning of period$142
 $1,313
 $93
 $1,313
Additional credit losses recognized during the period, related to securities for which:       
No OTTI has been previously recognized
 
 49
 
OTTI has been previously recognized30
 
 30
 
Reductions due to:       
Securities sold during the period (realized)
 (1,220) 
 (1,220)
Balance September 30$172
 $93
 $172
 $93


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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2019
 Three Months Ended September 30 Nine Months Ended September 30
(In thousands)2017 2016 2017 2016
Balance beginning of period$1,313
 $3,319
 $1,158
 $5,751
Additional credit losses recognized during the period, related to securities for which:       
No OTTI has been previously recognized
 
 171
 2,398
OTTI has been previously recognized
 
 
 2,154
Reductions due to:       
Securities sold during the period (realized)
 (1,799) (16) (8,783)
Balance September 30$1,313
 $1,520
 $1,313
 $1,520

Other4. Retroactive Insurance Contracts
ProAssurance offers custom alternative risk solutions including loss portfolio transfers for healthcare entities who, most commonly, are exiting a line of business, changing an insurance approach or simply preferring to transfer risk. A loss portfolio transfer is a form of retroactive insurance coverage as the Company is assuming and accepting an entity’s existing open and future claim liabilities through the transfer of the entity’s loss reserves. If the contract includes both prospective (tail) coverage and retroactive coverage, ProAssurance bifurcates the provisions of the contract and accounts for each component separately. Retroactive and prospective (tail) coverages are fully written and earned as of the contract effective date. For additional information regarding salesProAssurance's accounting policy for retroactive insurance contracts, see Note 1 of the Notes to Consolidated Financial Statements included in ProAssurance's December 31, 2018 report on Form 10-K.
During the third quarter of 2019, ProAssurance entered into a loss portfolio transfer with a regional hospital group to cover a specific inventory of existing claims as well as provide tail coverage. During the second quarter of 2018, ProAssurance entered into a loss portfolio transfer with a large healthcare organization to also cover a specific inventory of existing claims as well as provide tail coverage. The impact of each of these loss portfolio transfers on the Condensed Consolidated Statements of Income and purchases of available-for-sale securitiesComprehensive Income for the three and nine months ended September 30, 2019 and 2018 is as follows:
 Three Months Ended September 30 Nine Months Ended September 30
(In millions)2019 2018 2019 2018
Retroactive coverage$0.9
 $
 $0.9
 $18.7
Prospective (tail) coverage1.8
 
 1.8
 7.9
Net premiums earned$2.7
 $
 $2.7
 $26.6
        
Net losses and loss adjustment expenses$2.1
 $
 $2.1
 $25.4

 Three Months Ended September 30 Nine Months Ended September 30
(In millions)2017 2016 2017 2016
Proceeds from sales (exclusive of maturities and paydowns)$74.1
 $114.9
 $309.6
 $306.8
Purchases$90.6
 $167.2
 $449.7
 $540.4
For the loss portfolio transfer entered into during the second quarter of 2018, ProAssurance recorded a deferred gain of $0.6 million in the reserve for losses and loss adjustment expenses on the Condensed Consolidated Balance Sheet at June 30, 2018 representing the excess of premiums received over losses assumed related to the retroactive coverage which are amortized into earnings over the estimated claim payment period. Amortization of this deferred gain was insignificant during the three and nine months ended September 30, 2019 and 2018.
4.5. Income Taxes
ProAssurance estimates its annual effective tax rate at the end of each quarterly reporting period and uses this estimated rate as well as the tax effect of discrete items to record the provision for income taxes in the interim financial statements. The provision for income taxes is different from that which would be obtained by applying the statutory Federalfederal income tax rate to income before income taxes primarily because a portion of ProAssurance’s investment income is tax-exempt, and because ProAssurance utilizes tax credit benefits transferred from tax credit partnership investments.investments and because a portion of ProAssurance’s investment income is tax-exempt.
ProAssurance had a liabilityreceivable for Federalfederal and U.K. income taxes of $3.3 million at September 30, 2017 and $5.1 million at December 31, 2016, both carried as a part of Other liabilities.other assets of $1.8 million at September 30, 2019 and $3.5 million at December 31, 2018. The liability for unrecognized tax benefits, which is included in the total receivable for federal and U.K. income taxes, was $8.5$4.5 million and $4.2 million at September 30, 20172019 and $8.4 million at December 31, 2016.2018, respectively, which included an accrued liability for interest of approximately $0.8 million and $0.6 million, respectively.
Tax Cuts and Jobs Act
ProAssurance recognized a nominal amount of tax expense related to the GILTI provision of the TCJA during the three and nine months ended September 30, 2019. ProAssurance has not recognized any incremental tax expense related to the BEAT provision of the TCJA during the three and nine months ended September 30, 2019. For additional information regarding ProAssurance's accounting for certain provisions of the TCJA, see Note 6 of the Notes to Consolidated Financial Statements in ProAssurance's December 31, 2018 report on Form 10-K.

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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2019

6. Reserve for Losses and Loss Adjustment Expenses
The reserve for losses is established based on estimates of individual claims and actuarially determined estimates of future losses based on ProAssurance’s past loss experience, available industry data and projections as to future claims frequency, severity, inflationary trends and settlement patterns. Estimating the reserve, particularly the reserve appropriate for liability exposures, is a complex process. ClaimsFor a high proportion of the risks insured or reinsured by ProAssurance, claims may be resolved over an extended period of time, often five years or more, and may be subject to litigation. Estimating losses requires ProAssurance to make and revise judgments and assessments regarding multiple uncertainties over an extended period of time. As a result, the reserve estimate may vary considerably from the eventual outcome. The assumptions used in establishing ProAssurance’s reserve are regularly reviewed and updated by management as new data becomes available. Changes to estimates of previously established reserves are included in earnings in the period in which the estimate is changed.
ProAssurance believes that the methods it uses to establish reserves are reasonable and appropriate. Each year, ProAssurance uses internal actuaries to review the reserve for losses of each insurance subsidiary. ProAssurance also engages consulting actuaries to review ProAssurance claims data and provide observations regarding cost trends, rate adequacy and ultimate loss costs. ProAssurance considers the views of the actuaries as well as other factors, such as known, anticipated or estimated changes in frequency and severity of claims, loss retention levels and premium rates, in establishing the amount of its reserve for losses. The statutory filings of each insurance company with the insurance regulators must be accompanied by a consulting actuary's certification as to their respective reserves.
ProAssurance partitions its reserve by accident year, which is the year in which the claim becomes its liability. As claims are incurred (reported) and claim payments are made, they are aggregated by accident year for analysis purposes. ProAssurance

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also partitions its reserve by reserve type: case reserves and IBNR reserves. Case reserves are established by the claims department based upon the particular circumstances of each reported claim and represent ProAssurance’s estimate of the future loss costs (often referred to as expected losses) that will be paid on reported claims. Case reserves are decremented as claim payments are made and are periodically adjusted upward or downward as estimates regarding the amount of future losses are revised; a reported loss for an individual claim equates to the case reserve at any point in time plus the claim payments that have been made to date. IBNR reserves represent an estimate, in the aggregate, of future development on losses that have been reported to ProAssurance plus an estimate of losses that have been incurred but not reported.
Development of Prior Accident Years
In addition to setting the initial reserve for the current accident year, each period ProAssurance reassesses the amount of reserve required for prior accident years. The foundation of ProAssurance’s reserve re-estimation process is an actuarial analysis that is performed by both the internal and consulting actuaries. This detailed analysis projects ultimate losses based on apartitions which include line of business, geographic,geography, coverage layer and accident year basis.year. The procedure uses the most representative data for each partition, capturing its unique patterns of development and trends. In all, there are 219over 200 different partitions of ProAssurance's business for purposes of this analysis. ProAssurance believes that the use of consulting actuaries provides an independent view of the loss data as well as a broader perspective on industry loss trends.

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September 30, 2019

Activity in the Reservereserve for losses and loss adjustment expenses is summarized as follows:
(In thousands)Nine Months Ended September 30, 2019 Nine Months Ended September 30, 2018 Year Ended December 31, 2018
Balance, beginning of year$2,119,847
 $2,048,381
 $2,048,381
Less reinsurance recoverables on unpaid losses and loss adjustment expenses343,820
 335,585
 335,585
Net balance, beginning of year1,776,027
 1,712,796
 1,712,796
Net losses:     
Current year*532,020
 506,269
 685,326
Favorable development of reserves established in prior years, net(42,212) (67,149) (92,116)
Total489,808
 439,120
 593,210
Paid related to:     
Current year(69,419) (69,881) (117,268)
Prior years(338,452) (314,763) (412,711)
Total paid(407,871) (384,644) (529,979)
Net balance, end of period1,857,964
 1,767,272
 1,776,027
Plus reinsurance recoverables on unpaid losses and loss adjustment expenses357,811
 332,555
 343,820
Balance, end of period$2,215,775
 $2,099,827
 $2,119,847
* Current year net losses for the nine months ended September 30, 2019 included incurred losses of $2.1 million related to a loss portfolio transfer entered into during 2019. Current year net losses for the nine months ended September 30, 2018 and year ended December 31, 2018 included incurred losses of $25.4 million related to a loss portfolio transfer entered into during 2018. For additional information regarding these loss portfolio transfers see Note 4.

(In thousands)Nine Months Ended September 30, 2017 Nine Months Ended September 30, 2016 Year Ended December 31, 2016
Balance, beginning of year$1,993,428
 $2,005,326
 $2,005,326
Less reinsurance recoverables on unpaid losses and loss adjustment expenses273,475
 249,350
 249,350
Net balance, beginning of year1,719,953
 1,755,976
 1,755,976
Net losses:     
Current year454,121
 430,422
 587,007
Favorable development of reserves established in prior years, net(90,063) (94,486) (143,778)
Total364,058
 335,936
 443,229
Paid related to:     
Current year(63,667) (55,349) (96,190)
Prior years(293,522) (293,321) (383,062)
Total paid(357,189) (348,670) (479,252)
Net balance, end of period1,726,822
 1,743,242
 1,719,953
Plus reinsurance recoverables on unpaid losses and loss adjustment expenses313,876
 254,777
 273,475
Balance, end of period$2,040,698
 $1,998,019
 $1,993,428
The favorable loss development of $90.1 million recognized in the nine months ended September 30, 20172019 primarily reflected a lower than anticipated claims severity trend (i.e., the average size of a claim) for accident years 20102012 through 20142015. The favorable loss development of $94.5 million recognized in the nine months ended September 30, 20162018 primarily reflected a lower than anticipated claims severity trend for accident years 20092011 through 2013.2015. The favorable loss development of $143.8 million recognized in the twelve months ended December 31, 20162018 primarily reflected a lower than anticipated claims severity trend for accident years 20082011 through 2014.
For additional information regarding ProAssurance's reserve for losses, see Note 1 and Note 8 of the Notes to Consolidated Financial Statements included in ProAssurance's December 31, 20162018 report on Form 10-K.


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2019


6.7. Commitments and Contingencies
ProAssurance is involved in various legal actions related to insurance policies and claims handling including, but not limited to, claims asserted by policyholders. These types of legal actions arise in the Company's ordinary course of business and, in accordance with GAAP for insurance entities, are considered as a part of the Company's loss reserving process, which is described in detail under the heading "Losses and Loss Adjustment Expenses" in the Accounting Policies section in Note 1 of the Notes to Consolidated Financial Statements in ProAssurance's 2016December 31, 2018 Form 10-K.
As a member of Lloyd's, ProAssurance is required to provide capital to support Syndicate 1729its Lloyd's Syndicates through 20222019 of up to $200 million, referred to as FAL. The Board, through a non-binding resolution, extended this commitment through 2022. At September 30, 2017, ProAssurance is satisfying the2019, ProAssurance's FAL requirement withwas comprised of investment securities and cash and cash equivalents on deposit with Lloyd's with a carrying value of $99.2$134.7 million (see Note 3 of the Notes to Condensed Consolidated Financial Statements)3).
ProAssurance has issued an unconditional revolving credit agreement to the Premium Trust Fund of Syndicate 1729 for the purpose of providing working capital. Permittedcapital with permitted borrowings are £20.0 million under an amendedof £30.0 million. In January 2019, the Syndicate Credit Agreement executed in April 2016.was amended to extend the current maturity to December 31, 2020 and to implement an annual auto-renewal feature which allows for ProAssurance to elect to non-renew if notice is given at least 30 days prior to the next auto-renewal date, which is one year prior to the maturity date. Under the amended Syndicate Credit Agreement, advances bear interest at 3.8% annually and may be repaid at any time but are repayable upon demand after December 31, 2019.2020, subject to extension through the auto-renewal feature. During the second quarter of 2019, Syndicate 1729 repaid £24.2 million (approximately $30.7 million based on June 30, 2019 exchange rates) of the balance outstanding. As of September 30, 2017,2019, the unused commitment under the Syndicate Credit Agreementthis agreement approximated £11.0£28.4 million (approximately $14.7$34.9 million).
ProAssurance has entered into financial instrument transactions that may present off-balance sheet credit risk or market risk. These transactions include a short-term loan commitment and commitments to provide funding to non-public investment entities. Under the short-term loan commitment, ProAssurance has agreed to advance funds on a 30 day basis to a counterparty provided there is no violation of any condition established in the contract. As of September 30, 2019, ProAssurance had total funding commitments of approximately $252.5 million which primarily represented funding commitments related to non-public investment entities as well as the short-term loan commitment which included the amount at risk if the full short-term loan is extended and the counterparties default. However, the credit risk associated with the short-term loan commitment is minimal as the counterparties to the contract are highly rated commercial institutions and to-date have been performing in accordance with their contractual obligations.
In October 2018, ProAssurance entered into an agreement with a company to provide data analytics services for certain product lines within the Company's HCPL book of business. The agreement contains a minimum two year commitment with optional extension features for an annual fee of approximately $4.8 million per year with additional variable quarterly incentive fees based on service utilization metrics prescribed in the contract. ProAssurance incurred operating expense associated with this agreement of $1.4 million and $3.7 million during the three and nine months ended September 30, 2019, respectively, and as of September 30, 2017).2019, the remaining commitment under this agreement was approximately $4.9 million.
In conjunction with
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8. Leases
ProAssurance is involved in a strategic business partnership ProAssurance entered into duringnumber of operating leases primarily for office facilities. Office facility leases have remaining lease terms ranging from one year to thirteen years; some of which include options to extend the third quarter of 2016, ProAssurance issued a line of credit ofleases for up to $9.0 millionten years, and some of which include an option to terminate the lease within one year. ProAssurance subleases certain office facilities to third parties and classifies these leases as operating leases.
The following table provides a summary of the components of lease expense as well as the reporting location in the Condensed Consolidated Statements of Income and Comprehensive Income for the purpose of fundingthree and nine months ended September 30, 2019 and 2018.
(In thousands)Location in the Condensed Consolidated Statements of Income and Comprehensive IncomeThree Months Ended September 30 Nine Months Ended September 30
20192018 20192018
Operating lease expense (1)
Operating expense$1,184
$1,246
 $3,112
$3,774
Sublease income (2)
Other income(38)(42) (114)(121)
Net lease expense $1,146
$1,204

$2,998
$3,653
(1) Includes short-term lease costs and variable lease costs, if applicable. For the three and nine months ended September 30, 2019, no short-term lease costs were recognized and variable lease costs were nominal in amount. For the three and nine months ended September 30, 2018, short-term lease costs and variable lease costs were each nominal in amount.
(2) Sublease income excludes rental income from owned properties of $0.7 million and $1.9 million during the three and nine months ended September 30, 2019, respectively, and $0.6 million and $1.7 million during the same respective periods of 2018, which is included in other income. See “Item 2. Properties” in ProAssurance's December 31, 2018 report on Form 10-K for a listing of currently owned properties.
The following table provides supplemental lease information for operating leases on the entity's operations. The line of credit is non-interest bearing and may be settled upon the entity's achievement of certain milestones which is expected to occur within the next six months. AsCondensed Consolidated Balance Sheet as of September 30, 2017,2019.
($ in thousands)September 30, 2019
Operating lease ROU assets$20,563
Operating lease liabilities$21,298
Weighted-average remaining lease term8.66 years
Weighted-average discount rate3.16%
The following table provides supplemental lease information for the unused commitment underCondensed Consolidated Statements of Cash Flows for the linenine months ended September 30, 2019 and 2018.
 Nine Months Ended September 30
(In thousands)20192018
Cash paid for amounts included in the measurement of lease liabilities:  
Operating cash flows from operating leases$735
$246


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Table of credit approximated $1.6 million.Contents
ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2019

The following table is a schedule of remaining future minimum lease payments for operating leases that had an initial or remaining non-cancellable lease term in excess of one year as of September 30, 2019. Operating lease payments exclude $3.4 million of total future minimum lease payments for 2 leases signed but not yet commenced as of September 30, 2019. One lease will commence in the fourth quarter of 2019 and the other will commence in the first quarter of 2020. The lease term for both leases is approximately eleven years.
(In thousands) 
2019$1,121
20204,030
20213,764
20222,873
20232,165
Thereafter10,448
Total future minimum lease payments24,401
Less: Imputed interest3,103
Total operating lease liabilities$21,298

7.9. Debt
ProAssurance’s outstanding debt consisted of the following:
(In thousands)September 30,
2019
 December 31,
2018
Senior Notes due 2023, unsecured, interest at 5.3% annually$250,000
 $250,000
Revolving Credit Agreement, outstanding borrowings are not permitted to exceed $250 million aggregately; Revolving Credit Agreement expires in 2020. The interest rate on borrowings is set at the time the borrowing is initiated or renewed.
 
Mortgage Loans, outstanding borrowings are secured by first priority liens on two office buildings, and bear an interest rate of three-month LIBOR plus 1.325% (3.45% and 4.10%, respectively) determined on a quarterly basis.37,978
 39,064
Total principal287,978
 289,064
Less unamortized debt issuance costs1,031
 1,307
Debt less unamortized debt issuance costs$286,947
 $287,757
(In thousands)September 30,
2017
 December 31,
2016
Senior notes due 2023, unsecured, interest at 5.3% annually$250,000
 $250,000
Revolving Credit Agreement, outstanding borrowings are fully secured, see Note 3, and carried at a weighted average interest rate of 1.73% and 1.35%, respectively. Outstanding borrowings are not permitted to exceed $250 million aggregately; Revolving Credit Agreement expires in 2020. The interest rate on the borrowings is set at the time the respective borrowing is initiated or renewed. The current borrowings can be repaid or renewed in the fourth quarter 2017. If renewed, the interest rate will be reset.152,000
 200,000
Total principal402,000
 450,000
Less debt issuance costs1,540
 1,798
Debt less debt issuance costs$400,460
 $448,202

Covenant Compliance
There are no financial covenants associated with the Senior Notes due 2023.
The Revolving Credit Agreement contains customary representations, covenants and events constituting default, and remedies for default. The Revolving Credit Agreement also defines financial covenants regarding permitted leverage ratios. ProAssurance is currently in compliance with all covenants of the Revolving Credit Agreement.
The Mortgage Loans contain customary representations, covenants and events constituting default, and remedies for default. The Mortgage Loans also define a financial covenant regarding a permitted leverage ratio for each of the two ProAssurance subsidiaries that entered into the Mortgage Loans. ProAssurance's subsidiaries are currently in compliance with the financial covenant of the Mortgage Loans.
Additional Information
For additional information regarding ProAssurance's debt, see Note 10 of the Notes to Consolidated Financial Statements included in ProAssurance's December 31, 20162018 report on Form 10-K.


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Notes to Condensed Consolidated Financial Statements (Unaudited)
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2019


8.10. Derivatives
ProAssurance is exposed to certain risks relating to its ongoing business and investment activities. ProAssurance utilizes derivative instruments as part of its risk management strategy to reduce the market risk related to fluctuations in future interest rates associated with a portion of its variable-rate debt. As of September 30, 2019, ProAssurance has not designated any derivative instruments as hedging instruments and does not use derivative instruments for trading purposes.
ProAssurance utilizes an interest rate cap agreement with the objective of reducing the Company's exposure to interest rate risk related to its variable-rate Mortgage Loans. Additional information regarding the Company's Mortgage Loans is provided in Note 9. Under the terms of the interest rate cap agreement, ProAssurance paid a premium of $2 million for the right to receive cash payments based upon a notional amount of $35 million if and when the three-month LIBOR rises above 2.35%. The Company's variable-rate Mortgage Loans bear an interest rate of three-month LIBOR plus 1.325%. Therefore, this derivative instrument is effectively ensuring the interest rate related to the Mortgage Loans is capped at a maximum of 3.675% until expiration of the interest rate cap agreement in October 2027. During each of the three and nine months ended September 30, 2019, ProAssurance received a nominal cash payment associated with this agreement, which was recorded as a reduction to interest expense. ProAssurance has designated the interest rate cap as an economic hedge (non-hedging instrument) of interest rate exposure and any change in fair value of the derivative is immediately recognized in earnings during the period of change.
The following table provides a summary of the volume and fair value position of the interest rate cap as well as the reporting location in the Condensed Consolidated Balance Sheets as of September 30, 2019 and December 31, 2018.
($ in thousands)September 30, 2019 December 31, 2018
Derivatives Not Designated as Hedging InstrumentsLocation in the Condensed Consolidated Balance SheetsNumber of Instruments
Notional Amount (1)
Estimated Fair Value (2)
 Number of Instruments
Notional Amount (1)
Estimated Fair Value (2)
Interest Rate CapOther assets1$35,000
$675
 1$35,000
$1,884
(1) Volume is represented by the derivative instrument's notional amount.
(2) Additional information regarding the fair value of the Company's interest rate cap is provided in Note 2.
The following table presents the pre-tax impact of the change in the fair value of the interest rate cap and the reporting location in the Condensed Consolidated Statements of Income and Comprehensive Income for the three and nine months ended September 30, 2019 and 2018.
 
Gains (Losses) Recognized in
Income on Derivatives
(In thousands)Three Months Ended September 30 Nine Months Ended September 30
Derivatives Not Designated as Hedging InstrumentsLocation in the Condensed Consolidated Statements of Income and Comprehensive Income2019 2018 2019 2018
Interest Rate CapInterest expense$(410) $264
 $(1,209) $1,121

As a result of this derivative instrument, ProAssurance is exposed to risk that the counterparty will fail to meet its contractual obligations. To mitigate this counterparty credit risk, ProAssurance only enters into derivative contracts with carefully selected major financial institutions based upon their credit ratings and monitors their creditworthiness. As of September 30, 2019, the counterparty had an investment grade rating of BBB- and has performed in accordance with their contractual obligations.

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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2019

11. Shareholders’ Equity
At September 30, 20172019 and December 31, 20162018, ProAssurance had 100 million shares of authorized common stock and 50 million shares of authorized preferred stock. The Board has the authority to determine provisions for the issuance of preferred shares, including the number of shares to be issued, the designations, powers, preferences and rights, and the qualifications, limitations or restrictions of such shares. To date, the Board has not approved the issuance of preferred stock.
ProAssurance declared cash dividends of $0.31 per share during each of the first three quarters of 2017,both 2019 and 2018, totaling $49.6 million. ProAssurance declared cash dividends of $0.31 per share during$50.0 million and $50.9 million, for each of the first three quarters of 2016, totaling $49.4 million.respective nine-month period.
At September 30, 20172019, Board authorizations for the repurchase of common shares or the retirement of outstanding debt of $109.6110 million remained available for use. ProAssurance did not0t repurchase any common shares during the nine months ended September 30, 20172019 and repurchased approximately 44,500 shares at a cost of $2.1 million during the nine months ended September 30, 2016.2018.
Share-based compensation expense and related tax benefits were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
(In thousands)2019 2018 2019 2018
Share-based compensation expense$3
 $1,628
 $2,323
 $4,145
Related tax benefits$1
 $342
 $488
 $870
 Three Months Ended September 30 Nine Months Ended September 30
(In thousands)2017 2016 2017 2016
Share-based compensation expense$1,018
 $1,645
 $7,110
 $7,458
Related tax benefits$356
 $576
 $2,489
 $2,610

ProAssurance awarded approximately 84,600109,000 restricted share units and 48,00025,000 base performance share units to employees in February 2017.2019. The fair value of each unit awarded was estimated at $58.35,$40.18, equal to the market value of a ProAssurance common share on the date of grant less the estimated present value of dividends during the vesting period. AllThe majority of awards are charged to expense as an increase to additional paid-in capital over the service period (generally the vesting period) associated with the award. However, a nominal amount of awards are recorded as a liability as they are structured to be settled in cash. Restricted share units and performance share units vest in their entirety at the end of a three-year period following the grant date based on a continuous service requirement and, for performance share units, achievement of a performance objective. Partial vesting is permitted for retirees. AFor equity classified awards, a ProAssurance common share is issued for each unit once vesting requirements are met, except that units sufficient to satisfy required tax withholdings are paid in cash. The number of common shares issued for performance share units varies from 50% to 200% of base awards depending upon the degree to which stated performance objectives are achieved. ProAssurance issued approximately 29,30064,500 and 99,50034,300 common shares to employees in February 20172019 related to restricted share units and performance share units, respectively, granted in 2014.2016. Performance share units for the 20142016 award were issued at levels ranging from 117% to 125%a level of 95%. Liability classified awards, which are nominal in amount, are settled in cash at the end of the vesting period.
ProAssurance issued approximately 9,0002,000 common shares to employees in February 20172019 as bonus compensation, as approved by the Compensation Committee of the Board. The shares issued were valued at fair value (the market price of a ProAssurance common share on the date of award).
Other Comprehensive Income (Loss) and Accumulated Other Comprehensive Income (Loss)
For the three and nine months ended September 30, 20172019 and 2016,2018, OCI was primarilyalmost entirely comprised of unrealized gains and losses, including non-credit impairment losses, arising during the period related to fixed maturity available-for-sale securities, less reclassification adjustments, as shown in the table that follows, net of tax. For the three and nine months ended September 30, 2016,2019 and 2018, OCI also included a gain of $0.6 million, net of tax,changes related to changes from the reestimation of twothe defined benefit plansplan liability assumed in the Eastern acquisition one of which was terminated latewere nominal in 2016.amount. The remainingdefined benefit plan is frozen as to the earnings of additional benefits butand the unrecognizedbenefit plan benefit liability is reestimated annually.
At September 30, 20172019 and December 31, 20162018, AOCI was primarilyalmost entirely comprised of accumulated unrealized gains and losses from fixed maturity available-for-sale securities, including accumulated non-credit impairments recognized inthrough OCI of $0.50.2 million and $0.3$0.1 million, respectively, net of tax. During 2016, as discussed above, one of the defined benefit plans assumed in the Eastern acquisition was terminated and the related unrecognized losses were reclassified from AOCI to earnings. At September 30, 20172019 and December 31, 2016, unrecognized2018, accumulated changes in the remaining defined benefit plan liability not yet recognized in earnings were nominal in amount. AllDue to the adoption of accounting guidance in the first quarter of 2018 related to certain impacts of the TCJA, ProAssurance increased AOCI by approximately $3.4 million with a corresponding decrease to retained earnings of the same amount as of the beginning of 2018. At September 30, 2019 and December 31, 2018, tax effects were computed using a 35%the enacted federal corporate tax rate of 21% with the exception of unrealized gains and losses on available-for-sale securities held at ourthe Company's U.K. and Cayman IslandIslands entities which in both periods were immaterial in amount.


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2019


Amounts reclassified from AOCI to Netnet income and the amounts of deferred tax expense (benefit) included in OCI were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
(In thousands)2019 2018 2019 2018
Reclassifications from AOCI to net income:       
Realized investment gains (losses)$500
 $(175) $1,457
 $551
Non-credit impairment losses reclassified to earnings, due to sale of securities or reclassification as a credit loss
 (621) 
 (621)
Total gains (losses) reclassified, before tax effect500
 (796) 1,457
 (70)
Tax effect, calculated using the 21% federal statutory tax rate(105) 167
 (306) 15
Net reclassification adjustments$395
 $(629) $1,151
 $(55)
        
Deferred tax expense (benefit) included in OCI$1,975
 $(1,197) $14,957
 $(10,442)
 Three Months Ended September 30 Nine Months Ended September 30
(In thousands)2017 2016 2017 2016
Reclassifications from AOCI to Net income:       
Realized investment gains (losses)$1,462
 $3,852
 $2,425
 $145
Non-credit impairment losses reclassified to earnings, due to sale of securities or reclassification as a credit loss
 (423) (3) (3,441)
Total amounts reclassified, before tax effect1,462
 3,429
 2,422
 (3,296)
Tax effect (at 35%)(512) (1,200) (848) 1,154
Net reclassification adjustments$950
 $2,229
 $1,574
 $(2,142)
        
Deferred tax expense (benefit) included in OCI$(373) $(2,687) $4,091
 $17,114

9.12. Variable Interest Entities
ProAssurance holds passive interests in a number of entities that are considered to be VIEs under GAAP guidance. ProAssurance's VIE interests principally consist of interests in LPs/LLCs formed for the purpose of achieving diversified equity and debt returns. ProAssurance's VIE interests, carried as a part of Other investments totaled $27.4 million at September 30, 2017 and $26.9 million at December 31, 2016. ProAssurance's VIE interests carried as a part of Investmentinvestment in unconsolidated subsidiaries, totaled $269.6$304.0 million at September 30, 20172019 and $282.3$285.8 million at December 31, 2016.2018.
ProAssurance does not have power over the activities that most significantly impact the economic performance of these VIEs and thus is not the primary beneficiary. Therefore, ProAssurance has not consolidated these VIEs. ProAssurance’s involvement with each entityVIE is limited to its direct ownership interest in the entity.VIE. Except asfor the funding commitments disclosed in Note 6 of the Notes to Condensed Consolidated Financial Statements,7, ProAssurance has no arrangements with any of the entitiesVIEs to provide other financial support to or on behalf of the entity.VIE. At September 30, 20172019, ProAssurance’s maximum loss exposure relative to these investments was limited to the carrying value of ProAssurance’s investment in the VIE.
10.13. Earnings Per Share
Diluted weighted average shares is calculated as basic weighted average shares plus the effect, calculated using the treasury stock method, of assuming that restricted share units, performance share units and purchase match units have vested. The following table provides the weighted average number of common shares outstanding used in the calculation of the Company's basic and diluted earnings per share:
(In thousands, except per share data)Three Months Ended
September 30
 Nine Months Ended
September 30
2019 2018 2019 2018
Weighted average number of common shares outstanding, basic53,762
 53,620
 53,732
 53,585
Dilutive effect of securities:       
Restricted Share Units73
 83
 69
 78
Performance Share Units
 48
 13
 52
Purchase Match Units21
 22
 17
 20
Weighted average number of common shares outstanding, diluted53,856
 53,773
 53,831
 53,735
Effect of dilutive shares on earnings per share$
 $
 $
 $

(In thousands, except per share data)Three Months Ended September 30 Nine Months Ended September 30
2017 2016 2017 2016
Weighted average number of common shares outstanding, basic53,413
 53,222
 53,377
 53,199
Dilutive effect of securities:       
Restricted Share Units87
 75
 81
 71
Performance Share Units88
 132
 105
 124
Purchase Match Units26
 27
 23
 25
Weighted average number of common shares outstanding, diluted
53,614
 53,456
 53,586
 53,419
Effect of dilutive shares on earnings per share$
 $(0.01) $
 $(0.01)
All dilutive common share equivalents are reflected in the earnings per share calculation while antidilutive common share equivalents are not reflected in the earnings per share calculation. There were 0 antidilutive common share equivalents for the three and nine months ended September 30, 2019. There were 0 antidilutive common share equivalents for the three months ended September 30, 2018. The diluted weighted average number of common shares outstanding for the three and nine months ended September 30, 20172018 excludes approximately 28,000 and 9,0003,000 common share equivalents respectively, issuable under the Company's stock compensation plans, as their effect would be antidilutive. There were no common share equivalents that were antidilutive for the three and nine months ended September 30, 2016.


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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


11.14. Segment Information
ProAssuranceProAssurance's segments are based on the Company's internal management reporting structure for which financial results are regularly evaluated by the Company's CODM to determine resource allocation and assess operating performance. The Company continually assesses its internal management reporting structure and information evaluated by its CODM to determine whether any changes have occurred that would impact its segment reporting structure. The Company operates in four5 segments that are organized around the nature of the products and services provided: Specialty P&C, Workers' Compensation Insurance, Segregated Portfolio Cell Reinsurance, Lloyd's Syndicate,Syndicates and Corporate. A description of each segment follows.
Specialty P&C is primarily focused on includes professional liability insurance and medical technology liability insurance. Professional liability insurance is primarily offered to healthcare providers and institutions and, to a lesser extent, to attorneys and their firms. Medical technology liability insurance is offered to medical technology and life sciences companies that manufacture or distribute products including entities conducting human clinical trials. ThePrior to 2018, the Specialty P&C segment cedesceded certain premium to the Lloyd's SyndicateSyndicates segment under a quota share agreement with Syndicate 1729.1729; however, this agreement was not renewed on January 1, 2018. As discussed below, Syndicate 1729 operatingthe Lloyd's Syndicates segment results are typically reported on a quarter delay.lag. For consistency purposes, results from this ceding arrangement, other than cash receipts or disbursements, have beenare reported within the Specialty P&C segment on the same one-quarter delay.lag. In addition, the Specialty P&C segment's healthcare professional liability products also include custom alternative risk solutions including loss portfolio transfers and captive cell programs. For the alternative market captive cell programs, the Specialty P&C segment cedes either all or a portion of the premium to certain SPCs in the Company's Segregated Portfolio Cell Reinsurance segment.
Workers' Compensation providesInsurance includes workers' compensation products primarilyprovided to employers with 1,000 or fewer employees. The segment also offerssegment's products include guaranteed cost, policyholder dividend policies, retrospectively-rated policies, deductible polices and alternative market solutions whereby policies writtensolutions. Alternative market products include program design, fronting, claims administration, risk management, SPC rental, asset management and SPC management services. Alternative market premiums are 100% ceded to either SPCs in the Company's Segregated Portfolio Cell Reinsurance segment or, to a limited extent, to a captive insurersinsurer unaffiliated with ProAssuranceProAssurance.
Segregated Portfolio Cell Reinsurance reflects the operating results (underwriting profit or toloss, plus investment results) of SPCs operated by a wholly owned subsidiary of ProAssurance.at Inova Re and Eastern Re, the Company's Cayman Islands SPC operations. Each SPC is owned, fully or in part, by an agency, group or association. Operatingassociation, and the operating results (underwriting profit or loss, plus investment results reported in the Corporate segment) of the SPCs are due to the ownersparticipants of that cell. ProAssurance participates to a varying degree in the results of selected SPCs. SPC operating results due to external cell participants are reflected as an SPC dividend expense (income) in the Segregated Portfolio Cell Reinsurance segment and in ProAssurance's Condensed Consolidated Statements of Income and Comprehensive Income. In addition, the Segregated Portfolio Cell Reinsurance segment includes the SPC investment results as the investments are solely for the benefit of the cell participants, and investment results due to external cell participants are reflected in the SPC dividend expense (income). The majority of SPCs assume workers' compensation insurance, healthcare professional liability insurance or a combination of the two from the Company's Workers' Compensation Insurance and Specialty P&C segments. In addition, one SPC at Eastern Re assumed an errors and omissions liability policy from a captive insurer unaffiliated with ProAssurance; the Company does not participate in the SPC that assumed this policy; therefore, the operating results of this policy are reflected in the SPC dividend expense (income).
Lloyd'sSyndicateSyndicates includes operating results from ProAssurance's 58% participation in Lloyd's of London Syndicate 1729 and Syndicate 6131, which is an SPA that underwrites on a quota share basis with Syndicate 1729. The results of this segment are normally reported on a quarter lag, except when information is available that is material to the current period. Furthermore, investment results associated with the majority of investment assets solely allocated to Lloyd's Syndicate operations and certain U.S. paid administrative expenses are reported concurrently as that information is available on an earlier time frame. For the 2019 underwriting year, ProAssurance slightly decreased its participation in the operating results of Syndicate 1729 from 62% to 61%; however, due to the quarter lag these changes were not reflected in the Lloyd's Syndicates segment results until the second quarter of 2019. Furthermore, ProAssurance's 100% participation in Syndicate 6131 was not reflected in the Lloyd's Syndicates segment results until the second quarter of 2018 as Syndicate 6131 began writing business effective January 1, 2018. Syndicate 1729 underwrites risks over a wide range of property and casualty insurance and reinsurance lines in both the U.S. and international markets. The results of this segment are reportedSyndicate 6131 focuses on a quarter delay, except when information is available that is material tocontingency and specialty property business, also within the current period. Furthermore, investment results associated with investment assets solely allocated to Syndicate 1729 operationsU.S. and certain U.S. paid administrative expenses are reported concurrently as that information is available on an earlier time frame.international markets.
Corporate includes ProAssurance's investment operations, other than those reported in the Company's Segregated Portfolio Cell Reinsurance and Lloyd's Syndicates segments, interest expense and U.S. income taxes, all of which are managed at the corporate level with the exception of investment assets solely allocated to Syndicate 1729 as discussed above.taxes. The segment also includes non-premium revenues generated outside of ourthe Company's insurance entities and corporate expenses.

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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2019

The accounting policies of the segments are the same as those described in Note 1 of the Notes to Consolidated Financial Statements in ProAssurance’s December 31, 20162018 report on Form 10-K and Note 1 of the Notes to Condensed Consolidated Financial Statements.herein. ProAssurance evaluates the performance of its Specialty P&C and Workers' Compensation Insurance segments based on before tax underwriting profit or loss, which excludes investment performance. ProAssurance evaluates the performance of its Segregated Portfolio Cell Reinsurance segment based on before tax operating profit or loss, which includes the investment performance of assets solely allocated to SPC operations. Performance of the Lloyd's SyndicateSyndicates segment is evaluated based on underwriting profit or loss, plus investment results of investment assets solely allocated to Lloyd's Syndicate 1729 operations, net of U.K. income tax expense. Performance of the Corporate segment is evaluated based on the contribution made to consolidated after taxafter-tax results. ProAssurance accounts for inter-segment transactions as if the transactions were to third parties at current market prices. Assets are not allocated to segments because investments, other than the investments discussed above that are solely allocated to the Segregated Portfolio Cell Reinsurance and Lloyd's Syndicates segments, and other assets are not managed at the segment level.

Financial results by segment were as follows:
36
 Three Months Ended September 30, 2019
(In thousands)Specialty P&C Workers' Compensation Insurance Segregated Portfolio Cell Reinsurance Lloyd's Syndicates Corporate Inter-segment Eliminations Consolidated
Net premiums earned$125,237
 $49,477
 $19,779
 $21,295
 $
 $
 $215,788
Net investment income
 
 445
 1,077
 22,159
 
 23,681
Equity in earnings (loss) of unconsolidated subsidiaries
 
 
 
 (1,277) 
 (1,277)
Net realized gains (losses)
 
 (98) 285
 947
 
 1,134
Other income (expense)*1,858
 494
 176
 (165) 963
 (778) 2,548
Net losses and loss adjustment expenses(107,573) (32,356) (9,778) (11,907) 
 
 (161,614)
Underwriting, policy acquisition and operating expenses*(29,700) (14,895) (5,951) (9,411) (2,682) 778
 (61,861)
Segregated portfolio cells dividend (expense) income
 
 (3,621) 
 
 
 (3,621)
Interest expense
 
 
 
 (4,274) 
 (4,274)
Income tax benefit (expense)
 
 
 161
 6,528
 
 6,689
Segment operating results$(10,178) $2,720
 $952
 $1,335
 $22,364
 $
 $17,193
Significant non-cash items:             
Depreciation and amortization, net of accretion$1,568
 $957
 $(59) $(1) $1,955
 $
 $4,420

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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019

Financial results by segment were as follows:
 Nine Months Ended September 30, 2019
(In thousands)Specialty P&C Workers' Compensation Insurance Segregated Portfolio Cell Reinsurance Lloyd's Syndicates Corporate Inter-segment Eliminations Consolidated
Net premiums earned$375,315
 $141,990
 $58,566
 $57,215
 $
 $
 $633,086
Net investment income
 
 1,261
 3,282
 65,495
 
 70,038
Equity in earnings (loss) of unconsolidated subsidiaries
 
 
 
 (7,240) 
 (7,240)
Net realized gains (losses)
 
 1,949
 725
 44,390
 
 47,064
Other income (expense)*4,536
 1,948
 397
 (278) 2,701
 (1,885) 7,419
Net losses and loss adjustment expenses(321,248) (93,424) (40,496) (34,640) 
 
 (489,808)
Underwriting, policy acquisition and operating expenses*(89,177) (43,456) (17,091) (25,445) (12,676) 1,885
 (185,960)
Segregated portfolio cells dividend (expense) income
 
 (1,375) 
 
 
 (1,375)
Interest expense
 
 
 
 (12,850) 
 (12,850)
Income tax benefit (expense)
 
 
 161
 (157) 
 4
Segment operating results$(30,574) $7,058
 $3,211
 $1,020
 $79,663
 $
 $60,378
Significant non-cash items:             
Depreciation and amortization, net of accretion$4,927
 $2,893
 $(45) $(8) $6,306
 $
 $14,073
 Three Months Ended September 30, 2017
(In thousands)Specialty P&C
Workers' Compensation
Lloyd's Syndicate
Corporate
Inter-segment Eliminations
Consolidated
Net premiums earned$118,331
 $57,654
 $16,318
 $
 $
 $192,303
Net investment income
 
 412
 23,317
 
 23,729
Equity in earnings (loss) of unconsolidated subsidiaries
 
 
 4,164
 
 4,164
Net realized gains (losses)
 
 31
 7,718
 
 7,749
Other income (expense)1,276
 164
 (1,881) 1,023
 (72) 510
Net losses and loss adjustment expenses(73,831) (35,081) (20,444) 
 
 (129,356)
Underwriting, policy acquisition and operating expenses(27,037) (18,434) (6,723) (4,989) 72
 (57,111)
Segregated portfolio cells dividend (expense) income (1)
65
 (1,722) 
 (1,234) 
 (2,891)
Interest expense
 
 
 (4,124) 
 (4,124)
Income tax benefit (expense)
 
 (61) (5,963) 
 (6,024)
Segment operating results$18,804
 $2,581
 $(12,348) $19,912
 $
 $28,949
Significant non-cash items:           
Depreciation and amortization, net of accretion$1,933
 $848
 $(6) $4,300
 $
 $7,075

 Three Months Ended September 30, 2018
(In thousands)Specialty P&C Workers' Compensation Insurance Segregated Portfolio Cell Reinsurance Lloyd's Syndicates Corporate Inter-segment Eliminations Consolidated
Net premiums earned$120,789
 $47,296
 $18,963
 $19,022
 $
 $
 $206,070
Net investment income
 
 371
 783
 22,112
 
 23,266
Equity in earnings (loss) of unconsolidated subsidiaries
 
 
 
 5,228
 
 5,228
Net realized gains (losses)
 
 1,397
 (98) 11,074
 
 12,373
Other income (expense)*1,426
 376
 86
 352
 699
 (551) 2,388
Net losses and loss adjustment expenses(98,363) (30,650) (8,560) (10,032) 
 
 (147,605)
Underwriting, policy acquisition and operating expenses*(27,931) (15,410) (5,516) (8,439) (5,053) 505
 (61,844)
Segregated portfolio cells dividend (expense) income
 
 (5,255) 
 
 
 (5,255)
Interest expense
 
 
 
 (3,645) 46
 (3,599)
Income tax benefit (expense)
 
 
 361
 (155) 
 206
Segment operating results$(4,079) $1,612
 $1,486
 $1,949
 $30,260
 $
 $31,228
Significant non-cash items:             
Depreciation and amortization, net of accretion$1,715
 $959
 $83
 $(2) $2,751
 $
 $5,506

 Nine Months Ended September 30, 2017
(In thousands)Specialty P&C
Workers' Compensation
Lloyd's Syndicate
Corporate
Inter-segment Eliminations
Consolidated
Net premiums earned$340,394
 $169,791

$45,374

$

$
 $555,559
Net investment income
 

1,194

68,398


 69,592
Equity in earnings (loss) of unconsolidated subsidiaries
 



8,489


 8,489
Net realized gains (losses)
 

105

18,705


 18,810
Other income (expense)3,943
 519

(1,641)
1,974

(214) 4,581
Net losses and loss adjustment expenses(220,123) (103,217)
(40,718)



 (364,058)
Underwriting, policy acquisition and operating expenses(79,252) (52,220)
(19,786)
(21,062)
214
 (172,106)
Segregated portfolio cells dividend (expense) income (1)(2)
(5,026) (5,593) 
 (3,457) 
 (14,076)
Interest expense
 
 
 (12,402) 
 (12,402)
Income tax benefit (expense)(2)

 
 495
 (4,962) 
 (4,467)
Segment operating results$39,936
 $9,280
 $(14,977) $55,683
 $
 $89,922
Significant non-cash items:           
Depreciation and amortization, net of accretion$5,350
 $2,516
 $(14) $13,172
 $
 $21,024




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Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


 Nine Months Ended September 30, 2018
(In thousands)Specialty P&C Workers' Compensation Insurance Segregated Portfolio Cell Reinsurance Lloyd's Syndicates Corporate Inter-segment Eliminations Consolidated
Net premiums earned$378,355
 $135,230
 $54,247
 $48,987
 $
 $
 $616,819
Net investment income
 
 1,100
 2,370
 64,207
 
 67,677
Equity in earnings (loss) of unconsolidated subsidiaries
 
 
 
 12,247
 
 12,247
Net realized gains (losses)
 
 467
 (404) 2,588
 
 2,651
Other income (expense)*3,945
 1,828
 176
 247
 2,737
 (1,778) 7,155
Net losses and loss adjustment expenses(292,742) (87,794) (27,561) (31,023) 
 
 (439,120)
Underwriting, policy acquisition and operating expenses*(83,833) (41,545) (16,070) (23,745) (15,351) 1,732
 (178,812)
Segregated portfolio cells dividend (expense) income
 
 (9,787) 
 
 
 (9,787)
Interest expense
 
 
 
 (11,308) 46
 (11,262)
Income tax benefit (expense)
 
 
 355
 3,584
 
 3,939
Segment operating results$5,725
 $7,719
 $2,572
 $(3,213) $58,704
 $
 $71,507
Significant non-cash items:             
Depreciation and amortization, net of accretion$5,343
 $2,873
 $393
 $(5) $7,940
 $
 $16,544
* Certain fees for services provided to the SPCs at Inova Re and Eastern Re are recorded as expenses within the Segregated Portfolio Cell Reinsurance segment and as other income within the Workers' Compensation Insurance segment. These fees are primarily SPC rental fees and are eliminated between segments in consolidation.

 Three Months Ended September 30, 2016
(In thousands)Specialty P&C
Workers' Compensation
Lloyd's Syndicate
Corporate
Inter-segment Eliminations
Consolidated
Net premiums earned$116,199
 $54,498
 $14,578
 $
 $
 $185,275
Net investment income
 
 351
 24,910
 
 25,261
Equity in earnings (loss) of unconsolidated subsidiaries
 
 
 (3,349) 
 (3,349)
Net realized gains (losses)
 
 50
 15,687
 
 15,737
Other income (expense)1,012
 86
 734
 15
 (419) 1,428
Net losses and loss adjustment expenses(72,311) (34,472) (11,299) 
 
 (118,082)
Underwriting, policy acquisition and operating expenses(26,563) (18,331) (6,251) (5,086) 419
 (55,812)
Segregated portfolio cells dividend (expense) income (1)
(94) (1,449) 
 (1,653) 
 (3,196)
Interest expense
 
 
 (3,748) 
 (3,748)
Income tax benefit (expense)
 
 (1,352) (8,328) 
 (9,680)
Segment operating results$18,243
 $332
 $(3,189) $18,448
 $
 $33,834
Significant non-cash items:           
Depreciation and amortization, net of accretion$1,979
 $1,396
 $23
 $5,140
 $
 $8,538


 Nine Months Ended September 30, 2016
(In thousands)Specialty P&C
Workers' Compensation
Lloyd's Syndicate
Corporate
Inter-segment Eliminations
Consolidated
Net premiums earned$335,080
 $163,974
 $40,533
 $
 $
 $539,587
Net investment income
 
 1,004
 74,280
 
 75,284
Equity in earnings (loss) of unconsolidated subsidiaries
 
 
 (6,607) 
 (6,607)
Net realized gains (losses)
 
 59
 18,255
 
 18,314
Other income (expense)4,021
 696
 1,174
 758
 (686) 5,963
Net losses and loss adjustment expenses(205,787) (104,160) (25,989) 
 
 (335,936)
Underwriting, policy acquisition and operating expenses(77,519) (52,494) (16,660) (20,748) 686
 (166,735)
Segregated portfolio cells dividend (expense) income (1)
(94) (3,440) 
 (2,361) 
 (5,895)
Interest expense
 
 
 (11,285) 
 (11,285)
Income tax benefit (expense)
 
 (2,248) (14,209) 
 (16,457)
Segment operating results$55,701
 $4,576
 $(2,127) $38,083
 $
 $96,233
Significant non-cash items:           
Depreciation and amortization, net of accretion$5,475
 $4,193
 $132
 $15,709
 $
 $25,509
(1) During the first quarter of 2017, ProAssurance began reporting in the Corporate segment the portion of the SPC dividend (expense) income that is attributable to the investment results of the SPCs, all of which are reported in the Corporate segment, to better align the expense with the related investment results of the SPCs. For comparative purposes, ProAssurance has reflected the SPC dividend expense for 2016 in the same manner.
(2) During the second quarter of 2017, ProAssurance recognized a $5.2 million pre-tax expense related to previously unrecognized SPC dividend expense for the cumulative earnings of unrelated parties that have owned segregated portfolio cells at various periods since 2003 in a Bermuda captive insurance operation managed by the Company's HCPL line of business within the Specialty P&C segment. The expense recorded in the second quarter of 2017 related to periods prior to the current period and is unrelated to the captive operations of the Company's Eastern Re subsidiary. The $1.8 million tax impact of the expense recognized in the second quarter of 2017 is included in the Corporate segment's income tax benefit (expense) for the 2017 nine-month period.

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ProAssurance Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements (Unaudited)
September 30, 2017
2019


The following table provides detailed information regarding ProAssurance's gross premiums earned by product as well as a reconciliation to net premiums earned. All gross premiums earned are from external customers except as noted. ProAssurance's insured risks are primarily within the U.S.
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
(In thousands)2017 2016 2017 20162019 2018 2019 2018
Specialty P&C Segment              
Gross premiums earned:              
Healthcare professional liability$125,377
 $119,833
 $358,209
 $345,520
$130,633
 $126,012
 $387,547
 $390,904
Legal professional liability6,483
 6,492
 19,217
 19,599
6,771
 6,606
 20,039
 19,486
Medical technology liability8,459
 8,756
 25,160
 25,549
8,519
 9,080
 25,177
 26,372
Other108
 140
 311
 562
591
 113
 1,936
 346
Ceded premiums earned(22,096) (19,022) (62,503) (56,150)(21,277) (21,022) (59,384) (58,753)
Segment net premiums earned118,331
 116,199
 340,394
 335,080
125,237
 120,789
 375,315
 378,355
              
Workers' Compensation Segment       
Workers' Compensation Insurance Segment       
Gross premiums earned:              
Traditional business43,492
 42,582
 127,761
 127,426
53,156
 50,271
 152,477
 145,334
Alternative market business20,200
 18,502
 59,855
 55,601
21,247
 21,564
 63,084
 61,593
Ceded premiums earned(6,038) (6,586) (17,825) (19,053)(24,926) (24,539) (73,571) (71,697)
Segment net premiums earned57,654
 54,498
 169,791
 163,974
49,477
 47,296
 141,990
 135,230
              
Lloyd's Syndicate Segment       
Segregated Portfolio Cell Reinsurance Segment       
Gross premiums earned:              
Property and casualty*18,790
 16,387
 52,935
 43,619
Workers' compensation(1)
20,579
 20,251
 61,305
 57,287
Healthcare professional liability(2)
1,399
 1,225
 4,071
 3,782
Other240
 
 480
 
Ceded premiums earned(2,472) (1,809) (7,561) (3,086)(2,439) (2,513) (7,290) (6,822)
Segment net premiums earned16,318
 14,578
 45,374
 40,533
19,779
 18,963
 58,566
 54,247

 
 
 
       
Consolidated Net premiums earned$192,303
 $185,275
 $555,559
 $539,587
Lloyd's Syndicates Segment       
Gross premiums earned:       
Property and casualty(3)
26,399
 23,050
 72,225
 60,289
Ceded premiums earned(5,104) (4,028) (15,010) (11,302)
Segment net premiums earned21,295
 19,022
 57,215
 48,987

 
 
 
Consolidated net premiums earned$215,788
 $206,070
 $633,086
 $616,819
*(1) Premium for all periods is assumed from the Workers' Compensation Insurance segment.
(2) Premium for all periods is assumed from the Specialty P&C segment.
(3)Includes premium assumed from the Specialty P&C segment of $2.9$0.1 million for the nine months ended September 30, 2019 and $1.2 million and $9.5$4.5 millionfor the three and nine months ended September 30, 2017, respectively, and $3.4 million and $10.4 million for the same respective periods of 2016.
12. Subsequent Events
In October 2017, ProAssurance repaid $18 million of the balance outstanding on the Revolving Credit Agreement (see Note 7 of the Notes to Condensed Consolidated Financial Statements for further discussion of the terms of the Revolving Credit Agreement).2018, respectively.


ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.
The following discussion should be read in conjunction with the Condensed Consolidated Financial Statements and Notes to those statements which accompany this report. Throughout the discussion we use certain terms and abbreviations, which can be found in the Glossary of Terms and Acronyms at the beginning of this report. In addition, a glossary of insurance terms and phrases is available on the investor section of our website. Throughout the discussion, references to "ProAssurance," "PRA," "Company," "we," "us" and "our" refer to ProAssurance Corporation and its consolidated subsidiaries. The discussion contains certain forward-looking information that involves significant risks, assumptions and uncertainties. As discussed under the heading "Caution Regarding Forward-Looking Statements," our actual financial condition and operating results could differ significantly from these forward-looking statements.
ProAssurance Overview
We report our results in four segments based on the operational focus of the segment. Our Specialty P&C segment includes our professional liability business and our medical technology liability business. Our Workers' Compensation segment includes workers' compensation insuranceProAssurance Corporation is a holding company for employers, groups and associations. Our Lloyd's Syndicate segment reflects operating results from our 58% participation in Syndicate 1729, which underwrites risks over a wide range of property and casualty insurance companies. Our wholly owned insurance subsidiaries provide professional liability insurance for healthcare professionals and reinsurance linesfacilities, professional liability insurance for attorneys and their firms, liability insurance for medical technology and life sciences risks and workers' compensation insurance. We are also the majority capital provider for Syndicate 1729 and the sole capital provider for Syndicate 6131 at Lloyd's of London.
We operate in both the U.S. and international markets. Information regarding Lloyd's operations derived from U.K.five segments which are based entities is normally reported on a quarter delay, except when information is available that is material to the current period. Investment results associated with our FAL investments are reported concurrently as thoseinternal management reporting structure for which financial results are available on an earlier time frame. Our Corporate segment includesregularly evaluated by our investment operations, whichCODM to determine resource allocation and assess operating performance. Descriptions of ProAssurance's five operating and reportable segments are managed at the corporate level (except results associated with investment assets solely allocated to Syndicate 1729 operations), non-premium revenues generated outside of our insurance entities, corporate expenses,as follows:
Specialty P&C - This segment includes our professional liability business and medical technology liability business. Professional liability insurance is primarily offered to healthcare providers and institutions and, to a lesser extent, to attorneys and their firms. Medical technology liability insurance is offered to medical technology and life sciences companies that manufacture or distribute products including entities conducting human clinical trials. Our healthcare professional liability insurance products also include custom alternative risk solutions including loss portfolio transfers and captive cell programs. For our alternative market captive cell programs, we cede either all or a portion of the premium to certain SPCs in our Segregated Portfolio Cell Reinsurance segment.
Workers' Compensation Insurance - This segment includes our workers' compensation insurance business which is provided primarily to employers with 1,000 or fewer employees. Our workers' compensation products include guaranteed cost, policyholder dividend policies, retrospectively-rated policies, deductible policies and alternative market solutions. Alternative market premiums are 100% ceded to either SPCs in our Segregated Portfolio Cell Reinsurance segment or, to a limited extent, an unaffiliated captive insurer.
Segregated Portfolio Cell Reinsurance - This segment reflects the operating results (underwriting profit or loss, plus investment results) of SPCs at Inova Re and Eastern Re, our Cayman Islands SPC operations. Each SPC is owned, fully or in part, by an agency, group or association and the operating results of the SPCs are due to the participants of that cell. We participate to a varying degree in the results of selected SPCs and, for the SPCs in which we participate, our participation interest ranges from a low of 20% to high of 85%. SPC operating results due to external cell participants are reflected as an SPC dividend expense (income) in our Segregated Portfolio Cell Reinsurance segment. The majority of SPCs only assume workers' compensation insurance, healthcare professional liability insurance or a combination of the two from our Workers' Compensation Insurance and Specialty P&C segments. In addition, an SPC at Eastern Re assumed an errors and omissions liability policy from a captive insurer unaffiliated with ProAssurance. We do not participate in the SPC that assumed this policy; therefore, the operating results of this policy are reflected in the SPC dividend expense (income).
Lloyd'sSyndicates - This segment includes the operating results from our participation in Lloyd's of London Syndicate 1729 and our 100% participation in Syndicate 6131, which is an SPA that underwrites on a quota share basis with Syndicate 1729. The results of this segment are normally reported on a quarter lag, except when information is available that is material to the current period. For the 2019 underwriting year, we slightly decreased our participation in the operating results of Syndicate 1729 from 62% to 61%; however, due to the quarter lag these changes were not reflected in our Lloyd's Syndicates segment results until the second quarter of 2019. Furthermore, our participation in Syndicate 6131 was not reflected in our Lloyd's Syndicates segment results until the second quarter of 2018 as Syndicate 6131 began writing business effective January 1, 2018. Syndicate 1729 underwrites risks over a wide range of property and casualty insurance and reinsurance lines in both the U.S. and international markets while Syndicate 6131 focuses on contingency and specialty property business, also within the U.S. and international markets.

Corporate - This segment includes our investment operations, other than those reported in our Segregated Portfolio Cell Reinsurance and Lloyd's Syndicates segments, interest expense and U.S. income taxes. This segment also includes non-premium revenues generated outside of our insurance entities and corporate expenses.
Additional information regarding our segments is included in Note 1114 of the Notes to Condensed Consolidated Financial Statements and in Part I of our 2016 Form 10-K.the Segment Operating Results sections that follow.
Critical Accounting Estimates
Our Condensed Consolidated Financial Statements are prepared in conformity with GAAP. Preparation of these financial statements requires us to make estimates and assumptions that affect the amounts we report on those statements. We evaluate these estimates and assumptions on an ongoing basis based on current and historical developments, market conditions, industry trends and other information that we believe to be reasonable under the circumstances. There can be no assurance that actual results will conform to our estimates and assumptions; reported results of operations may be materially affected by changes in these estimates and assumptions.
Management considers the following accounting estimates to be critical because they involve significant judgment by management and those judgments could result in a material effect on our financial statements.
Reserve for Losses and Loss Adjustment Expenses
The largest component of our liabilities is our reserve for losses and loss adjustment expenses ("reserve for losses" or "reserve"), and the largest component of expense for our operations is incurred losses and loss adjustment expenses (also referred to as “losses and loss adjustment expenses,” “incurred losses,” “losses incurred,”incurred” and “losses”). Incurred losses reported in any period reflect our estimate of losses incurred related to the premiums earned in that period as well as any changes to our previous estimate of the reserve required for prior periods.
As of September 30, 2017,2019, our reserve is comprised almost entirely of long-tail exposures. The estimation of long-tailed losses is inherently difficult and is subject to significant judgment on the part of management. Due to the nature of our claims, our loss costs, even for claims with similar characteristics, can vary significantly depending upon many factors, including but not limited to the specific characteristics of the claim and the manner in which the claim is resolved. Long-tailed insurance is characterized by the extended period of time typically required both to assess the viability of a claim and potential damages, if any, and to then reach a resolution of the claim. The claims resolution process may extend to more than five years. The combination of continually changing conditions and the extended time required for claim resolution results in a loss cost estimation process that requires actuarial skill and the application of significant judgment, and such estimates require periodic modification.
Our reserve is established by management after taking into consideration a variety of factors including premium rates, claims frequency and severity, historical paid and incurred loss development trends, the expected effect of inflation, general economic trends, the legal and political environment and the conclusions reached by our internal and consulting actuaries. We update and review the data underlying the estimation of our reserve for losses each reporting period and make adjustments to loss estimation assumptions that we believe best reflect emerging data. Both our internal and consulting actuaries perform an in-

depthin-depth review of our reserve for losses on at least a semi-annual basis using the loss and exposure data of our insurance subsidiaries.
Our reserving process can be broadly grouped into three areas: the establishment of the reserve for the current accident year (the initial reserve), the re-estimation of the reserve for prior accident years (development of prior accident years) and the establishment of the initial reserve for risks assumed in business combinations, applicable only in periods in which acquisitions occur (the acquired reserve).
Current Accident Year - Initial Reserve
Considerable judgment is required in establishing our initial reserve for any current accident year period, as there is limited data available upon which to base our estimate. Our process for setting an initial reserve considers the unique characteristics of each product, but in general we rely heavily on the loss assumptions that were used to price business, as our pricing reflects our analysis of loss costs that we expect to incur relative to the insurance product being priced.
Specialty P&C Segment. Loss costs within this segment are impacted by many factors including but not limited to the nature of the claim, including whether or not the claim is an individual or a mass tort claim, the personal situation of the claimant or the claimant's family, the outcome of jury trials, the legislative and judicial climate where any potential litigation may occur, general economic conditions and, for claims involving bodily injury, the trend of healthcare costs. Within our Specialty P&C segment, for our HCPL business (77%(75% of our consolidated gross reserve for losses and loss adjustment expenses as of December 31, 2016)2018), we set an initial reserve usingupon our evaluation of the averagecurrent loss ratio used in our pricing,environment, plus an additional provision in consideration of the historical loss volatility we and others in the industry have experienced. For our HCPL business, our targetexpected loss ratio during recent accident years has ranged from 77%79% to 78% and87%. Changes in the overall claims environment

as well as pricing adequacy can result in variations from these levels. The additional provision for loss volatility has ranged from 8 to 1012 percentage points, producing an overall average initial loss ratio for our HCPL business of approximately 87%. The reasons for the higher loss provisions vary from period to period and have included additional loss activity within our surplus lines business, provisions for losses in excess of policy limits, adjustments to unallocated loss adjustment expenses, adjustment to the reserve for the death, disability and retirement provisions in our policies and additional losses recorded for particular exposures, such as mass torts. These specific adjustments are made if wepoints. We believe the results for a given accident year are likely to exceed those anticipated by our pricing. We believe use of aan additional provision for volatility appropriately considers the inherent risks and limitations of our rate development process and the historic volatility of professional liability losses (the industry has experienced accident year loss ratios as high as 163%138% and as low as 53%54% over the past 30 years) and produces a reasonable best estimate of the reserve required to cover actual ultimate unpaid losses.losses for the current accident year. This practice has produced an overall average initial loss ratio for our HCPL business ranging from 87% to 99%. We have recently trended towards the higher end of this range given our concern around increases in loss severity in the broader HCPL industry. A similar practice is followed for our legal professional liability business (3% of our consolidated gross reserve for losses and loss adjustment expenses as of December 31, 2018).
The risks insured in our medical technology liability business (4% of our consolidated gross reserve for losses and loss adjustment expenses as of December 31, 2016).
The risks insured in our medical technology liability business (6% of our consolidated gross reserve for losses and loss adjustment expenses as of December 31, 2016)2018) are more varied, and policies are individually priced based on the risk characteristics of the policy and the account. These policies often have significant deductibles or self-insured retentions and theThe insured risks range from startup operations to large multinational entities.entities, and the larger entities often have significant deductibles or self-insured retentions. Reserves are established using our most recently developed actuarial estimates of losses expected to be incurred based on factors which include results from prior analysis of similar business, industry indications, observed trends and judgment. Claims in this line of business primarily involve bodily injury to individuals and are affected by factors similar to those of our HCPL line of business. For the medical technology liability business, we also establish an initial reserve using a loss ratio approach, including a provision in consideration of historical loss volatility that this line of business has exhibited.
Workers' Compensation Insurance Segment. Many factors affect the ultimate losses incurred for our workers' compensation coverages (12%(11% of our consolidated gross reserve for losses and loss adjustment expenses as of December 31, 2016)2018) including but not limited to the type and severity of the injury, the age and occupation of the injured worker, the estimated length of disability, medical treatment and related costs, and the jurisdiction and workers' compensation laws of the state of the injury occurrence. We use various actuarial methodologies in developing our workers’ compensation reserve, combined with a review of the exposure base generally based upon payroll of the insured. For the current accident year, given the lack of seasoned information, the different actuarial methodologies produce results with significant variability. Therefore,variability; therefore, more emphasis is placed on supplementing results from the actuarial methodologies with trends in exposure base, medical expense inflation, general inflation, severity, and claim counts, among other things, to select an expected loss ratio.
Segregated Portfolio Cell Reinsurance Segment. The factors that affect the ultimate losses incurred for the workers' compensation and healthcare professional liability coverages assumed by the SPCs at Inova Re and Eastern Re (3% of our consolidated gross reserve for losses and loss adjustment expenses as of December 31, 2018) are consistent with that of our Workers’ Compensation Insurance and Specialty P&C segments, respectively.
Lloyd's SyndicateSyndicates Segment. Due to the relatively short history of Syndicate 1729 (inception date January(January 1, 2014) we are influenced by historical claims experience of the Lloyd's market for similar risks in estimating the appropriate initial reserves for our Lloyd's Syndicate segment. Loss assumptions by risk category were incorporated into the business plan submitted to Lloyd'sSyndicates segment (4% of our consolidated gross reserve for Syndicate 1729 with consideration given tolosses and loss experience incurred to date.adjustment expenses as of December 31, 2018). We expect loss ratios to fluctuate from quarter to quarter as Syndicate 1729 writes more business and the book begins to mature. Loss ratios can also fluctuate due to the timing of earned premium adjustments. Such adjustments may be the result of premiums for certain policies and assumed reinsurance contracts being reported subsequent to the coverage period and may be subject to adjustment based on loss experience. Premium and exposure for some of Syndicate 1729's insurance policies and reinsurance contracts are initially

estimated and subsequently recorded over an extended period of time as reports are received under bindingdelegated underwriting authority programs. When reports are received, the premium, exposure and corresponding loss estimates are revised accordingly. Changes in loss estimates due to premium or exposure fluctuations are incurred in the accident year in which the premium is earned.
For significant property catastrophe exposures, Syndicate 1729 accumulatesuses third-party catastrophe models to accumulate a listing of potentially affected policies through employing the use of third-party catastrophe models.policies. Each identified policy is given an estimate of loss severity based upon a combination of factors including the probable maximum loss of each policy, market share analytics, underwriting judgment, client/broker estimates and historical loss trends for similar events. These models are inherently uncertain, reliant upon key assumptions and management judgment and are not always a representation of actual events and ensuing potential loss exposure. Determination of actual losses may take an extended period of time until claims are reported and resolved, including coverage litigation.
Syndicate 6131 follows a process similar to Syndicate 1729 for the establishment of initial reserves. Loss assumptions by risk category incorporated into the 2019 business plan submitted to Lloyd's were influenced by historical claims experience of the Lloyd's market for similar risks. We expect the loss ratios of Syndicate 6131 to fluctuate from quarter to quarter as Syndicate 6131 assumes more business from Syndicate 1729 and the book begins to mature.

Development of Prior Accident Years
In addition to setting the initial reserve for the current accident year, each period we reassess the amount of reserve required for prior accident years.
The foundation of ourOur reserve re-estimation process is anbased upon the most recently completed actuarial analysis based on our most recently available claims data andsupplemented by any new analysis, information or trends that have emerged since the date of that study. We also take into account currently available industry trend information. Changes to previously established reserve estimates are recognized in the current period if management’s best estimate of ultimate losses differs from the estimate previously established. While management considers a variety of variables in determining its best estimate, in general, as claims age, our methodologies give more weight to actual loss costs which, for the majority of our reserves, continue to indicate that ultimate loss costs will be lower than our previous estimates. The discussion in our Critical Accounting Estimates section in Item 7 of our 2016December 31, 2018 report on Form 10-K includes additional information regarding the methodologies used to evaluate our reserve.
Any change in our estimate of net ultimate losses for prior accident years is reflected in net income in the period in which such changes are made. In recent years such changes have reduced our estimate of net ultimate losses, resulting in a reduction of reported losses for the period and a corresponding increase in pre-tax income.
Due to the size of our consolidated reserve for losses and the large number of claims outstanding at any point in time, even a small percentage adjustment to our total reserve estimate could have a material effect on our results of operations for the period in which the adjustment is made.
Use of Judgment
Even though the actuarial process is highly technical, it is also highly judgmental, both as to the selection of the data used in the various actuarial methodologies (e.g., initial expected loss ratios and loss development factors) and in the interpretation of the output of the various methods used. Each actuarial method generally returns a different value and for the more recent accident years the variations among the various methodologies can be significant. In order to project ultimate losses, we partition our reserves for analysis such as by line of business, geography, coverage layer or accident year; in all, there are over 200 different partitions of our business used for actuarial evaluation. For each partition of our reserves, we evaluate the results of the various methods, along with the supplementary statistical data regarding such factors as closed with and without indemnity ratios, claim severity trends, the expected duration of such trends, and changes in the legal and legislative environment and the current economic environment to develop a point estimate based upon management's judgment and past experience. The series of selected point estimates is then combined to produce an overall point estimate for ultimate losses.
Given the potential for unanticipated volatility for long-tailed lines of business, we are cautious in giving full credibility to emerging trends that, when more fully mature, may lead to the recognition of either favorable or adverse development of our losses. There may be trends, both positive and negative, reflected in the numerical data both within our own information and in the broader marketplace that mitigate or reverse as time progresses and additional data becomes available. This is particularly true for our HCPL business which has historically exhibited significant volatility as previously discussed.
HCPL. Over the past several years the most influential factor affecting the analysis of our HCPL reserves and the related development recognized has been an observed increase in claim severity for the change, or lack thereof, in the severity ofbroader HCPL industry as well as higher initial loss expectations on incurred claims. The severity trend is an explicit component of our pricing models, whereas in our reserving process the severity trend's impact is implicit. Our estimate of this trend and our expectations about changes in this trend impact a variety of factors, from the selection of expected loss ratios to the ultimate point estimates established by management.
Because of the implicit and wide-ranging nature of severity trend assumptions on the loss reserving process, it is not practical to specifically isolate the impact of changing severity trends. However, because severity is an explicit component of our HCPL pricing process we can better isolate the impact that changing severity can have on our loss costs and loss ratios in regards to our pricing models for this business component. Our current HCPL pricing models assume a severity trend of 2% toapproximately 3% forin most states and products. We have observed higher severity trends in our case reserve estimates; however, we are not yet certain of the impact that this will have on our future claim payments. If the severity trend were to be higher by 1 percentage point, the impact would be an increase in our expected loss ratio for this business of 3.2 percentage points, based on current claim disposition patterns. An increase in the severity trend of 3 percentage points would result in a 10.1 percentage point increase in our expected loss ratio. Due to the

long-tailed nature of our claims and the previously discussed historical volatility of loss costs, selection of a severity trend assumption is a subjective process that is inherently likely to prove inaccurate over time. Given the long tail and volatility, we are generally cautious in making changes to the severity assumptions within our pricing models. All open claims and accident years are generally impacted by a change in the severity trend, which compounds the effect of such a change.
For
Although the 2004 to 2009 accident years, both our internalfuture degree and consulting actuaries observed an unprecedented reduction in the frequencyimpact of HCPL claims (or number of claims per exposure unit) that cannot be attributed to any single factor. Since 2009, claim frequency has been relatively constant, at a lower level than had historically existed. For a number of years, we believed that much of the reduction in claim frequency was the result of a decline in the filing of non-meritorious lawsuits that had historically been dismissed or otherwise resulted in no payment of indemnity on behalf of our insureds. With fewer non-meritorious claims being filed we expected that the claims that were filed had the potential for greater average losses, or greater severity. To date, however, this effect has not materialized to the extent we anticipated. The uncertainty as to the impact this decline in frequency might ultimately have on the average cost of claims complicated the selection of an appropriate severity trend for our pricing model for these lines, and factoring severity into the various actuarial methodologies we use to evaluate our reserve has been increasingly challenging. Based on the weighted average of payments, typically 92% of our HCPL claims are resolved after eight years for a given accident year.
Although we remain uncertain regarding the ultimate severity trend to project into the futureremains uncertain due to the long-tailed nature of our business, we have given consideration to observed loss costs in setting our rates. For our HCPL business this practice hashad generally resulted in rate reductions in recent years.as claim frequency declined and remained at historically low levels. For example, on average, excluding our podiatry business acquired in 2009, we havehad gradually reduced the premium rates we chargecharged on our standard physician renewal business (our largest HCPL line) by approximately 16%17% from the beginning of 2006 to December 31, 2016. However, from early 2017 to September 30, 2017. Loss2019, the average charged premium rates on our standard physician renewal business have increased by approximately 4% per annum, and we anticipate further rate increases due to indications of increasing loss severity. Initial loss ratios for the currentrecent accident years have thus remained fairly constant because expected loss reductionschanges have generally been reflected in our rates.offset by higher rates; however, we have recognized a higher current accident year net loss ratio during 2019 due to continued concern regarding recent severity indications.
Workers' Compensation.Compensation. The projection of changes in claim severity trend has not historically been an influential factor affecting our analysis of workers' compensation analysis of reserves, as claims are typically resolved more quickly than the industry norm. As previously mentioned, the determination and calculation of loss development factors, in particular, the selection of tail factors which are used to extend the projection of losses beyond historical data, requires considerable judgment. These factors are determined in the absence of direct loss development history and thus require reliance upon industry data which may not be representative of the Company’s data and experience.
Loss Development
We recognized net favorable reserve development of $32.3$15.9 million during the three months ended September 30, 2017,2019, of which favorable development of $30.1$10.8 million related to our Specialty P&C segment, and $2.3$1.4 million related to our Workers' Compensation Insurance segment, slightly offset by unfavorable development of $0.1$3.3 million related to our Segregated Portfolio Cell Reinsurance segment and $0.5 million related to our Lloyd's SyndicateSyndicates segment. We recognized net favorable reserve development of $90.1$42.2 million during the nine months ended September 30, 2017,2019, of which $81.9favorable development of $31.0 million related to our Specialty P&C segment, $7.6$3.4 million related to our Workers' Compensation Insurance segment, and $0.6$7.8 million related to our Lloyd's Syndicate segment.
Net favorableSegregated Portfolio Cell Reinsurance segment, slightly offset by a nominal amount of unfavorable development recognized within the Specialty P&C segment was primarily attributable to the favorable resolution of HCPL claims during the period and an evaluation of established case reserves and paid claims data that indicated that the actual severity trend associated with the remaining HCPL claims is less than we had previously estimated.
Net favorable development recognized within the Workers' Compensation segment included amortization of the purchase accounting fair value adjustment within the traditional business of $0.4 million and $1.2 million for the three and nine months ended September 30, 2017, respectively; the remaining net favorable development of $1.9 million and $6.4 million for the three and nine months ended September 30, 2017, respectively, was attributablerelated to our SPCs which are evaluated at the cell level. Because a relatively small number of claims are open per cell, the closing of claims can affect the actuarial projections for the remaining open claims in the cell to an extent that indicates development should be recognized for the cell.Lloyd's Syndicates segment.
Net favorable development recognized within our Specialty P&C segment primarily reflected a lower than anticipated claims severity trend (i.e., the average size of a claim) for accident years 2012 through 2015. While we are observing an increase in claim severity in the broader HCPL industry, this severity is modestly more favorable than the cautious expectations we have established for our reserves for prior periods.
Net favorable development recognized within our Workers' Compensation Insurance segment reflected overall favorable trends in claim closing patterns primarily in the 2016 accident year.
Net favorable development recognized within our Segregated Portfolio Cell Reinsurance segment primarily reflected better than expected claim trends in the 2015, 2016 and 2017 accident years. The improved claim trends reflected lower frequency and severity than anticipated at the time the reserves were established.
Net unfavorable development recognized within our Lloyd's SyndicateSyndicates segment for the nine months ended September 30, 20172019 was attributable to actual loss experience proving to have been betterdriven by higher than the Lloyd's market historical averages for similar risksexpected losses and development on certain large claims which were used to establish initial reserves and more than offset the netresulted in unfavorable development recognized during the third quarterwith respect to a previous year of 2017.account. See further discussion in our Segment Operating Results - Lloyd's SyndicateSyndicates section that follows.

Investment Valuations
We record the majority of our investments at fair value as shown in the table below. At September 30, 20172019, the distribution of our investments based on GAAP fair value hierarchies (levels) was as follows:
Distribution by GAAP Fair Value Hierarchy Distribution by GAAP Fair Value Hierarchy 
Level 1 Level 2 Level 3 Not Categorized Total
Investments
Level 1 Level 2 Level 3 Not Categorized Total
Investments
Investments recorded at:  
Fair value19% 68% 1% 5% 93%18% 68% 1% 8% 95%
Other valuations 7% 5%
Total Investments 100% 100%
Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. All of our fixed maturity and equity security investments are carried at fair value. OurThe fair value of our short-term securities are carried at amortizedapproximates the cost which approximates fair value.of the securities due to their short-term nature.
Because of the number of securities we own and the complexity of developing accurate fair values, we utilize multiple independent pricing services to assist us in establishing the fair value of individual securities. The pricing services provide fair

values based on exchange-traded prices, if available. If an exchange-traded price is not available, the pricing services, if possible, provide a fair value that is based on multiple broker/dealer quotes or that has been developed using pricing models. Pricing models vary by asset class and utilize currently available market data for securities comparable to ours to estimate a fair value for our securities. The pricing services scrutinize market data for consistency with other relevant market information before including the data in the pricing models. The pricing services disclose the types of pricing models used and the inputs used for each asset class. Determining fair values using these pricing models requires the use of judgment to identify appropriate comparable securities and to choose a valuation methodology that is appropriate for the asset class and available data.
The pricing services provide a single value per instrument quoted. We review the values provided for reasonableness each quarter by comparing market yields generated by the supplied value versus market yields observed in the marketplace. We also compare yields indicated by the provided values to appropriate benchmark yields and review for values that are unchanged or that reflect an unanticipated variation as compared to prior period values. We utilize a primary pricing service for each security type and compare provided information for consistency with alternate pricing services, known market data and information from our own trades, considering both values and valuation trends. We also review weekly trades versus the prices supplied by the services. If a supplied value appears unreasonable, we discuss the valuation in question with the pricing service and make adjustments if deemed necessary. Historically our review has not resulted in any material changes to the values supplied by the pricing services. The pricing services do not provide a fair value unless an exchange-traded price or multiple observable inputs are available. As a result, the pricing services may provide a fair value for a security in some periods but not others, depending upon the level of recent market activity for the security or comparable securities.
Level 1 Investments
Fair values for a majority of our equity securities and portions of our corporate debt, short-term and convertible securities are determined using exchange-traded prices. There is little judgment involved when fair value is determined using an exchange-traded price. In accordance with GAAP, for disclosure purposes we classify securities valued using an exchange-traded price as Level 1 securities.
Level 2 Investments
Most fixed income securities do not trade daily, anddaily; thus, exchange-traded prices are generally not available for these securities. However, market information (often referred to as observable inputs or market data, including but not limited to, last reported trade, non-binding broker quotes, bids, benchmark yield curves, issuer spreads, two sidedtwo-sided markets, benchmark securities, offers and recent data regarding assumed prepayment speeds, cash flow and loan performance data) is available for most of our fixed income securities. We determine fair value for a large portion of our fixed income securities using available market information. In accordance with GAAP, for disclosure purposes we classify securities valued based on multiple market observable inputs as Level 2 securities.

Level 3 Investments
When a pricing service does not provide a value for one of our fixed maturity securities, management estimates fair value using either a single non-binding broker quote or pricing models that utilize market based assumptions which have limited observable inputs. The process involves significant judgment in selecting the appropriate data and modeling techniques to use in the valuation process. For disclosure purposes,In accordance with GAAP, we classify securities valued using limited observable inputs as Level 3 securities.
Fair Values Not Categorized
We hold interests in certain investment funds, primarily LPs/LLCs, which measure fund assets at fair value on a recurring basis and provide us with a NAV for our interest. As a practical expedient, we consider the NAV provided to approximate the fair value of the interest. In accordance with GAAP, we do not categorize these investments within the fair value hierarchy.
Nonrecurring Fair Value Measurements
We measure the fair value of certain assets on a nonrecurring basis when events or changes in circumstances indicate that the carrying amount of the asset may not be recoverable. These assets include investments carried principally at cost, investments in tax credit partnerships, fixed assets, goodwill and other intangible assets. These assets would also include any equity method investments that do not provide a NAV.

Investments - Other Valuation Methodologies
Certain of our investments, in accordance with GAAP for the type of investment, are measured using methodologies other than fair value. At September 30, 20172019, these investments represented approximately 7%5% of total investments, and are detailed in the following table. Additional information about these investments is provided in Notes 2 and 3 of the Notes to Condensed Consolidated Financial Statements.
(In millions)Carrying Value GAAP Measurement MethodCarrying Value GAAP Measurement Method
Other investments:    
Investments in LPs$48.5
 Cost
Other, principally FHLB capital stock3.5
 Principally Cost$2.9
 Principally Cost
52.0
 
Investment in unconsolidated subsidiaries:    
Investments in tax credit partnerships100.0
 Equity53.6
 Equity
Equity method LPs/LLCs29.4
 Equity
Equity method investments, primarily LPs/LLCs38.5
 Equity
129.4
 92.1
 
BOLI61.7
 Cash surrender value65.7
 Cash surrender value
Total investments - Other valuation methodologies$243.1
 $160.7
 
Other-than-temporary Impairments
We evaluate our available-for-sale investment securities on at least a quarterly basis for the purpose of determining whether declines in fair value below recorded cost basis represent OTTI. We consider an OTTI to have occurred:
if there is intent to sell the security;
if it is more likely than not that the security will be required to be sold before full recovery of its amortized cost basis; andor
if the entire amortized basis of the security is not expected to be recovered.
The assessment of whether the amortized cost basis of a security, particularly an asset-backed debt security, is expected to be recovered requires management to make assumptions regarding various matters affecting future cash flows. The choice of assumptions is subjective and requires the use of judgment. Actual credit losses experienced in future periods may differ from management’s estimates of those credit losses. Methodologies used to estimate the present value of expected cash flows are:
For non-structured fixed maturities (obligations of states, municipalities and political subdivisions and corporate debt) the estimate of expected cash flows is determined by projecting a recovery value and a recovery time frame and assessing whether further principal and interest will be received. We consider various factors in projecting recovery values and recovery time frames, including the following:
third-party research and credit rating reports;
the current credit standing of the issuer, including credit rating downgrades, whether before or after the balance sheet date;
the extent to which the decline in fair value is attributable to credit risk specifically associated with the security or its issuer;
internal assessments and the assessments of external portfolio managers regarding specific circumstances surrounding an investment, which indicate the investment is more or less likely to recover its amortized cost than other investments with a similar structure;

for asset-backed securities, the origination date of the underlying loans, the remaining average life, the probability that credit performance of the underlying loans will deteriorate in the future and our assessment of the quality of the collateral underlying the loan;
failure of the issuer of the security to make scheduled interest or principal payments;
any changes to the rating of the security by a rating agency; and
recoveries or additional declines in fair value subsequent to the balance sheet date.
For structured securities (primarily asset-backed securities), management estimates the present value of the security’s cash flows using the effective yield of the security at the date of acquisition (or the most recent implied rate used to accrete the security if the implied rate has changed as a result of a previous impairment or changes in expected cash flows). We consider the most recently available six month averages of the levels of delinquencies, defaults, severities, and prepayments for the collateral (loans) underlying the securitization or, if historical data is not available, sector based assumptions to estimate expected future cash flows of these securities.

Exclusive of securities where there is an intent to sell or where it is not more likely than not that the security will be required to be sold before recovery of its amortized cost basis, OTTI for debt securities is separated into a credit component and a non-credit component. The credit component of an OTTI is the difference between the security’s amortized cost basis and the present value of its expected future cash flows, while the non-credit component is the remaining difference between the security’s fair value and the present value of expected future cash flows. The credit component of the OTTI is recognized in earnings while the non-credit component is recognized in OCI.
Investments in tax credit partnerships are evaluated for OTTI by considering both qualitative and quantitative factors. These factors which include:include, but are not limited to:
our ability and intent to hold the investment until the recovery of its carrying value; and
in situations where there was not a previous OTTI for the investment, whether the current expected cash flows from the investment, primarily tax benefits, are less than those expected at the time the investment was acquired and our ability and intentdue to holdvarious factors, such as a change in the statutory tax rate; or
in situations where there was a previous OTTI for the investment, untilwhether the recoveryexpected cash flows from the investment at the time of the OTTI, primarily tax benefits, are less than its current carrying value.
Investments in LPs/LLCs, which are not accounted for under the equity method are evaluated for impairment by comparing ourwhenever events or changes in circumstances indicate that the carrying value to the NAV of our interest as reported by the LP/LLC. Additionally, management considers the performance of the LP/LLC relativeinvestment might not be recoverable. These circumstances include, but are not limited to, the market and its stated objectives, cash flows expected from the interest and the audited financial statementsevidence of the LP/LLC, if available.inability to recover the carrying value of the investment, the inability of the investee to sustain an earnings capacity that would justify the carrying value of the investment or the current fair value of the investment is less than the carrying value.
We recognize OTTI, exclusive of non-credit OTTI, in earnings as a part of net realized investment gains (losses). In subsequent periods, any measurement of gain, loss or impairment is based on the revised amortized basis of the security. Non-credit OTTI on debt securities and declines in fair value of available-for-sale securities not considered to be other-than-temporary are recognized in OCI.
Asset-backed debt securities that have been impaired due to credit reasons or are below investment grade quality are accounted for under the effective yield method. Under the effective yield method, estimates of cash flows expected over the life of asset-backed securities are then used to recognize income on the investment balance for subsequent accounting periods.
Deferred Policy Acquisition Costs
Policy acquisition costs (primarily commissions, premium taxes and underwriting salaries) which are directly related to the successful acquisition of new and renewal premiums are capitalized as DPAC and charged to expense, net of ceding commissions earned, as the related premium revenue is recognized. We evaluate the recoverability of our DPAC at the segment level each reporting period, and any amounts estimated to be unrecoverable are charged to expense in the current period. As of September 30, 20172019 we have not determined that any amounts areto be unrecoverable.
Estimation of Taxes / Tax Credits
For interim periods, we determine our provision (benefit) for income taxes based on ourthe current estimate of our annual effective tax rate. Items which are unusual, infrequent, or that cannot be reliably estimated are considered in the effective tax rate in the period in which the item is included in income, and are referred to as discrete items. In calculating our estimated annual effective tax rate, we include the estimated benefit of tax credits for the annual period based on the most recently available information provided by the tax credit partnership;partnerships; the actual amounts of credits provided by the tax credit partnerships may prove to be different than our estimates. The effect of such differencesa difference is recognized in the period identified.
Deferred Taxes
Deferred federal income taxes arise from the recognition of temporary differences between the basis of assets and liabilities determined for financial reporting purposes and the basis determined for income tax purposes. Our temporary differences principally relate to our loss reserve, unearned premiums, DPAC, unrealized investment gains (losses) and basis differences on fixed assets and investment assets. Deferred tax assets and liabilities are measured using the enacted tax rates

expected to be in effect when such benefits are realized. We review our deferred tax assets quarterly for impairment. If we determine that it is more likely than not that some or all of a deferred tax asset will not be realized, a valuation allowance is recorded to reduce the carrying value of the asset. In assessing the need for a valuation allowance, management is required to make certain judgments and assumptions about our future operations based on historical experience and information as of the measurement period regarding reversal of existing temporary differences, carryback capacity, future taxable income (including its capital and operating characteristics) and tax planning strategies.
Due to losses recognized in our Lloyd's Syndicate segment during the third quarter of 2017 primarily due to Hurricanes Harvey, Irma and Maria, management evaluated the realizability of
A valuation allowance has been established against the deferred tax assetsasset related to the NOL carryforwards for the U.K. jurisdiction recorded at the segment andoperations as management concluded that it was more likely than not that the deferred tax assets wouldasset will not be realized. Therefore,In 2018, management also established a valuation allowance against the full valuedeferred tax assets of certain SPCs at our recently formed wholly owned Cayman Islands reinsurance subsidiary, Inova Re. Due to the limited operations of these recently formed SPCs as of December 31, 2018, management concluded that a valuation allowance was required. As of September 30, 2019, management concluded a valuation allowance was still required against the deferred tax assets related to the NOL carryforwards for the U.K. operations and against the deferred tax assets at Inova Re. See further discussion in Note 6 of the Notes to Consolidated Financial Statements in our U.K. operations.December 31, 2018 Form 10-K.
Tax Cuts and Jobs Act
The TCJA introduced a minimum tax on payments made to related foreign entities referred to as the BEAT. The BEAT is imposed by adding back into the U.S. tax base any base erosion payment made by the U.S. taxpayer to a related foreign entity and applying a minimum tax rate to this newly calculated modified taxable income. Base erosion payments represent any amount paid or accrued by the U.S. taxpayer to a related foreign entity for which a deduction is allowed. Premiums we cede to the SPCs at Inova Re, one of our wholly owned Cayman Islands reinsurance subsidiaries, do not fall within the scope of base erosion payments as the SPCs at Inova Re intend to elect to be taxed as U.S. taxpayers. However, premiums that we cede to any active SPC at our other wholly owned Cayman Islands reinsurance subsidiary, Eastern Re, fall within the scope of base erosion payments and therefore could be significantly impacted by the BEAT. We have evaluated our exposure to the BEAT and have concluded that our expected outbound deductible payments to related foreign entities are below the threshold for application of the BEAT; therefore, we have not recognized any incremental tax expense for the BEAT provision of the TCJA for the three and nine months ended September 30, 2019. See further discussion on our Cayman Islands SPC operations in the Segment Operating Results - Segregated Portfolio Cell Reinsurance section that follows. See further discussion in Note 5 of the Notes to Condensed Consolidated Financial Statements.
The TCJA also requires a U.S. shareholder of a controlled foreign corporation to include its GILTI in U.S. taxable income. The GILTI amount is based on the U.S. shareholder’s aggregate share of the gross income of the controlled foreign corporation reduced by certain exceptions and a net deemed tangible income return. The net deemed tangible income return is based on the controlled foreign corporation’s basis in the tangible depreciable business property. Cell rental fee income earned by Inova Re and Eastern Re fall within the scope of the GILTI provisions of the TCJA. We have evaluated the new GILTI provisions of the TCJA and we have made an accounting policy election to treat the taxes due on inclusions of GILTI in U.S. taxable income as a current period expense when incurred. We recognized a nominal amount of tax expense for the GILTI provision of the TCJA during the three and nine months ended September 30, 2019. See further discussion in Note 5 of the Notes to Condensed Consolidated Financial Statements.
Unrecognized Tax Benefits
We evaluate tax positions taken on tax returns and recognize positions in our financial statements when it is more likely than not that we will sustain the position upon resolution with a taxing authority. If recognized, the benefit is measured as the largest amount of benefit that has a greater than 50% probability of being realized. We review uncertain tax positions each period, considering changes in facts and circumstances, such as changes in tax law, interactions with taxing authorities and developments in case law, and make adjustments as we consider necessary. Adjustments to our unrecognized tax benefits may affect our income tax expense, and settlement of uncertain tax positions may require the use of cash. Other than differences related to timing, no significant adjustments were considered necessary during the three and nine months ended September 30, 20172019 or 2016.2018. At September 30, 2017,2019, our liability for unrecognized tax benefits approximated $8.5$3.7 million.
Goodwill
We review goodwill for impairment annually on October 1 and whenever events or changes in circumstances indicate the carrying amountImpairment of goodwill may not be recoverable. Goodwill is tested for impairment at the reporting unit level. Our reporting units arelevel, which is consistent with theour reportable segments identified in Note 1114 of the Notes to Condensed Consolidated Financial Statements. Of the fourfive reporting units, twothree have goodwill - Specialty P&C, Workers' Compensation Insurance and Workers' Compensation.Segregated Portfolio Cell Reinsurance. We evaluate goodwill for impairment annually on October 1, upon the occurrence of certain triggering events or substantive changes in circumstances that indicate the fair value of goodwill may be impaired, and immediately before and after a reorganization that affects the composition of one or more of our reporting units. As of the most recent evaluation date on October 1, 2016,2018, we performedelected to perform a qualitativequantitative goodwill impairment assessment for our Specialty P&C, segment and a quantitative goodwill impairment assessment for our Workers' Compensation segment. At the valuationInsurance and Segregated Portfolio Cell Reinsurance reporting units. As of that evaluation date, management concluded that the fair valuesvalue of both the Specialty P&C and Workers' Compensationeach of our three reporting units exceededthat have goodwill were greater than their respective carrying values,value; therefore, goodwill was not impaired and no goodwillfurther impairment testing was recorded.required. There have been no events or changes in circumstances since that evaluation date that would indicate the carrying amount of goodwill is not recoverable. Additional information regarding our goodwill assessment at the reporting unit level is included in Note 1 of the Notes to Consolidated Financial Statements included in ProAssurance's December 31, 20162018 report on Form 10-K.

Intangible AssetsIntangibles
Intangible assets with definite lives are amortized over the estimated useful life of the asset. Amortizable intangible assets primarily consist of agency and policyholder relationships, renewal rights and trade names. Intangible assets with an indefinite life, primarily state licenses, are not amortized. Intangible assets are evaluated for impairment on an annual basis.basis or upon the occurrence of certain triggering events or substantive changes in circumstances that indicate the fair value of the asset may be impaired. Additional information regarding our intangible assets is included in Note 1 of the Notes to Consolidated Financial Statements included in ProAssurance's December 31, 20162018 report on Form 10-K.
Leases
During the first quarter of 2019, we adopted ASU 2016-02, which requires us to make certain estimates and assumptions in applying the requirements of this new guidance. We are involved in a number of leases, primarily for office facilities. We determine if an arrangement is a lease at the inception date of the contract and classify all leases as either financing or operating. As of September 30, 2019, all of our leases were classified as operating. Operating ROU assets and operating lease liabilities are recognized as of the lease commencement date based on the present value of the remaining lease payments, discounted over the term of the lease using a discount rate determined based on information available as of the commencement date. The ROU asset represents the right to use the underlying asset (office space) for the lease term. As the majority of our lessors do not provide an implicit discount rate, we use our collateralized incremental borrowing rate in determining the present value of remaining lease payments. For leases entered into or reassessed after the adoption of ASU 2016-02, we account for lease and non-lease components of a contract as a single lease component.
We evaluate our operating lease ROU assets for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. The carrying amount of a ROU asset is not recoverable if it exceeds the sum of the undiscounted cash flows expected to result from the use of the underlying leased asset over the remaining lease term. That assessment is based on the carrying amount of the ROU asset at the date it is tested for recoverability and an impairment loss is measured and recognized as the amount by which the carrying amount of the ROU asset exceeds its fair value. Additional information regarding our leases is included in Note 1 and Note 8 of the Notes to Condensed Consolidated Financial Statements.
Audit Premium
Workers’ compensation premiums are determined based upon the payroll of the insured, applicablerespective premium rates and, where applicable, an experience basedexperience-based modification factor, where applicable.factor. An audit of the policyholders’ records is conducted after policy expiration to make a final determination of applicable premiums. Audit premium due from or due to a policyholder as a result of an audit is reflected in net premiums written and earned when billed. We track, by policy, the amount of additional premium billed in final audit invoices as a percentage of payroll exposure and use this information to estimate the probable additional amount of EBUB premium as of the balance sheet date. We include changes to the EBUB premium estimate in net premiums written and earned in the period recognized.
Lloyd’s Premium Estimates
For certain insurance policies and reinsurance contracts written in our Lloyd’s Syndicates segment, premiums are initially recognized based upon estimates of ultimate premium. Estimated ultimate premium consists primarily of premium written under delegated underwriting authority arrangements, which consist primarily of binding authorities, and certain assumed reinsurance agreements. These estimates of ultimate premium are judgmental and are dependent upon certain assumptions, including historical premium trends for similar agreements. As reports are received from programs, ultimate premium estimates are revised, if necessary, with changes reflected in current operations.
Accounting Changes
We did not have any change in accounting estimate or policy that had a material effect on our results of operations or financial position during the nine months ended September 30, 2019. We are not aware of any accounting changes not yet adopted as of September 30, 20172019 that would have a material effect on our results of operations or financial position. Note 1 of the Notes to Condensed Consolidated Financial Statements provides additional detail regarding accounting changes.changes not yet adopted.

Liquidity and Capital Resources and Financial Condition
Overview
ProAssurance Corporation is a holding company and is a legal entity separate and distinct from its subsidiaries. As a holding company our principal sourcessource of external revenue areis our investment revenues, andrevenues. In addition, dividends from our operating subsidiaries represent a significant source of funds for our obligations, including debt service and shareholder dividends. We also charge our operating subsidiaries within our Specialty P&C and Workers' Compensation Insurance segments a management fee based on the extent to which services are provided to the subsidiary and the amount of gross premium written by the subsidiary. At September 30, 20172019, we held cash and liquid investments of approximately $264$227 million outside our insurance subsidiaries that were available for use without regulatory approval or other restriction. As of October 31, 2017, our holding companyWe also has an additional $66have $200 million in permitted borrowings under itsour Revolving Credit Agreement which includes $18 million of the outstanding balance that was repaid in October 2017. Additionally, we have availableand an accordion feature available which, if subscribed successfully, would allow another $50 million in available funds as discussed in this sectionfunds. As of October 31, 2019, no borrowings were outstanding under the heading "Debt."our Revolving Credit Agreement.
To date, during 2017,2019, our insuranceoperating subsidiaries have paid dividends to us of approximately $359$103 million, including $184which included $52 million that was paid in October 2017.2019. Dividends paid in October 2019 have not been included in our cash and liquid investments held outside of our insurance subsidiaries at September 30, 2017. Of2019. After considering the total dividends paid $200 million were extraordinary dividends. Inin October 2019, our insurance subsidiaries, in the aggregate, our domestic insurance subsidiaries do not intendare permitted to pay additional dividends of approximately $28 million over the remainder of 2017. The2019 without prior approval of state insurance regulators. However, the payment of any dividend requires prior notice to the insurance regulator in the state of domicile, and the regulator may reduce or prevent the dividend if, in its judgment, payment of the dividend would have an adverse effect on the surplus of the insurance subsidiary. We make the decision to pay dividends from an insurance subsidiary based on the capital needs of that subsidiary, and may pay less than the permitted dividend or may also request permission to pay an additional amount (an extraordinary dividend).
Cash Flows
Cash flows between periods compare as follows:
Nine Months Ended September 30Nine Months Ended September 30
(In thousands)2017 vs 2016 2016 vs 20152019 2018 Change
Increase (decrease) in net cash provided (used) by:   
Net cash provided (used) by:     
Operating activities$(30,961) $23,469
$128,803
 $146,394
 $(17,591)
Investing activities396,030
 (314,046)(25,717) 234,783
 (260,500)
Financing activities(251,214) 174,078
(81,346) (428,113) 346,767
Increase (decrease) in Cash and cash equivalents$113,855
 $(116,499)
Increase (decrease) in cash and cash equivalents$21,740
 $(46,936) $68,676
 Nine Months Ended September 30
(In thousands)2018 2017 Change
Net cash provided (used) by:     
Operating activities$146,394
 $118,181
 $28,213
Investing activities234,783
 232,152
 2,631
Financing activities(428,113) (348,675) (79,438)
Increase (decrease) in cash and cash equivalents$(46,936) $1,658
 $(48,594)
The principal components of our operating cash flows are the excess of premiums collected and net investment income over losses paid and operating costs, including income taxes. Timing delays exist between the collection of premiums and the payment of losses associated with the premiums. Premiums are generally collected within the twelve-month period after the policy is written, while our claim payments are generally paid over a more extended period of time. Likewise, timing delays exist between the payment of claims and the collection of any associated reinsurance recoveries.
The decrease in operating cash flows for the nine months ended September 30, 20172019 as compared to the nine months ended September 30, 20162018 of $17.6 million was primarily driven bydue to an increase in tax paymentspaid losses of $27.1$19.0 million and a decrease in cash received from investment income of $7.7$16.0 million. The increase in tax paymentspaid losses was driven by our Workers' Compensation Insurance and Specialty P&C segments primarily due to the effecttiming of loss payments between periods. The decrease in cash received from investment income was primarily due to a $15.0 million tax refund receiveddecline in 2016 fordistributed earnings from our unconsolidated subsidiaries. In addition, the 2015 tax year and a $12.1 million increase in 2017 estimated tax payments. These decreasesdecrease in operating cash flows were reflected a decrease in net cash received of $7.1 million associated with the cash settlement of the 2017 and 2016 calendar year quota share reinsurance arrangements between our Specialty P&C segment and Syndicate 1729 due to the reduction in premiums ceded to Syndicate 1729. The decrease in operating cash flows was

partially offset by an increase in net premium receipts of $5.1$20.5 million driven byand a decrease in cash paid for operating expenses of $3.7 million. The increase in net premium receipts was primarily due to the growth in written premium in our Workers' Compensation segment.Lloyd's Syndicates and Specialty P&C segments. The decrease in cash paid for operating expenses was largely attributable to a decrease in other compensation related costs in our Corporate segment, primarily as a result of lower bonuses, and, to a lesser extent, our Lloyd's Syndicates segment primarily due to the effect of higher operational expenses incurred during 2018 associated with the establishment of Syndicate 6131. The remaining variance in operating cash flows for the nine months ended September 30, 2019 as compared to the nine months ended September 30, 2018 was comprised of individually insignificant components.
The increase in operating cash flows for the nine months ended September 30, 20162018 as compared to the nine months ended September 30, 20152017 of $28.2 million was primarily due to an increase in premium receipts of $52.9 million and a decrease in net tax payments driven by a $25.5 million reduction in2018 estimated tax payments and the receiptas compared to 2017 of the aforementioned $15.0$9.9 million, tax refund received in 2016. These increases in operating cash flows were partially offset by an increase in paid losses of $28.6 million, an increase in cash paid for operating expenses of $5.4 million and a $12.0 million decrease in cash received from investment income.income of $2.6 million. The increase in premium receipts was driven by our Specialty P&C segment, primarily due to premium received from a loss portfolio transfer entered into during the second quarter of 2018 and, to a lesser extent, our Workers' Compensation Insurance segment, primarily due to premiums received related to the third quarter 2017 acquisition of the Great Falls book of business. The increase in paid losses was driven by all of our operating segments, particularly in our Lloyd's Syndicates segment, primarily due to storm-related losses related to 2017 Hurricanes Harvey, Irma and Maria, and our Specialty P&C segment. The increase in cash paid for operating expenses was primarily due to an increase in compensation related costs and commission expenses and the decrease in cash received from investment income was primarily due to a reduction in dividends received on our fixed maturities portfolio resulting from lower average balances. The remaining variance in operating cash flows for the nine months ended September 30, 2018 as compared to the nine months ended September 30, 2017 was comprised of individually insignificant components.
We manage our investing cash flows to ensure that we will have sufficient liquidity to meet our obligations, taking into consideration the timing of cash flows from our investments, including interest payments, dividends and principal payments, as well as the expected cash flows to be generated by our operations as discussed in this section under the heading "Investing Activities and Related Cash Flows."
Our financing cash flows are primarily composed of dividend payments repurchases of common stock, and borrowings and repayments under our Revolving Credit Agreement. See further discussion of our financing activities in this section under "Financing Activities and Related Cash Flows."


Operating Activities and Related Cash Flows
Reinsurance
Within our Specialty P&C segment, we use insurance and reinsurance (collectively, “reinsurance”) to provide capacity to write larger limits of liability, to provide reimbursement for losses incurred under the higher limit coverages we offer and to provide protection against losses in excess of policy limits. We also have a quota share arrangement with Syndicate 1729 established to provide an initial premium base for Syndicate 1729. Within our Workers' Compensation Insurance segment, we use reinsurance to reduce our net liability on individual risks, to mitigate the effect of significant loss occurrences (including catastrophic events), to stabilize underwriting results, and to increase underwriting capacity by decreasing leverage. In both theour Specialty P&C and Workers' Compensation Insurance segments, we use reinsurance in risk sharing arrangements to align our objectives with those of our strategic business partners and to provide custom insurance solutions for large customer groups. The purchase of reinsurance does not relieve us from the ultimate risk on our policies, butpolicies; however, it does provide reimbursement for certain losses we pay. We pay our reinsurers a premium in exchange for reinsurance of the risk. In the majoritycertain of our excess of loss arrangements, the premium due to the reinsurer is determined by the loss experience of the business reinsured, subject to certain minimum and maximum amounts. Until all loss amounts are known, we estimate the premium due to the reinsurer. Changes to the estimate of premium owed under reinsurance agreements related to prior periods are recorded in the period in which the change in estimate occurs and can have a significant effect on Netnet premiums earned.
We generally reinsure risks under treaties (our excess of lossoffer alternative market solutions whereby we cede certain premiums from our Workers' Compensation Insurance and Specialty P&C segments to either the SPCs at Inova Re or Eastern Re, our Cayman Islands reinsurance arrangements) pursuant tosubsidiaries which the reinsurers agree to assume allare reported in our Segregated Portfolio Cell Reinsurance segment, or, a portion of all risks that we insure above our individual risk retention levels, up to the maximum individual limits offered. These arrangements are negotiated and renewed annually. Renewal dates for our healthcare professional liability, medical technology liability and workers' compensation treaties are October 1, January 1 and May 1, respectively. There were no significant changes in the cost or structure of our professional liability treaty which renewed October 1, 2017. Our participation was reduced upon the latest renewal of our medical technology liability treaty on January 1, 2017 to better reflect our current risk appetite. Our workers' compensation treaty renewed May 1, 2017 at a slightly higher rate than the previous agreement. The significant coverages provided by our current excess of loss reinsurance arrangements are detailed in the following table.
Excess of Loss Reinsurance Agreements
reinchart18.jpg
Professional LiabilityMedical Technology & Life Sciences Products
Workers'
Compensation - Traditional
(1) Historically, retention has ranged from 5% to 32.5%.
(2) Historically, retention has been as high as $2M.

Large professional liability risks that are above the limits of our basic reinsurance treaties are reinsured on a facultative basis, whereby the reinsurer agrees to insure a particular risk up to a designated limit. We also have in place a number of risk sharing arrangements that apply to the first $1.0 million of losses for certain large healthcare systems and other insurance entities and with certain insurance agencies that produce business for us.
limited extent, an unaffiliated captive insurer. During the three and nine months ended September 30, 2017,2019, we wrote workers' compensation and healthcare professional liability policies in ourtotal alternative market business generating premium of approximately $16.4$17.4 million and $62.0$73.0 million, respectively. Theserespectively, and approximately $17.5 million and $73.1 million during the same respective periods of 2018. The majority of these policies ($17.3 million and $70.1 million of premium for the three and nine months ended September 30, 2019, respectively, and $16.8 million and $68.3 million for the same respective periods of 2018) are reinsured to the SPCs of our wholly owned subsidiary,at Inova Re or Eastern Re, domiciled in the Cayman Islands, net of a ceding commission. Each SPC at Inova Re and Eastern Re is owned, fully or in part, by an agency, group or association and the operating results of the SPCs are due to the participants of that cell. We participate to a varying degree in the results of selected SPCs and, for the SPCs in which we participate, our participation interest ranges from a low of 20% to high of 85%. SPC operating results due to external cell participants are reflected as an SPC dividend expense (income) in our Segregated Portfolio Cell Reinsurance segment. See further discussion on our SPC operations in the Segment Operating Results - Segregated Portfolio Cell Reinsurance section that follows. The alternative market workers' compensation policies are ceded from our Workers' Compensation Insurance segment to the SPCs under 100% quota share reinsurance agreements and then further reinsured under an excess of loss reinsurance arrangement.agreements. The alternative market professional liability policies are ceded from our Specialty P&C segment to the SPCs under either excess of loss or quota share reinsurance agreements, depending on the structure of the individual program, and the nominal portion of the risk that is not ceded to an SPC is retained in our Specialty P&C segment and may also be reinsured under our standard healthcare professional liability reinsurance program depending on the policy limits provided. The remaining premium written in our alternative market business of $1.1 million and $6.0$2.4 million for the three2019 nine-month period and nine months ended September 30, 2017,$0.5 million and $4.3 million for the 2018 three- and nine- month periods, respectively, is 100% ceded to an unaffiliated captive insurers.
Each SPC has preferred shareholders and the underwriting profit or loss of each cell accrues fully to these preferred shareholders. We participate as a preferred shareholder in certain SPCs. Our ownership interest in the SPCs for which we participate is as low as 25% and as high as 100%.
As discussed above, for the workers' compensation business ceded to Eastern Re each SPC has in place its own reinsurance arrangements, which are illustrated in the following table.
Segregated Portfolio Cell Reinsurance
spcreinchart18.jpg
Per Occurrence CoverageAggregate Coverage
(1) ProAssurance assumes 100% of aggregate losses in excess of an aggregate attachment point with a maximum loss limit of $100K.
(2) The attachment point is based on a percentage of premium (average is 89%) and varies by cell.
Each SPC maintains a loss fund initially equal to the difference between premium assumed by the cell and the ceding commission. The external owners of each cell provide a letter of credit to us that is initially equal to the difference between the loss fund of the SPC (amount of funds available to pay losses after deduction of ceding commission) and the aggregate attachment point of the reinsurance. Over time, an SPC's retained profits are considered in the determination of the collateral amount required to be provided by the cell's external owners.

Within our Lloyd's Syndicate segment, Syndicate 1729 utilizes reinsurance to provide capacity to write larger limits of liability on individual risks, to provide protection against catastrophic loss and to provide protection against losses in excess of policy limits. The level of reinsurance that the Syndicate purchases is dependent on a number of factors, including its underwriting risk appetite for catastrophic exposure, the specific risks inherent in each line or class of business written and the pricing, coverage and terms and conditions available from the reinsurance market. Reinsurance protection by line of business is as follows:
Reinsurance is utilized on a per risk basis for the property insurance and casualty coverages in order to mitigate risk volatility.
Catastrophic protection is utilized on both our property insurance and casualty coverages to protect against losses in excess of policy limits as well as natural catastrophes.
Both quota share reinsurance and excess of loss reinsurance are utilized to manage the net loss exposure on our property reinsurance coverages.
Property umbrella excess of loss reinsurance is utilized for peak catastrophe and frequency of catastrophe exposures.
The Syndicate may still be exposed to losses that exceed the level of reinsurance purchased as well as to reinstatement premiums triggered by losses exceeding specific levels. Cash demands on the Syndicate can vary significantly depending on the nature and intensity of a loss event. For significant reinsured catastrophe losses, the inability or unwillingness of the reinsurer to make timely payments under the terms of the reinsurance agreement could have an adverse effect on the Syndicate's liquidity as the Syndicate remains liable to the insured.insurer.
For all of our segments, we make a determination of the amount of insurance risk we choose to retain based upon numerous factors, including our risk tolerance and the capital we have to support it, the price and availability of reinsurance, the volume of business, our level of experience with a particular set of claims and our analysis of the potential underwriting results. We purchase excess of loss reinsurance to limit the amount of risk we retain and we do so from a number of companies to mitigate concentrations of credit risk. We utilize reinsurance brokers to assist us in the placement of these reinsurance programs and in the analysis of the credit quality of our reinsurers. The determination of which reinsurers we choose to do business with is based upon an evaluation of their then-currentthen current financial strength, rating and stability. However, the financial strength of our reinsurers and their corresponding ability to pay us may change in the future due to forces or events we cannot control or anticipate.

Excess of Loss Reinsurance Agreements
We generally reinsure risks under treaties (our excess of loss reinsurance agreements) pursuant to which the reinsurers agree to assume all or a portion of all risks that we insure above our individual risk retention levels, up to the maximum individual limits offered. These agreements are negotiated and renewed annually. Renewal dates for our healthcare professional liability, medical technology liability and workers' compensation treaties are October 1, January 1 and May 1, respectively. There were no significant changes in the cost or structure of our professional liability and medical technology liability treaties which renewed October 1, 2019 and January 1, 2019, respectively. Our workers' compensation treaty renewed May 1, 2019 at a lower rate; however, the renewed treaty includes the addition of an AAD and the elimination of the return premium component of the contract. The significant coverages provided by our current excess of loss reinsurance agreements are detailed in the following table.
Excess of Loss Reinsurance Agreements
reinsurancechart.jpg
Healthcare Professional LiabilityMedical Technology & Life Sciences Products
Workers'
Compensation - Traditional
(1) Historically, retention has ranged from 5% to 32.5%.
(2) Historically, retention has been as high as $2M.
(3) Includes an AAD where retention is the greater of $3.9M or 2.1% of subject premium in annual losses otherwise recoverable in excess of the $500k retention per loss occurrence.
Large professional liability risks that are above the limits of our basic reinsurance treaties are reinsured on a facultative basis, whereby the reinsurer agrees to insure a particular risk up to a designated limit. We also have in place a number of risk sharing arrangements that apply to the first $1 million of losses for certain large healthcare systems and other insurance entities, as well as with certain insurance agencies that produce business for us.

Other Reinsurance Arrangements
For the workers' compensation business ceded to Inova Re and Eastern Re, each SPC has in place its own reinsurance arrangements; which are illustrated in the following table.
Segregated Portfolio Cell Reinsurance
capturea24.jpg
Per Occurrence Coverage
Aggregate Coverage (1)
(1) Prior to May 1, 2018, ProAssurance assumed 100% of aggregate losses in excess of an aggregate attachment point with a maximum loss limit of $100K. Effective May 1, 2018, ProAssurance no longer participates in the aggregate reinsurance coverage.
(2) The attachment point is based on a percentage of written premium within individual cells (average is 89%) and varies by cell.
Each SPC has participants and the profit or loss of each cell accrues fully to these cell participants. As previously discussed, we participate in certain SPCs to a varying degree. Each SPC maintains a loss fund initially equal to the difference between premium assumed by the cell and the ceding commission. The external participants of each cell provide a letter of credit to us that is initially equal to the difference between the loss fund of the SPC (amount of funds available to pay losses after deduction of ceding commission) and the aggregate attachment point of the reinsurance. Over time, an SPC's retained profits are considered in the determination of the collateral amount required to be provided by the cell's external participants.
Within our Lloyd's Syndicates segment, Syndicate 1729 utilizes reinsurance to provide capacity to write larger limits of liability on individual risks, to provide protection against catastrophic loss and to provide protection against losses in excess of policy limits. The level of reinsurance that Syndicate 1729 purchases is dependent on a number of factors, including its underwriting risk appetite for catastrophic exposure, the specific risks inherent in each line or class of business written and the pricing, coverage and terms and conditions available from the reinsurance market. Reinsurance protection by line of business is as follows:
Reinsurance is utilized on a per risk basis for the property insurance and casualty coverages in order to mitigate risk volatility.
Catastrophic protection is utilized on both our property insurance and casualty coverages to protect against losses in excess of policy limits as well as natural catastrophes.
Both quota share reinsurance and excess of loss reinsurance are utilized to manage the net loss exposure on our property reinsurance coverages.

Property umbrella excess of loss reinsurance is utilized for peak catastrophe and frequency of catastrophe exposures.
External excess of loss reinsurance is utilized by Syndicate 1729 to manage the net loss exposure on the specialty property and contingency coverages ceded to Syndicate 6131 (see further discussion in Segment Operating Results - Lloyd's Syndicates section that follows).
Syndicate 1729 may still be exposed to losses that exceed the level of reinsurance purchased as well as to reinstatement premiums triggered by losses exceeding specified levels. Cash demands on Syndicate 1729 can vary significantly depending on the nature and intensity of a loss event. For significant reinsured catastrophe losses, the inability or unwillingness of the reinsurer to make timely payments under the terms of the reinsurance agreement could have an adverse effect on Syndicate 1729's liquidity.
Litigation
We are involved in various legal actions related to insurance policies and claims handling including, but not limited to, claims asserted against us by policyholders. These types of legal actions arise in the ordinary course of business and, in accordance with GAAP for insurance entities, are generally considered as a part of our loss reserving process, which is described in detail in our Critical Accounting Estimates section under the heading "Reserve for Losses and Loss Adjustment Expenses." We also have other direct actions against the Company unrelated to our claims activity which we evaluate and account for as a part of our other liabilities. For these corporate legal actions, we evaluate each case separately and establish what we believe is an appropriate reserve based on GAAP guidance related to contingent liabilities. As of September 30, 20172019 there were no material reserves established for corporate legal actions.

Investing Activities and Related Cash Flows
Our investments at September 30, 20172019 and December 31, 20162018 are comprised as follows:
September 30, 2017 December 31, 2016September 30, 2019 December 31, 2018
($ in thousands)Carrying
Value
% of Total Investment Carrying
Value
% of Total InvestmentCarrying
Value
% of Total Investment Carrying
Value
% of Total Investment
Fixed Maturities, Available for Sale     
Fixed maturities, available for sale     
U.S. Treasury obligations$148,372
4% $146,539
4%$120,920
3% $120,201
4%
U.S. Government-sponsored enterprise obligations18,772
1% 30,235
1%22,334
1% 35,354
1%
State and municipal bonds693,398
19% 800,463
20%293,397
8% 293,772
9%
Corporate debt1,272,782
34% 1,278,991
33%1,348,649
39% 1,223,475
37%
Residential mortgage-backed securities201,691
5% 217,906
5%201,843
6% 181,238
5%
Commercial mortgage-backed securities28,025
1% 32,394
1%82,719
2% 44,101
1%
Other asset-backed securities105,310
3% 106,878
3%231,673
7% 195,657
6%
Total fixed maturities securities, available for sale2,468,350
67% 2,613,406
67%
Total fixed maturities, available for sale2,301,535
66% 2,093,798
63%
Fixed maturities, trading45,295
1% 38,188
1%
Total fixed maturities2,346,830
67% 2,131,986
64%
      
   
Equity securities, trading411,796
11% 387,274
10%
Equity investments409,100
12% 442,937
13%
Short-term investments294,379
8% 442,084
11%270,836
8% 308,319
9%
BOLI61,652
2% 60,134
1%65,653
2% 64,096
1%
Investment in unconsolidated subsidiaries331,897
9% 340,906
9%366,606
10% 367,757
11%
Other investments103,764
3% 81,892
2%37,049
1% 34,287
2%
Total Investments$3,671,838
100% $3,925,696
100%
Total investments$3,496,074
100% $3,349,382
100%

At September 30, 2019, 99% of our investments in available-for-sale fixed maturity securities were rated and the average rating was A+. The distribution of our investments in fixed-maturityavailable-for-sale fixed maturity securities by rating were as follows:
September 30, 2019 December 31, 2018
($ in thousands)September 30, 2017 December 31, 2016Carrying
Value
% of Total Investment Carrying
Value
% of Total Investment
Rating*Carrying
Value
% of Fixed Maturities Carrying
Value
% of Fixed Maturities     
AAA$630,286
26% $676,815
26%$706,875
31% $645,300
31%
AA+199,761
8% 213,892
8%83,868
3% 101,328
5%
AA188,781
8% 227,076
9%138,901
6% 120,801
6%
AA-225,674
9% 243,562
9%155,946
7% 155,352
7%
A+283,201
11% 271,534
10%177,490
8% 190,595
9%
A303,659
12% 282,530
11%341,298
15% 311,036
15%
A-196,333
8% 221,139
9%157,089
7% 146,721
7%
BBB+123,972
5% 132,705
5%187,486
8% 133,199
6%
BBB112,461
5% 115,867
4%159,508
7% 118,864
6%
BBB-47,709
2% 54,366
2%53,222
2% 50,466
2%
Below investment grade124,605
5% 146,071
6%130,710
5% 100,447
5%
Not rated31,908
1% 27,849
1%9,142
1% 19,689
1%
Total$2,468,350
100% $2,613,406
100%$2,301,535
100% $2,093,798
100%
*Average of three NRSRO sources, presented as an S&P equivalent. Source: S&P, Copyright ©2017, S&P Global Market Intelligence
*Average of three NRSRO sources, presented as an S&P equivalent. Source: S&P, Copyright ©2019, S&P Global Market Intelligence*Average of three NRSRO sources, presented as an S&P equivalent. Source: S&P, Copyright ©2019, S&P Global Market Intelligence

A detailed listing of our investment holdings as of September 30, 20172019 is located under the Financial Information heading on the Investor Relations page of our website which can be reached directly at www.proassurance.com/investmentholdings or through links from the Investor Relations section of our website, Investor.Proassurance.com.investor.proassurance.com.
We manage our investments to ensure that we will have sufficient liquidity to meet our obligations, taking into consideration the timing of cash flows from our investments, including interest payments, dividends and principal payments, as well as the expected cash flows to be generated by our operations. In addition to the interest and dividends we will receive, we

anticipate that between $50$40 million and $90 million of our investments will mature (or be paid down) each quarter over the next twelve months and become available, if needed, to meet our cash flow requirements. The primary outflow of cash at our insurance subsidiaries is related to paid losses and operating costs, including income taxes. The payment of individual claims cannot be predicted with certainty; therefore, we rely upon the history of paid claims in estimating the timing of future claims payments. To the extent that we may have an unanticipated shortfall in cash, we may either liquidate securities or borrow funds under existing borrowing arrangements through our credit facilityRevolving Credit Agreement and the FHLB system. As of October 31, 2017, $1162019, $250 million could be made available for use through our credit facility,Revolving Credit Agreement, as discussed in this section under the heading "Debt." Given the duration of our investments, we do not foresee a shortfall that would require us to meet operating cash needs through additional borrowings. Additional information regarding the credit facilityour Revolving Credit Agreement is detailed in Note 79 of the Notes to Condensed Consolidated Financial Statements.
As discussedAt September 30, 2019, our FAL was comprised of fixed maturity securities with a fair value of $124.6 million and cash and cash equivalents of $10.1 million deposited with Lloyd's. See further discussion in Note 3 of the Notes to Condensed Consolidated Financial Statements, our fixed maturity and short-term investments include securities deposited with Lloyd's in order to meet our FAL requirement. At September 30, 2017 securities on deposit with Lloyd's included fixed maturities having a fair value of $98.7 million and short-term investments with a fair value of $0.5 million.Statements.
Our investment portfolio continues to be primarily composed of high quality fixed income securities with approximately 94% of our fixed maturities being investment grade securities as determined by national rating agencies. The weighted average effective duration of our fixed maturity securities at September 30, 20172019 was 3.412.95 years; the weighted average effective duration of our fixed maturity securities combined with our short-term securities was 3.042.64 years.
The carrying value and unfunded commitments for certain of our investments are the following:were as follows:
Carrying Value September 30, 2017Carrying Value September 30, 2019
($ in thousands, except expected funding period)September 30, 2017December 31, 2016 Unfunded CommitmentExpected funding period in yearsSeptember 30, 2019December 31, 2018 Unfunded CommitmentExpected funding period in years
Qualified affordable housing project tax credit partnerships (1)
$91,598
$102,313
 $1,325
6$50,989
$65,677
 $885
6
Historic tax credit partnerships (2)
8,355
11,459
 3,642
22,570
3,757
 276
1
Investment fund LPs/LLCs (2)
280,449
273,986
 165,947
6
All other investments, primarily investment fund LPs/LLCs313,047
298,323
 176,343
5
Total$380,402
$387,758
 $170,914
 $366,606
$367,757
 $177,504
 
(1) The carrying value reflects our total commitments (both funded and unfunded) to the partnerships, less any amortization, since our initial investment. We fund these investments based on funding schedules maintained by the partnerships.
(1) The carrying value reflects our total commitments (both funded and unfunded) to the partnerships, less any amortization, since our initial investment. We fund these investments based on funding schedules maintained by the partnerships.
(1) The carrying value reflects our total commitments (both funded and unfunded) to the partnerships, less any amortization, since our initial investment. We fund these investments based on funding schedules maintained by the partnerships.
(2) The carrying value reflects our funded commitments less any amortization.
(2) The carrying value reflects our funded commitments less any amortization.
(2) The carrying value reflects our funded commitments less any amortization.
Investment fund LPs/LLCs are by nature less liquid and may involve more risk than other investments. We manage our risk through diversification of asset class and geographic location. At September 30, 2017,2019, we had investments in 2938 separate investment funds with a total carrying value as shown in the table above,of $313.0 million which represented 8%approximately 9% of our Total Investments.total investments. We review and monitor the performance of these investments on a quarterly basis.

Financing Activities and Related Cash Flows
Treasury Shares
During 2017the nine months ended September 30, 2019 and 2018, we havedid not repurchasedrepurchase any common shares and, as of October 31, 2017,2019, our remaining Board authorization was approximately $109.6$110 million. During the nine months ended September 30, 2016 we repurchased approximately 44,500 common shares, having a total cost of approximately $2.1 million (we did not repurchase any shares during the three months ended September 30, 2016).
ProAssurance Shareholder Dividends
Our Board declared quarterly cash dividends of $0.31 per share during each of the first three quarters of both 20172019 and 20162018, each of which was paid in the following quarter. Dividends paid in the first nine months of 20172019 and 20162018 included special dividends of $4.69$0.50 and $1.00$4.69 per share, respectively, declared in the fourth quarters of 20162018 and 2015,2017, respectively. Any decision to pay future cash dividends is subject to the Board’s final determination after a comprehensive review of financial performance, future expectations and other factors deemed relevant by the Board.

Debt
At September 30, 20172019 our debt included $250 million of outstanding unsecured senior notes. The notes bear interest at 5.3% annually and are due in 2023 although they may be redeemed in whole or part prior to maturity. There are no financial covenants associated with these notes.
We have a Revolving Credit Agreement, which expires in June 2020, that may be used for general corporate purposes, including, but not limited to, short-term working capital, share repurchases as authorized by the Board and support for other activities. Our Revolving Credit Agreement permits borrowings of up to $200 million, and has available a $50 million accordion feature, which, if successfully subscribed, would expand permitted borrowings up to $250 million. During the third quarter of 2017, we repaid $26 million of the balanceAt September 30, 2019, there were no outstanding borrowings on theour Revolving Credit Agreement, and at September 30, 2017,Agreement; we had outstanding borrowings of $152 million, on a fully secured basis. In October 2017, we repaid $18 million of the balance outstanding on the Revolving Credit Agreement, and all remaining outstanding borrowings are repayable or renewable in the fourth quarter of 2017. Repayment can be deferred until expiration of the Revolving Credit Agreement in June 2020. We are in compliance with the financial covenants of the Revolving Credit Agreement.
We have Mortgage Loans with one lender in connection with the recapitalization of two office buildings, which mature in December 2027. The Mortgage Loans accrue interest at three-month LIBOR plus 1.325% with principal and interest payable on a quarterly basis. At September 30, 2019, the outstanding balance of the Mortgage Loans was approximately $38 million; we are in compliance with the financial covenant of the Mortgage Loans.
Additional information regarding our debt is provided in Note 79 of the Notes to Condensed Consolidated Financial Statements.
We utilize an interest rate cap agreement with a notional amount of $35 million to manage our exposure to increases in LIBOR on our Mortgage Loans. Per the interest rate cap agreement, we are a memberentitled to receive cash payments if and when the three-month LIBOR exceeds 2.35%. Additional information on our interest rate cap agreement is provided in Note 10 of two FHLBs.the Notes to Condensed Consolidated Financial Statements.
Two of our insurance subsidiaries are members of an FHLB. Through membership, wethose subsidiaries have access to secured cash advances which can be used for liquidity purposes or other operational needs. In order for us to use FHLB proceeds, regulatory approvals may be required depending on the nature of the transaction. To date, wethose subsidiaries have not materially utilized ourtheir membership for borrowing purposes.
Off-Balance Sheet Arrangements
We have no significant off-balance sheet arrangements that have or are reasonably likely to have a material current or future effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources. See more information on our off-balance sheet arrangements in Note 7 of the Notes to Condensed Consolidated Financial Statements.

Results of Operations – Three and Nine Months EndedSeptember 30, 20172019 Compared to Three and Nine Months EndedSeptember 30, 20162018
Selected consolidated financial data for each period is summarized in the table below.
Three Months Ended September 30 Nine Months Ended September 30 Three Months Ended September 30 Nine Months Ended September 30 
($ in thousands, except per share data)20172016Change 20172016Change 20192018Change 20192018Change 
Revenues:        
Net premiums written$216,706
$205,775
$10,931
 $596,584
$573,071
$23,513
 $228,058
$229,329
$(1,271) $663,784
$652,230
$11,554
 
Net premiums earned$192,303
$185,275
$7,028
 $555,559
$539,587
$15,972
 $215,788
$206,070
$9,718
 $633,086
$616,819
$16,267
 
Net investment result27,893
21,912
5,981
 78,081
68,677
9,404
 22,404
28,494
(6,090) 62,798
79,924
(17,126) 
Net realized investment gains (losses)7,749
15,737
(7,988) 18,810
18,314
496
 1,134
12,373
(11,239) 47,064
2,651
44,413
 
Other income510
1,428
(918) 4,581
5,963
(1,382) 2,548
2,388
160
 7,419
7,155
264
 
Total revenues228,455
224,352
4,103
 657,031
632,541
24,490
 241,874
249,325
(7,451) 750,367
706,549
43,818
 
    
Expenses:        
Net losses and loss adjustment expenses129,356
118,082
11,274
 364,058
335,936
28,122
 161,614
147,605
14,009
 489,808
439,120
50,688
 
Underwriting, policy acquisition and operating expenses57,111
55,812
1,299
 172,106
166,735
5,371
 61,861
61,844
17
 185,960
178,812
7,148
 
Segregated portfolio cells dividend expense (income)2,891
3,196
(305) 14,076
5,895
8,181
 3,621
5,255
(1,634) 1,375
9,787
(8,412) 
Interest expense4,124
3,748
376
 12,402
11,285
1,117
 4,274
3,599
675
 12,850
11,262
1,588
 
Total expenses193,482
180,838
12,644
 562,642
519,851
42,791
 231,370
218,303
13,067
 689,993
638,981
51,012
 
Income before income taxes34,973
43,514
(8,541) 94,389
112,690
(18,301) 10,504
31,022
(20,518) 60,374
67,568
(7,194) 
Income tax expense (benefit)6,024
9,680
(3,656) 4,467
16,457
(11,990) (6,689)(206)(6,483) (4)(3,939)3,935
 
Net income$28,949
$33,834
$(4,885) $89,922
$96,233
$(6,311) $17,193
$31,228
$(14,035) $60,378
$71,507
$(11,129) 
Operating income$24,263
$24,437
$(174) $79,020
$85,398
$(6,378) 
Non-GAAP operating income$16,269
$22,417
$(6,148) $24,567
$69,858
$(45,291) 
Earnings per share:        
Basic$0.54
$0.64
$(0.10) $1.68
$1.81
$(0.13) $0.32
$0.58
$(0.26) $1.12
$1.33
$(0.21) 
Diluted$0.54
$0.63
$(0.09) $1.68
$1.80
$(0.12) $0.32
$0.58
$(0.26) $1.12
$1.33
$(0.21) 
Operating earnings per share:    
Non-GAAP operating earnings per share:    
Basic$0.45
$0.46
$(0.01) $1.48
$1.61
$(0.13) $0.30
$0.42
$(0.12) $0.46
$1.30
$(0.84) 
Diluted$0.45
$0.46
$(0.01) $1.47
$1.60
$(0.13) $0.30
$0.42
$(0.12) $0.46
$1.30
$(0.84) 
Net loss ratio67.3%63.7%3.6
pts65.5%62.3%3.2
pts74.9%71.6%3.3
pts 77.4%71.2%6.2
pts
Underwriting expense ratio29.7%30.1%(0.4)pts31.0%30.9%0.1
pts28.7%30.0%(1.3)pts 29.4%29.0%0.4
pts
Combined ratio97.0%93.8%3.2
pts96.5%93.2%3.3
pts103.6%101.6%2.0
pts 106.8%100.2%6.6
pts
Operating ratio84.7%80.2%4.5
pts84.0%79.2%4.8
pts92.6%90.3%2.3
pts 95.7%89.2%6.5
pts
Effective tax rate17.2%22.2%(5.0)pts4.7%14.6%(9.9)pts(63.7%)(0.7%)(63.0)pts %(5.8%)5.8
pts
Return on equity*6.3%6.6%(0.3)pts6.6%6.4%0.2
pts4.3%7.9%(3.6)pts 5.2%6.0%(0.8)pts
        
*Annualized
* Annualized* Annualized
In all tables that follow, the abbreviation "nm" indicates that the information or the percentage change is not meaningful.

In all tables that follow, the abbreviation "nm" indicates that the information or the percentage change is not meaningful.

In all tables that follow, the abbreviation "nm" indicates that the information or the percentage change is not meaningful.







Executive Summary of Operations
The following sections provide an overview of our consolidated and segment results of operations for the three and nine months ended September 30, 20172019 as compared to the three and nine months ended September 30, 2016.2018. See the Segment Operating Results sections that follow for additional information regarding each segment's operating results.

Revenues
The following table shows our consolidated and segment Netnet premiums earned:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2017 2016 Change 2017 2016 Change2019 2018 Change 2019 2018 Change
Net premiums earned                              
Specialty P&C$118,331
 $116,199
 $2,132
 1.8% $340,394
 $335,080
 $5,314
 1.6%$125,237
 $120,789
 $4,448
 3.7% $375,315
 $378,355
 $(3,040) (0.8%)
Workers' Compensation57,654
 54,498
 3,156
 5.8% 169,791
 163,974
 5,817
 3.5%
Lloyd's Syndicate16,318
 14,578
 1,740
 11.9% 45,374
 40,533
 4,841
 11.9%
Workers' Compensation Insurance49,477
 47,296
 2,181
 4.6% 141,990
 135,230
 6,760
 5.0%
Segregated Portfolio Cell Reinsurance19,779
 18,963
 816
 4.3% 58,566
 54,247
 4,319
 8.0%
Lloyd's Syndicates21,295
 19,022
 2,273
 11.9% 57,215
 48,987
 8,228
 16.8%
Consolidated total$192,303
 $185,275
 $7,028
 3.8% $555,559
 $539,587
 $15,972
 3.0%$215,788
 $206,070
 $9,718
 4.7% $633,086
 $616,819
 $16,267
 2.6%
All of our operating segments contributed to the increase in NetConsolidated net premiums earned for the three and nine months ended September 30, 2019 included $2.7 million of premium written and fully earned from a loss portfolio transfer entered into during the third quarter of 2019 in our Specialty P&C segment. For the nine months ended September 30, 2018, our consolidated net premiums earned included $26.6 million of premium written and fully earned from a loss portfolio transfer entered into during the second quarter of 2018 in our Specialty P&C segment. See further discussion of these loss portfolio transfers in our Segment Operating Results - Specialty Property & Casualty section that follows. After removing the impacts of the 2019 and 2018 loss portfolio transfers, consolidated net premiums earned increased $7.0 million and $40.2 million during the three and nine months ended September 30, 2017,2019, respectively, as compared to the same periods of 2018. All of our operating segments contributed to the remaining increase in consolidated net premiums earned during three and nine months ended September 30, 2019 as compared to the same respective periods of 2016.2018. For the 2019 nine-month period, the remaining increase was driven by our Specialty P&C segment due to the pro rata effect of an increase in the volume of written premium during the preceding twelve months, predominantly in our healthcare facilities and physicians lines of business, driven by an increase in renewal pricing.
The following table shows our consolidated Netnet investment result:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2017 2016 Change 2017 2016 Change2019 2018 Change 2019 2018 Change
Net investment income$23,729
 $25,261
 $(1,532) (6.1%) $69,592
 $75,284
 $(5,692) (7.6%)$23,681
 $23,266
 $415
 1.8% $70,038
 $67,677
 $2,361
 3.5%
Equity in earnings (loss) of unconsolidated subsidiaries4,164
 (3,349) 7,513
 224.3% 8,489
 (6,607) 15,096
 228.5%(1,277) 5,228
 (6,505) (124.4%) (7,240) 12,247
 (19,487) (159.1%)
Net investment result$27,893
 $21,912
 $5,981
 27.3% $78,081
 $68,677
 $9,404
 13.7%$22,404
 $28,494
 $(6,090) (21.4%) $62,798
 $79,924
 $(17,126) (21.4%)
The increasedecrease in our Netconsolidated net investment result for the three and nine months ended September 30, 2017 was attributable to an increase in earnings from our unconsolidated subsidiaries of $7.5 million and $15.1 million, respectively, due to higher reported earnings from our investments in LPs/LLCs and the effect of a smaller increase in the estimate of partnership operating losses related to our tax credit partnerships in the 2017 three- and nine-month periods2019 as compared to the same periods of 2016. These increases were partially offset by2018 was primarily attributable to a reductiondecrease in earnings from our fixed income portfolio of $2.1 million and $6.9 million, respectively, which reflected both lower yields and lower averageunconsolidated subsidiaries, somewhat offset by an increase in net investment balances.
During the 2017 three- and nine-month periods, we had Net realized investment gains of $7.7 million and $18.8 million, respectively, as compared to $15.7 million and $18.3 millionincome. The decrease in earnings from our unconsolidated subsidiaries for the same respective periods of 2016. We did not recognize any OTTI in earnings during the three months ended September 30, 2017 as compared to $0.1 million during the same respective period of 2016. OTTI recognized in earnings for theand nine months ended September 30, 20172019 was $0.2 milliondriven by lower reported earnings from two LP investments. The increase in net investment income for the three and nine months ended September 30, 2019 was primarily due to higher earnings from our fixed maturity securities and short-term investments due to higher yields in certain asset classes within those portfolios as compared to $9.8 million for the same respective periodperiods of 2016.2018.

The following table shows our total consolidated net realized investment gains (losses):
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2019 2018 Change 2019 2018 Change
Net impairment losses recognized in earnings$(30) $(86) $56
 (65.1%) $(78) $(490) $412
 (84.1%)
Other net realized investment gains (losses)1,164
 12,459
 (11,295) (90.7%) 47,142
 3,141
 44,001
 1,400.9%
Net realized investment gains (losses)$1,134
 $12,373
 $(11,239) (90.8%) $47,064
 $2,651
 $44,413
 1,675.3%
For the three and nine months ended September 30, 2019, we recognized a nominal amount of both credit related OTTI in earnings and non-credit OTTI in OCI, both of which related to a corporate bond. We recognized OTTI in earnings of $0.1 million and $0.5 million during the 2018 three- and nine- month periods, respectively, related to debt instruments from two issuers in the energy sector.
Other net realized investment gains primarily reflected changes in the value of our equity trading portfolio and realized gains and losses from the sale of equity securities during the 2019 three- and nine- month periods. See further discussion in our Segment Operating Results - Corporate section that follows.
Expenses
The following table shows our consolidated and segment net loss ratios and net prior accident year loss development:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in millions)2017 2016 Change 2017 2016 Change
($ in thousands)2019 2018 Change 2019 2018 Change
Current accident year net loss ratio                        
Consolidated ratio84.1% 79.4% 4.7
pts 81.7% 79.8% 1.9
pts82.3% 82.1% 0.2
pts 84.0% 82.1% 1.9
pts
Specialty P&C87.8% 88.1% (0.3)pts 88.7% 88.3% 0.4
pts94.5% 93.4% 1.1
pts 93.9% 91.9% 2.0
pts
Workers' Compensation64.8% 66.6% (1.8)pts 65.3% 65.9% (0.6)pts
Lloyd's Syndicate124.6% 58.1% 66.5
pts 91.0% 65.0% 26.0
pts
Workers' Compensation Insurance68.2% 70.7% (2.5)pts 68.2% 68.0% 0.2
pts
Segregated Portfolio Cell Reinsurance66.1% 64.8% 1.3
pts 82.5% 66.0% 16.5
pts
Lloyd's Syndicates58.3% 56.1% 2.2
pts 60.5% 62.7% (2.2)pts
                        
Calendar year net loss ratio                        
Consolidated ratio67.3% 63.7% 3.6
pts 65.5% 62.3% 3.2
pts74.9% 71.6% 3.3
pts 77.4% 71.2% 6.2
pts
Specialty P&C62.4% 62.2% 0.2
pts 64.7% 61.4% 3.3
pts85.9% 81.4% 4.5
pts 85.6% 77.4% 8.2
pts
Workers' Compensation60.8% 63.3% (2.5)pts 60.8% 63.5% (2.7)pts
Lloyd's Syndicate125.3% 77.5% 47.8
pts 89.7% 64.1% 25.6
pts
Workers' Compensation Insurance65.4% 64.8% 0.6
pts 65.8% 64.9% 0.9
pts
Segregated Portfolio Cell Reinsurance49.4% 45.1% 4.3
pts 69.1% 50.8% 18.3
pts
Lloyd's Syndicates55.9% 52.7% 3.2
pts 60.5% 63.3% (2.8)pts
                        
Favorable (unfavorable) net loss development, prior accident years                        
Consolidated$32.3
 $29.0
 $3.3
 $90.1
 $94.5
 $(4.4) $15,941
 $21,549
 $(5,608) $42,212
 $67,149
 $(24,937) 
Specialty P&C$30.1
 $30.0
 $0.1
 $81.9
 $90.2
 $(8.3) $10,750
 $14,400
 $(3,650) $31,030
 $55,045
 $(24,015) 
Workers' Compensation$2.3
 $1.8
 $0.5
 $7.6
 $3.9
 $3.7
 
Lloyd's Syndicate$(0.1) $(2.8) $2.7
 $0.6
 $0.4
 $0.2
 
Workers' Compensation Insurance$1,388
 $2,788
 $(1,400) $3,413
 $4,163
 $(750) 
Segregated Portfolio Cell Reinsurance$3,301
 $3,724
 $(423) $7,815
 $8,248
 $(433) 
Lloyd's Syndicates$502
 $637
 $(135) $(46) $(307) $261
 
OurThe slight increase in our consolidated current accident year net loss ratio increased 4.7 and 1.9 percentage points forduring the 2017 three- and nine-month periods, respectively,2019 three-month period as compared to the same periodsrespective period of 2016.2018 was primarily due to a higher current accident year net loss ratio in our Specialty P&C segment, largely offset by a lower current accident year net loss ratio in our Workers' Compensation Insurance segment. The current accident year net loss ratio in our Specialty P&C segment was higher due to our continued concern

around loss trends in the broader HCPL industry. Additionally, as compared to the 2018 three-month period, the current accident year net loss ratio in our Specialty P&C segment was higher due to the effect of a reduction in the 2018 three-month period to ceded premiums owed under reinsurance agreements with variable premium components for prior accident years which increased net premiums earned during the 2018 three-month period; however, no such adjustment was made during the 2019 three-month period (see further discussion in our Segment Operating Results - Specialty P&C section that follows under the heading "Ceded Premiums Written"). Furthermore, the increase in both periodsthe current accident year net loss ratio in our Specialty P&C segment during the three-month period was due to losses, somewhat offset by reinstatement premiums, relatedchanges in the mix of business including a higher volume of earned premium in our excess and surplus lines of business, which carries a higher loss ratio as compared to Hurricanes Harvey, Irma and Mariathe segment's overall book of business. In our Workers' Compensation Insurance segment, the current accident year net loss ratio for the 2018 three-month period was higher as compared to the 2019 three-month period due to an increase to the ratio during the third quarter of 20172018 driven by the impact of severity-related claim activity related to economic growth trends and the increase in new and less experienced workers to the workforce.
As shown in the table below, two one-time events impacted our net loss ratios and affected the comparability between the nine months ended September 30, 2019 and the nine months ended September 30, 2018. For the nine months ended September 30, 2019, our consolidated and Segregated Portfolio Cell Reinsurance segment net loss ratios were affected by a $10 million reserve that an SPC at Eastern Re established during the second quarter of 2019 associated with an errors and omissions ("E&O") liability policy. We do not participate in the SPC that assumed this policy; therefore, these losses are the obligation of the external cell participants and are reflected in the SPC dividend expense (income), which is an offset to expenses, and thus has no effect on our net income or Segregated Portfolio Cell Reinsurance segment operating results for the nine months ended September 30, 2019 (see further discussion in our Lloyd's SyndicateSegment Operating Results - Segregated Portfolio Cell Reinsurance section that follows). Furthermore, for the nine months ended September 30, 2018, our consolidated and Specialty P&C segment which resultednet loss ratios were affected by a loss portfolio transfer ($26.6 million of net premiums earned at a 95% loss ratio) entered into during the second quarter of 2018 (see further discussion in a 4.0our Segment Operating Results - Specialty Property & Casualty section that follows).
Given the significance of these two one-time events, we have removed the impact of each from the consolidated loss ratios below (as shown in the columns labeled "Adjusted") in order to assist in the comparability between periods. Consolidated net loss ratios for the nine months ended September 30, 2019 and 1.4 percentage point increase to2018 were as follows:
 Nine Months Ended September 30
 2019 2018 Change
 As reportedE&O reserve impactAdjusted As reportedLPT impactAdjusted As reportedAdjusted
Calendar year net loss ratio77.4%1.6pts75.8% 71.2%1.2pts70.0% 6.2
pts5.8pts
Less impact of prior accident years on the net loss ratio(6.6%)0.1pts(6.7%) (10.9%)0.5pts(11.4%) 4.3
pts4.7pts
Current accident year net loss ratio84.0%1.5pts82.5% 82.1%0.7pts81.4% 1.9
pts1.1pts
Excluding the impact of the previously discussed one-time events as shown in the table above, our consolidated current accident year net loss ratio for 2017the 2019 nine-month period increased approximately 1.1 percentage points as compared to the same period of 2018. The increase during the 2019 nine-month period was primarily due to a higher current accident year net loss ratio in our Specialty P&C segment due to the same factors as previously discussed that drove the segment's higher loss ratio for the 2019 three-month period, partially offset by a lower current accident year net loss ratio in our Lloyd's Syndicates segment driven by an increase in estimated reinsurance recoveries related to property and catastrophe related losses as compared to the prior year period.
In both the 2019 and 2018 three- and nine-monthnine- month periods, respectively. See further discussion in the Segment Operating Results - Lloyd's Syndicate section that follows.
Ourour consolidated calendar year net loss ratios for both 2017 and 2016 periods wereratio was lower than our consolidated current accident year net loss ratiosratio due to the recognition of net favorable lossprior year reserve development, as shown in the previous table.tables. Net favorable prior year reserve development recognized in the 2019 three- and nine- month periods was lower as compared to same respective periods of 2018 primarily due to the observed increase in claim severity in the broader HCPL industry as well as prior year loss volatility in large account business in our Specialty P&C segment.

Our consolidated and segment underwriting expense ratios were as follows:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
2017 2016 Change 2017 2016 Change2019 2018 Change 2019 2018 Change
Underwriting Expense Ratio                        
Consolidated29.7% 30.1% (0.4)pts 31.0% 30.9% 0.1
pts28.7% 30.0% (1.3)pts 29.4% 29.0% 0.4
pts
Specialty P&C22.8% 22.9% (0.1)pts 23.3% 23.1% 0.2
pts23.7% 23.1% 0.6
pts 23.8% 22.2% 1.6
pts
Workers' Compensation32.0% 33.6% (1.6)pts 30.8% 32.0% (1.2)pts
Lloyd's Syndicate41.2% 42.9% (1.7)pts 43.6% 41.1% 2.5
pts
Workers' Compensation Insurance30.1% 32.6% (2.5)pts 30.6% 30.7% (0.1)pts
Segregated Portfolio Cell Reinsurance30.1% 29.1% 1.0
pts 29.2% 29.6% (0.4)pts
Lloyd's Syndicates44.2% 44.4% (0.2)pts 44.5% 48.5% (4.0)pts
Corporate*2.6% 2.7% (0.1)pts 3.8% 3.8% 
pts1.2% 2.5% (1.3)pts 2.0% 2.5% (0.5)pts
* There are no Net premiums earned associated with the Corporate segment. Ratio shown is the contribution of the Corporate segment to the consolidated ratio (Corporate operating expenses divided by consolidated Net premium earned).
*There are no net premiums earned associated with the Corporate segment. Ratios shown are the contribution of the Corporate segment to the consolidated ratio (Corporate operating expenses divided by consolidated net premium earned).*There are no net premiums earned associated with the Corporate segment. Ratios shown are the contribution of the Corporate segment to the consolidated ratio (Corporate operating expenses divided by consolidated net premium earned).
Our consolidated underwriting expense ratio decreased 0.4 percentage points for the 20172019 three-month period as compared to the same respective period of 20162018 driven by a decrease in consolidated share-based compensation expenses and other compensation related costs and, to a lesser extent, a decrease in operating expenses in our Lloyd's Syndicates segment primarily due to the effect of higher Netoperational expenses incurred during the 2018 three- and nine- month periods associated with the establishment of Syndicate 6131. The decrease in our consolidated underwriting expense ratio for the 2019 three-month period was partially offset by an increase in operating expenses in our Specialty P&C segment driven by fees associated with a data analytics services agreement entered into in the fourth quarter of 2018 and, to a lesser extent, an increase in consolidated DPAC amortization which somewhat outpaced the increase in consolidated net premiums earned.
Our consolidated underwriting expense ratio slightly increased for the 2019 nine-month period as compared to the same respective period of 2018 due to the effect of a loss portfolio transfer (net premiums earned from allwith minimal associated operating expenses) entered into during the second quarter of 2018 in our operating segmentsSpecialty P&C segment (see further discussion in our Segment Operating Results - Specialty Property & Casualty section that follows). Excluding the impact of the 2018 loss portfolio transfer, our consolidated underwriting expense ratio for the 2019 nine-month period decreased approximately 1.0 percentage point driven by an increase in consolidated net premiums earned, excluding the impact of the 2018 loss portfolio transfer, which outpaced the increase in consolidated DPAC amortization and a decrease in operatingconsolidated share-based compensation expenses driven by our Specialty P&C segment, offset almost entirely by an increase in DPAC amortization. For the 2017 nine-month period, the effect of higher Net premiums earned on the consolidated underwriting expense ratio was offset entirely by the effect of an increase in DPAC amortization, driven by our Specialty P&C segment.and other compensation related costs.

Taxes
Our projected effective tax rates for the 2017nine months ended September 30, 2019 and 2016 nine-month periods2018 were 9.8%as follows:
 Nine Months Ended September 30
 2019 2018
Projected annual effective tax rate(54.4%) (3.0%)
Tax effect of discrete items54.4% (2.8%)
Total effective tax rate% (5.8%)
Our projected annual effective tax rates were benefits of 54.4% and 11.7%,3.0% as of September 30, 2019 and 2018, respectively, before discrete items were considered. These discrete items increased our effective tax rate by 54.4% and reduced our effective tax rate by 2.8% for the 2019 and 2018 nine-month periods, respectively, as shown in the table above. For the 2019 and 2018 nine-month periods, the most significant discrete item that affected our effective tax rate was the treatment of net realized investment gains. This treatment of net realized investment gains of $44.4 million and $2.6 million in our Corporate segment for the nine months ended September 30, 2019 and 2018, respectively, accounted for an increase of 55.4% and 0.9% in the effective tax rate in the same respective periods.
Our projected annual effective tax rates for both the 2017as of September 30, 2019 and 2016 nine-month periods2018 were different from the statutory federal income tax rate of 21% primarily due to a portion of our investment income being tax-exempt and the utilization of tax credits transferred to us from our tax credit partnership investments. Discrete items reduced our projected effective tax rate for the 2017 nine-month period by 5.1% and increased our projected effective tax rate by 2.9% for the 2016 nine-month period. Notable discrete items during 2017 included the application of new guidance related to the improvement in accounting for share-based payments and the application of an exception under accounting guidance related to interim period taxes for entities subject to multiple tax jurisdictions (see further discussion under the heading "Taxes" within our Segment Operating Results - Corporate section that follows).
Operating Ratio and ROE
Our operating ratio (calculated as our combined ratio, less our investment income ratio) increased by 4.5 and 4.8 percentage points in the three and nine months ended September 30, 2017, respectively. The increase in the 2017 three-month period primarily reflected a higher net loss ratio in our Lloyd's Syndicate segment driven by estimated losses recognized during the third quarter of 2017 related to Hurricanes Harvey, Irma and Maria (seeSee further discussion in the Segment Operating Results - Lloyd's SyndicateCorporate section that follows). The increase infollows under the 2017 nine-monthheading "Taxes."

Operating Ratio
Our operating ratio is our combined ratio, less our investment income ratio. This ratio provides the combined effect of underwriting profitability and investment income. Our operating ratio for the three months ended September 30, 2019 and 2018 was as follows:
 Three Months Ended September 30
 2019 2018 Change
Combined ratio103.6% 101.6% 2.0
pts
Less: investment income ratio11.0% 11.3% (0.3)pts
Operating ratio92.6% 90.3% 2.3
pts
Our operating ratio for the 2019 three-month period primarily reflectedas compared to the same period of 2018 increased by approximately 2.3 percentage points driven by a higher net losscombined ratio in our Specialty P&C segment, partially offset by a lower expense ratio in our Corporate segment. The higher combined ratio in our Specialty P&C segment was due to our continued concern around loss trends in the broader HCPL industry and prior year loss volatility on large account business, both of which led to a lower amount of prior accident year favorable development, and, Lloyd's Syndicateto a lesser extent, changes in the mix of premiums earned which contributed to a higher current accident year net loss ratio. The lower expense ratio in our Corporate segment due towas driven by a decrease in share-based compensation expenses and other compensation related costs.
As shown in the recognitiontable below, two one-time events impacted our operating ratios and affected the comparability between the nine months ended September 30, 2019 and the nine months ended September 30, 2018. During the nine months ended September 30, 2019, an SPC at Eastern Re established a $10 million reserve, as previously discussed, which increased our consolidated net loss ratio (see further discussion in our Segment Operating Results - Segregated Portfolio Cell Reinsurance section that follows). We do not participate in the SPC that assumed this policy; therefore, these losses are the obligation of the aforementioned estimated storm-related losses.external cell participants and are reflected in the SPC dividend expense (income). As the SPC dividend expense (income) is not included in the calculation of our expense ratio, our combined ratio for the nine months ended September 30, 2019 was affected by this reserve. Furthermore, for the nine months ended September 30, 2018, our investment income ratio was affected by the 2018 loss portfolio transfer ($26.6 million of net premiums earned with no immediate effect on net investment income).
Given the significance of these two one-time events, we have removed the impact of each from the ratios below for the nine months ended September 30, 2019 and 2018 (as shown in the columns labeled "Adjusted") in order to assist in the comparability between periods. Our operating ratio for the nine months ended September 30, 2019 and 2018 was as follows:
 Nine Months Ended September 30
 2019 2018 Change
 As reportedE&O reserve impactAdjusted As reportedLPT impactAdjusted As reportedAdjusted
Combined ratio106.8%1.6pts105.2% 100.2%(0.2)pts100.4% 6.6
pts4.8
pts
Less: investment income ratio11.1%pts11.1% 11.0%(0.5)pts11.5% 0.1
pts(0.4)pts
Operating ratio95.7%1.6pts94.1% 89.2%0.3
pts88.9% 6.5
pts5.2
pts
Excluding the impact of the previously discussed one-time events as shown in the table above, our operating ratio for the 2019 nine-month period increased by approximately 5.2 percentage points driven by the same factors as previously discussed that drove the higher operating ratio for the 2019 three-month period.

ROE
ROE was 6.3%is calculated as annualized net income for the period divided by the average of beginning and 6.6%ending shareholders’ equity. This ratio measures our overall after-tax profitability and shows how efficiently capital is being used. ROE for the three and nine months ended September 30, 2017, respectively, compared to 6.6%2019 and 6.4%2018 was as follows:
 Three Months Ended September 30 Nine Months Ended September 30
 20192018Change 20192018Change
ROE4.3%7.9%(3.6)pts 5.2%6.0%(0.8)pts
The decrease in our ROE for the same respective2019 three- and nine- month periods of 2016. The decrease for the 2017 three-month period was primarily due to a decrease in Net income, partially offset by a lower average equity base (the denominator of the ROE ratio) as compared to the prior year period. The increase for the 2017 nine-month periodsame periods of 2018 was primarily due to the decrease in net income, driven by a lower average equity base, partially offset byhigher combined ratio in our Specialty P&C segment, as previously discussed, and, to a lesser extent, a decrease in Net income. The lower average equity baseearnings from our unconsolidated subsidiaries. For the 2019 three-month period, the decrease in 2017our ROE also reflected a decrease in net realized investment gains as compared to 2016 was primarily duethe same period of 2018. For the 2019 nine-month period, the increase in net realized investment gains as compared to larger dividend declarations.the same period of 2018 largely offset the decreasing effect of a higher combined ratio in our Specialty P&C segment on our ROE.
Book Value per Share
We believe the payment of dividends is currently our most effective tool for the deployment of excess capital even though, in the short-term, dividend declarations dampen growth in bookBook value per share.share is calculated as total shareholders’ equity at the balance sheet date divided by the total number of common shares outstanding. This ratio measures the net worth of the Company to shareholders on a per-share basis. Our book value per share at September 30, 20172019 as compared to December 31, 20162018 is shown in the following table.
 Book Value Per Share
Book Value Per Share at December 31, 2016$33.78
Increase (decrease) to book value per share during the nine months ended September 30, 2017 attributable to: 
Dividends declared(0.93)
Net income1.68
Increase in AOCI0.15
Other(0.03)
Book Value Per Share at September 30, 2017$34.65
 Book Value Per Share
Book Value Per Share at December 31, 2018$28.39
Increase (decrease) to book value per share during the nine months ended September 30, 2019 attributable to: 
Dividends declared(0.93)
Net income1.12
OCI1.04
Other *(0.06)
Book Value Per Share at September 30, 2019$29.56
* Includes the impact of cumulative effect adjustments related to ASUs adopted during 2019.

Non-GAAP Financial Measures
OperatingNon-GAAP operating income is a non-GAAP financial measure that is widely used to evaluate performance within the insurance sector. In calculating Non-GAAP operating income, we have excluded the after-tax effects of the items listed in the following table that do not reflect normal operating results. We believe Non-GAAP operating income presents a useful view of the performance of our insurance operations, buthowever it should be considered in conjunction with Netnet income computed in accordance with GAAP.
The following table is a reconciliation of Netnet income to OperatingNon-GAAP operating income:
Three Months Ended
September 30
 Nine Months Ended
September 30
Three Months Ended
September 30
 Nine Months Ended
September 30
(In thousands, except per share data)2017 2016 2017 20162019 2018 2019 2018
Net income$28,949
 $33,834
 $89,922
 $96,233
$17,193
 $31,228
 $60,378
 $71,507
Items excluded in the calculation of operating income:       
Items excluded in the calculation of Non-GAAP operating income:       
Net realized investment (gains) losses(7,749) (15,737) (18,810) (18,314)(1,134) (12,373) (47,064) (2,651)
Net realized gains (losses) attributable to SPCs which no profit/loss is retained (1)
764
 1,189
 2,191
 1,502
(132) 1,130
 1,531
 387
Guaranty fund assessments (recoupments)(225) 91
 (154) 143
96
 90
 202
 177
Pre-tax effect of exclusions(7,210) (14,457) (16,773) (16,669)(1,170) (11,153) (45,331) (2,087)
Tax effect, at 35% (2)
2,524
 5,060
 5,871
 5,834
Operating income$24,263
 $24,437
 $79,020
 $85,398
Tax effect, at 21% (2)
246
 2,342
 9,520
 438
After-tax effect of exclusions(924) (8,811) (35,811) (1,649)
Non-GAAP operating income$16,269
 $22,417
 $24,567
 $69,858
Per diluted common share:              
Net income$0.54
 $0.63
 $1.68
 $1.80
$0.32
 $0.58
 $1.12
 $1.33
Effect of exclusions(0.09) (0.17) (0.21) (0.20)(0.02) (0.16) (0.66) (0.03)
Operating income per diluted common share$0.45
 $0.46
 $1.47
 $1.60
(1) Net realized investment gains (losses) on investments related to our SPCs are recognized in the earnings of our Corporate segment and the portion of earnings related to the gain or loss, net of our participation, is distributed back to the cells through our SPC dividend expense (income). To be consistent with our exclusion of Net realized investment gains (losses) recognized in earnings, we are excluding the portion of Net realized investment gains (losses) that is included in SPC dividend expense (income).
(2) The 35% rate above is the annual expected incremental tax rate associated with the taxable or tax deductible items listed. We record the provision for income taxes in our interim financial statements based upon our estimated annual effective tax rate. The effective tax rate for the period was applied to these items in calculating Net income. See previous discussion in this section under the heading "Taxes."
Non-GAAP operating income per diluted common share$0.30
 $0.42
 $0.46
 $1.30
(1) Net realized investment gains (losses) on investments related to SPCs are recognized in our Segregated Portfolio Cell Reinsurance segment and the portion of operating earnings, including the gain or loss, net of our participation, is due to the external cell participants through the SPC dividend expense (income). To be consistent with our exclusion of net realized investment gains (losses) recognized in earnings, we are excluding the portion of net realized investment gains (losses) that is included in the SPC dividend expense (income) which is due to the external cell participants.
(1) Net realized investment gains (losses) on investments related to SPCs are recognized in our Segregated Portfolio Cell Reinsurance segment and the portion of operating earnings, including the gain or loss, net of our participation, is due to the external cell participants through the SPC dividend expense (income). To be consistent with our exclusion of net realized investment gains (losses) recognized in earnings, we are excluding the portion of net realized investment gains (losses) that is included in the SPC dividend expense (income) which is due to the external cell participants.
(2) The 21% rate is the annual expected statutory tax rate associated with the taxable or tax deductible items listed above. Excluding net realized investment (gains) losses, which are discrete items and are tax effected at the annual expected statutory tax rate in the period they are included in net income, our effective tax rate for the respective periods was applied to these items in calculating net income. See previous discussion in this section under the heading "Taxes."
(2) The 21% rate is the annual expected statutory tax rate associated with the taxable or tax deductible items listed above. Excluding net realized investment (gains) losses, which are discrete items and are tax effected at the annual expected statutory tax rate in the period they are included in net income, our effective tax rate for the respective periods was applied to these items in calculating net income. See previous discussion in this section under the heading "Taxes."

Segment Operating Results - Specialty Property & Casualty
Our Specialty P&C segment focuses on professional liability insurance and medical technology liability insurance as discussed in Note 1114 of the Notes to Condensed Consolidated Financial Statements. Our Specialty P&C segmentSegment operating results reflectreflected pre-tax underwriting profit or loss from these insurance lines, exclusive of investment results, which are included in our Corporate segment. Segment operating results included the following:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20172016Change 20172016Change20192018Change 20192018Change
Net premiums written$143,286
$134,989
$8,297
 6.1% $367,112
$354,510
$12,602
 3.6%$141,299
$143,921
$(2,622) (1.8%) $393,210
$394,601
$(1,391) (0.4%)
              
Net premiums earned$118,331
$116,199
$2,132
 1.8% $340,394
$335,080
$5,314
 1.6%$125,237
$120,789
$4,448
 3.7% $375,315
$378,355
$(3,040) (0.8%)
Other income1,276
1,012
264
 26.1% 3,943
4,021
(78)
(1.9%)1,858
1,426
432
 30.3% 4,536
3,945
591

15.0%
Net losses and loss adjustment expenses(73,831)(72,311)(1,520) 2.1% (220,123)(205,787)(14,336) 7.0%(107,573)(98,363)(9,210) 9.4% (321,248)(292,742)(28,506) 9.7%
Underwriting, policy acquisition and operating expenses(27,037)(26,563)(474) 1.8% (79,252)(77,519)(1,733) 2.2%(29,700)(27,931)(1,769) 6.3% (89,177)(83,833)(5,344) 6.4%
Segregated portfolio cells dividend (expense) income65
(94)159

(169.1%) (5,026)(94)(4,932)
5,246.8%
Segment operating results$18,804
$18,243
$561

3.1% $39,936
$55,701
$(15,765)
(28.3%)$(10,178)$(4,079)$(6,099)
149.5% $(30,574)$5,725
$(36,299)
(634.0%)
              
Net loss ratio62.4%62.2%0.2
pts64.7%61.4%3.3
pts85.9%81.4%4.5
pts85.6%77.4%8.2
pts
Underwriting expense ratio22.8%22.9%(0.1)pts23.3%23.1%0.2
pts23.7%23.1%0.6
pts23.8%22.2%1.6
pts
Segment operating results for the three and nine months ended September 30, 2019 and nine months ended September 30, 2018 included the effect of two separate loss portfolio transfers; one entered into during the third quarter of 2019 and one entered into during the second quarter of 2018. A loss portfolio transfer is a form of retroactive insurance coverage as we are assuming and accepting an entity’s existing open and future claim liabilities through the transfer of the entity’s loss reserves. The loss portfolio transfer entered into during the third quarter of 2019 resulted in total net premiums written and earned of $2.7 million (consisting of $0.9 million of retroactive premium and $1.8 million of prospective (tail) premium) and total net losses and loss adjustment expenses of $2.1 million. The loss portfolio transfer entered into during the second quarter of 2018 resulted in total net premiums written and earned of $26.6 million (consisting of $18.7 million of retroactive premium and $7.9 million of prospective (tail) premium) and total net losses and loss adjustment expenses of $25.4 million. See further discussion of these loss portfolio transfers in Note 4 of the Notes to Condensed Consolidated Financial Statements.
Premiums Written
Changes in our premium volume within our Specialty P&C segment are driven by four primary factors: (1) the amount of new business, (2) our retention of existing business, (3) the premium charged for business that is renewed, which is affected by rates charged and by the amount and type of coverage an insured chooses to purchase and (4) the timing of premium written through multi-period policies. In addition, premium volume may periodically be affected by shifts in the timing of renewals between periods. The healthcare professional liability market, which accounts for a majority of the revenues in this segment, remains challenging as physicians continue joining hospitals or larger group practices and are thus no longer purchasing individual or group policies in the standard market. In addition, some competitors have chosen to compete primarily on price; both factors may impact our ability to write new business and retain existing business.
Gross, ceded and net premiums written were as follows:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2017 2016 Change 2017 2016 Change2019 2018 Change 2019 2018 Change
Gross premiums written$166,284
 $155,838
 $10,446
 6.7% $428,032
 $410,201
 $17,831
 4.3%$164,991
 $167,639
 $(2,648) (1.6%) $459,324
 $456,137
 $3,187
 0.7%
Less: Ceded premiums written22,998
 20,849
 2,149
 10.3% 60,920
 55,691
 5,229
 9.4%23,692
 23,718
 (26) (0.1%) 66,114
 61,536
 4,578
 7.4%
Net premiums written$143,286
 $134,989
 $8,297
 6.1% $367,112
 $354,510
 $12,602
 3.6%$141,299
 $143,921
 $(2,622) (1.8%) $393,210
 $394,601
 $(1,391) (0.4%)

Gross Premiums Written
Gross premiums written by component were as follows:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2017 2016 Change 2017 2016 Change2019 2018 Change 2019 2018 Change
Professional liability                              
Physicians (7)(8)
                              
Twelve month term$112,980
 $105,524
 $7,456
 7.1% $277,975
 $268,401
 $9,574
 3.6%$106,993
 $110,730
 $(3,737) (3.4%) $288,090
 $274,494
 $13,596
 5.0%
Twenty-four month term8,229
 5,561
 2,668
 48.0% 23,726
 18,665
 5,061
 27.1%6,368
 4,898
 1,470
 30.0% 23,054
 17,719
 5,335
 30.1%
Total Physicians121,209
 111,085
 10,124
 9.1% 301,701
 287,066
 14,635
 5.1%113,361
 115,628
 (2,267) (2.0%) 311,144
 292,213
 18,931
 6.5%
Healthcare facilities (7)(8)
11,213
 13,056
 (1,843) (14.1%) 36,821
 36,827
 (6) %17,329
 20,178
 (2,849) (14.1%) 53,617
 49,312
 4,305
 8.7%
Other healthcare providers (3)
9,844
 9,686
 158
 1.6% 25,416
 25,033
 383
 1.5%10,189
 9,972
 217
 2.2% 27,471
 25,755
 1,716
 6.7%
Legal professionals (4)
6,381
 6,402
 (21) (0.3%) 20,787
 20,824
 (37) (0.2%)6,595
 6,771
 (176) (2.6%) 21,410
 21,233
 177
 0.8%
Tail coverages (5)(6)
9,434
 6,845
 2,589
 37.8% 17,600
 14,722
 2,878
 19.5%7,237
 5,905
 1,332
 22.6% 16,418
 21,676
 (5,258) (24.3%)
Retroactive coverages (6)
900
 
 900
 nm
 900
 18,708
 (17,808) (95.2%)
Total professional liability158,081
 147,074
 11,007
 7.5% 402,325
 384,472
 17,853
 4.6%155,611
 158,454
 (2,843) (1.8%) 430,960
 428,897
 2,063
 0.5%
Medical technology liability (6)
8,082
 8,625
 (543) (6.3%) 25,401
 25,358
 43
 0.2%
Other121
 139
 (18) (12.9%) 306
 371
 (65) (17.5%)
Medical technology liability (7)
9,223
 9,061
 162
 1.8% 26,363
 26,882
 (519) (1.9%)
Other (9)
157
 124
 33
 26.6% 2,001
 358
 1,643
 458.9%
Total$166,284
 $155,838
 $10,446
 6.7% $428,032
 $410,201
 $17,831
 4.3%$164,991
 $167,639
 $(2,648) (1.6%) $459,324
 $456,137
 $3,187
 0.7%
(1) 
Physician policies were our greatest source of premium revenues in both 20172019 and 2016.2018. The decrease in twelve month term premiums during the 2019 three-month period as compared to the same period of 2018 was driven by the pending renewal of a $3.6 million policy. Excluding the effect of this timing difference, twelve month term premiums remained relatively unchanged during the 2019 three-month period as compared to the same period of 2018 primarily due to an increase in renewal pricing and new business written, almost entirely offset by retention losses and a decrease in premiums assumed in which we participate on a quota share basis due to the timing of the prior year policy renewal. The increase in twelve month term policiespremiums during the 2017 three- and2019 nine-month periods was driven byperiod included net timing differences of $4.0 million primarily related to the prior year renewal of a few large policies duringcertain policies. Excluding the current quarter. After removing the impacteffect of those renewalthese timing differences, grosstwelve month term premiums written were slightly down for the 2017 three-month period and higher for the 2017 nine-month periodincreased approximately $9.6 million as compared to the same respective periodsperiod of 2016.2018. The remaining increase induring the 20172019 nine-month period was primarily due to new business written, including the addition of three large policies totaling $10.3 million and, the growth in exposure of one large insured during the first quarter of 2017, largely offset by retention losses. In addition, written premium in both periods reflectedto a lesser extent, an increase in renewal pricing, drivenpartially offset by an increaseretention losses. Renewal pricing increases in exposures for a few large policies.both the 2019 three- and nine- month periods are reflective of our concern about increases in loss severity. We also offer twenty-four month term policiespremiums to our physician insureds in one selected jurisdiction. The increase in twenty-four month premium,term premiums during the 2019 three- and nine- month periods, as compared to 2016,the same respective periods in 2018, primarily reflected the normal cycle of renewals (policies subject to renewal in 20172019 were previously written in 20152017 rather than in 2016)2018).
(2) 
Our healthcare facilities premium (which includes hospitals, surgery centers and other similar facilities) decreased for the 20172019 three-month period driven by retention losses, partially offset by timing differences of $1.0 million primarily related to the renewal of a few large policies, new business written and an increase in renewal pricing. The increase in the 2019 nine-month period was increaseddriven by new business written, somewhatincluding three large policies totaling $4.1 million, and an increase in renewal pricing, partially offset by retention losses. However, gross premiums written declined slightly for the 2017 three-month period duelosses and, to the impact ofa lesser extent, timing differences of $1.7 million primarily related to when new business was recorded in 2016 related to more complex policies. The slight decline during the 2017 nine-month period was primarily due to the timing difference for the renewal of one large policy. After removing the impact of this renewal timing difference, gross premiums written was higher for the 2017 nine-month period as compared to the same respective period of 2016. The remaining increase was primarily due to new business written, including one large policy during the second quarter of 2017, largely offset by retention losses. Renewal pricing increased during the 2017 three- and nine-month periods due to changes in loss experience related to a few large policies. Given the loss environment and initial loss indications we are seeing in the healthcare facilities space, we are seeking rate increases where we believe appropriate. As a result of our underwriting evaluation, we decided not to renew certain products written on an excess and surplus lines basis which drove the lower retention in both periods. As we continue to reevaluate certain books of business, we anticipate our retention to remain at a lower than historic level. In addition, retention in both periods was impacted by the loss of two large policies totaling $1.7 million due to price competition.
(3) 
Our other healthcare providers are primarily dentists, chiropractors and allied health professionals.
(4) 
Our legal professionals policies are primarily individual and small group policies in select areas of practice. The slight decline duringOur legal professionals premium remained relatively unchanged for both the 20172019 three- and nine-monthnine- month periods was primarily dueas compared to retention losses, offset bythe same periods of 2018 as new business written and to a lesser extent,renewal pricing increases were offset by retention losses. The increase in renewal pricing in both periods was primarily the result of an increase in the rate charged for certain renewed policies. Retention lossespolicies in both periods are primarily driven by competitive market conditions.select states due to rate filings.

(5) 
We offer extended reporting endorsement or "tail" coverage to insureds who discontinue or otherwise modify aspects of their claims-made coverage with us.us, and we also periodically offer tail coverage through custom policies. Tail coverage premiums are generally 100% earned in the period written because the policies insure only incidents that occurred in prior periods and are not cancellable. The amount of tail coverage premium written can vary widelysignificantly from period to period. The increase in tail premiums during the 2017 three- and nine-month periods2019 three-month period as compared to the same period of 2018 was driven by the purchase$1.8 million of tail coverage forprovided in connection with a few large claims-made policies in one jurisdiction that were rewritten to occurrence coverageloss portfolio transfer entered into during the current quarter. These policies are a partthird quarter of one of our shared risk arrangements and therefore, a large portion of the premium written was ceded2019, as previously discussed. The decrease in tail premiums during the current2019 nine-month period was driven by $7.9 million of tail coverage provided in connection with a loss portfolio transfer entered into during the second quarter (see further discussion inof 2018, partially offset by the Ceded Premiums Written section that follows).aforementioned third quarter 2019 loss portfolio transfer.
(6) 
We offer custom alternative risk solutions including loss portfolio transfers for healthcare entities who, most commonly, are exiting a line of business, changing an insurance approach or simply preferring to transfer risk. In the third quarter of 2019, we entered into a loss portfolio transfer with a regional hospital group which resulted in $0.9 million of retroactive premium written and fully earned in the 2019 three- and nine- month periods. In the second quarter of 2018, we entered into a loss portfolio transfer with a large healthcare organization which resulted in $18.7 million of retroactive premium written and fully earned in the 2018 nine-month period. See Note 4 of the Notes to the Condensed Consolidated Financial Statements for further information on these transactions.
(7)
Our medical technology liability business is marketed throughout the U.S.; coverage is typically offered on a primary basis, within specified limits, to manufacturers and distributors of medical technology and life sciences products including entities conducting human clinical trials. In addition to the previously listed factors that affect our premium volume, our medical technology liability premium is impacted by the sales volume of insureds. Our medical technology liability premium remained relatively unchanged during the 2019 three-month period. The decrease during the 2019 nine-month period was primarily due to retention losses, partially offset by new business written and, to a lesser extent, an increase in renewal pricing. Changes in renewal pricing during the 2019 three- and nine- month periods were primarily due to changes in the sales volume of certain insureds. Retention losses in the 2019 three- and nine- month periods are largely attributable to an increase in competition on terms and pricing.

technology liability premium volume is impacted by the sales volume of insureds. The decline during the 2017 three-month period was primarily due to retention losses, partially offset by new business written. The slight increase during the 2017 nine-month period primarily reflected new business written, offset by retention losses, including the loss of one large policy in the first quarter of 2017. Retention losses in both periods are largely attributable to price competition and merger activity within the industry.
(7)(8) 
During 2016, we expandedCertain components of our gross premiums written include alternative market solutions by writing new healthcare premium in certain SPCs at Eastern Re.premiums. We wrote approximately $1.2 million of healthcare professional liability premium in our physicians line of business in each of the 2017 and 2016 nine-month periods. We wrote healthcare professional liability premium in our healthcare facilities line of business of approximately $0.4 million and $3.0 million in the 2017 three- and nine-month periods, respectively, and approximately $0.4 million and $2.3 million in the 2016 three- and nine-month periods, respectively. Allcede either all or a portion of the alternative market premium, written was cedednet of reinsurance, to thecertain SPCs atof our wholly owned Cayman Islands reinsurance subsidiary,subsidiaries, Inova Re and Eastern Re. Under the SPC structure, the operating results of each cell, net of any participation we have takenRe, which are reported in our Segregated Portfolio Cell Reinsurance segment (see further discussion in the SPCs, accrueCeded Premiums Written section that follows). The portion not ceded to the benefit of the external owners of that cell. Our Specialty P&C segment does not currently participate in the cells that write HCPL premium, and therefore retains no underwriting profit or loss. Additional information regarding the SPCs is included inretained within our Specialty P&C segment. Alternative market gross premiums written by component for the Underwriting, Policy Acquisition2019 and Operating Expense section that follows.2018 three- and nine- month periods were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in millions)2019 2018 Change 2019 2018 Change
Physicians$
 $
 $
 % $1.4
 $1.4
 $
 %
Healthcare facilities0.7
 0.7
 
 % 4.6
 4.2
 0.4
 9.5%
Total$0.7

$0.7
 $
 % $6.0

$5.6

$0.4
 7.1%
Alternative market gross premiums written remained relatively unchanged during the 2019 three- and nine- month periods as compared to the same periods of 2018.
(9)
This component of gross premiums written includes all other product lines within our Specialty P&C segment. The increase during the 2019 nine-month period was due to a $1.5 million specialty contractual liability policy.
We are committed to a rate structure that will allow us to fulfill our obligations to our insureds, while generating competitive returns for our shareholders. Our pricing continues to be based on expected losses as indicated by our historical loss data and available industry loss data. In recent years, this practice has resulted in gradual rate increases and we anticipate further rate increases due to indications of increasing loss severity. Additionally, the pricing of our business includes the effects of filed rates, surcharges and discounts. Renewal pricing also reflects changes in our exposure base, deductibles, self-insurance retention limits and other policy items.

The change in renewal pricing for our Specialty P&C segment, including by major component, was as follows:
 Three Months Ended
September 30
 Nine Months Ended
September 30
 2019 2019
Specialty P&C segment (1)
7% 6%
Physicians (1)(2)
8% 6%
Healthcare facilities (1)(2)
12% 15%
Other healthcare providers (1)
5% 5%
Legal professionals (2)
3% 2%
Medical technology liability (2)
(1%) 1%
(1) Excludes certain policies written on an excess and surplus lines basis as the terms and conditions of these policies are not consistent between periods.
(2) See Gross Premiums Written section for further explanation of changes in renewal pricing.
New business written by major component on a direct basis was as follows:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended
September 30
 Nine Months Ended
September 30
(In millions)2017 2016 2017 20162019 2018 2019 2018
Physicians$7.0
 $6.9
 $17.9
 $23.6
$5.8
 $6.2
 $23.3
 $14.9
Healthcare facilities1.9
 0.9
 5.0
 9.1
0.9
 8.9
 7.8
 13.2
Other healthcare providers0.7
 0.6
 1.8
 1.9
0.6
 0.4
 1.3
 2.1
Legal professionals1.0
 0.9
 2.8
 3.3
0.4
 0.7
 2.1
 2.4
Medical technology liability0.8
 0.8
 3.5
 3.8
1.3
 0.6
 3.5
 2.4
Total$11.4
 $10.1
 $31.0
 $41.7
$9.0
 $16.8
 $38.0
 $35.0
For our Specialty P&C segment, we calculate our retention rate as annualized renewed premium divided by all annualized premium subject to renewal. Retention rates are affected by a number of factors. We may lose insureds to competitors or to alternative insurance mechanisms such as risk retention groups or self-insurance entities (often when physicians join hospitals or large group practices) or due to pricing or other issues. We may choose not to renew an insured as a result of our underwriting evaluation. Insureds may also terminate coverage because they have left the practice of medicine for various reasons, principally for retirement, death or disability, but also for personal reasons.
Retention for our Specialty P&C segment, including by major component, was as follows:
 Three Months Ended September 30 Nine Months Ended September 30
 2017 2016 2017 2016
Physicians90% 89% 90% 89%
Healthcare facilities82% 77% 87% 80%
Other healthcare providers83% 85% 85% 86%
Legal professionals*82% 87% 83% 78%
Medical technology liability*86% 90% 85% 87%
* See Gross Premiums Written section for further explanation of retention decline in 2017.
The pricing of our business includes the effects of filed rates, surcharges and discounts. Renewal pricing also reflects changes in our exposure base, deductibles, self-insurance retention limits and other policy terms. We continue to base our pricing on expected losses, as indicated by our historical loss data and available industry loss data. We are committed to a rate structure that will allow us to fulfill our obligations to our insureds, while generating competitive returns for our shareholders.
 Three Months Ended
September 30
 Nine Months Ended
September 30
 2019 2018 2019 2018
Specialty P&C segment (1)
86% 89% 87% 89%
Physicians (1)
89% 89% 89% 90%
Healthcare facilities (1)(2)
57% 82% 69% 86%
Other healthcare providers (1)
87% 87% 88% 87%
Legal professionals88% 89% 88% 85%
Medical technology liability (2)
85% 93% 85% 90%
(1) Excludes certain policies written on an excess and surplus lines basis as the terms and conditions of these policies are not consistent between periods.
(2) See Gross Premiums Written section for further explanation of retention decline in 2019.

Changes in renewal pricing by component was as follows:
 Three Months Ended
September 30
 Nine Months Ended September 30
 2017 2017
Physicians*2% 2%
Healthcare facilities*16% 9%
Other healthcare providers3% 2%
Legal professionals2% 3%
Medical technology liability1% 1%
* See Gross Premiums Written section for further explanation of renewal pricing increase in 2017.
Ceded Premiums Written
Ceded premiums represent the amounts owed to our reinsurers for their assumption of a portion of our losses. Through our current excess of loss reinsurance arrangements we generally retain the first $1 million in risk insured by us and cede coverages in excess of this amount. For our healthcare professional liability coverages, we also retain from 4% - 9% of the next $25 million of risk for coverages in excess of $1 million. For our medical technology liability coverages, we also retain 10% of the next $9 million of risk for coverages in excess of $1 million. We pay our reinsurers a ceding premium in exchange for their accepting the risk, and in certain of our excess of loss arrangements, the ultimate amount of which is determined by the loss experience of the business ceded, subject to certain minimum and maximum amounts.
Ceded premiums written were as follows:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20172016Change 20172016Change20192018Change 20192018Change
Excess of loss reinsurance arrangements (1)
$8,805
$8,557
$248
2.9% $25,845
$23,881
$1,964
8.2%$9,580
$9,722
$(142)(1.5%) $27,562
$27,460
$102
0.4%
Premium ceded to Syndicate 1729 (2)
2,416
4,656
(2,240)(48.1%) 8,906
13,767
(4,861)(35.3%)


% 
2,105
(2,105)nm
Other shared risk arrangements (3)
13,258
9,393
3,865
41.1% 27,923
23,956
3,967
16.6%12,703
13,456
(753)(5.6%) 30,556
28,321
2,235
7.9%
Premium ceded to SPCs (4)
575
524
51
9.7% 5,465
5,041
424
8.4%
Other ceded premiums written1,039
938
101
10.8% 2,726
1,612
1,114
69.1%834
856
(22)(2.6%) 2,531
2,508
23
0.9%
Adjustment to premiums owed under reinsurance agreements, prior accident years, net (4)
(2,520)(2,695)175
(6.5%) (4,480)(7,525)3,045
40.5%
Adjustment to premiums owed under reinsurance agreements, prior accident years, net (5)

(840)840
nm
 
(3,899)3,899
nm
Total ceded premiums written$22,998
$20,849
$2,149
10.3% $60,920
$55,691
$5,229
9.4%$23,692
$23,718
$(26)(0.1%) $66,114
$61,536
$4,578
7.4%
(1) 
We generally reinsure risks under our excess of loss reinsurance arrangements pursuant to which the reinsurers agree to assume all or a portion of all risks that we insure above our individual risk retention levels, up to the maximum individual limits offered. In the majoritycertain of our excess of loss reinsurance arrangements, the premium due to the reinsurer is determined by the loss experience of thethat business reinsured, subject to certain minimum and maximum amounts. The increasePremium due to reinsurers also fluctuates with the volume of written premium subject to cession under the arrangement. For the 2019 three- and nine- month periods, the change in ceded premiums written under our excess of loss reinsurance arrangements for the 2017 three- and nine-month periods primarily reflected adjustments to the premiums we expect to owe our reinsurers based upon adjustments to our estimates of losses that are attributable to our reinsurance partners. For the 2017 three- and nine-month periods, we increased our estimate of premiums we expect to owe our reinsurers whereaschanges in the 2016 three- and nine-month periods we decreased this estimate.overall volume of gross premiums written subject to cession.
(2) 
As previously discussed, we arePrior to January 1, 2018, our Specialty P&C segment ceded premiums to Syndicate 1729 under a 58% participantquota share reinsurance agreement. We record our participation in Syndicate 1729 and record our pro rata share of its operating results in our Lloyd's SyndicateSyndicates segment on a quarter delay.lag, except when information is material to the current period. We also recordrecorded the cession to the Lloyd's Syndicate segment1729 from our Specialty P&C segment on athe same quarter delaylag as the amounts arewere not material and this permitsthat permitted the cession to be reported by both theour Lloyd's SyndicateSyndicates segment and theour Specialty P&C segment in the same reporting period. The decrease in premiums ceded premiums to Syndicate 1729 forduring the 2017 three- and2019 nine-month periods reflectedperiodis due to the revised contract terms effectivenon-renewal of the quota share reinsurance agreement with Syndicate 1729 on January 1, 20172018; the impact of which reducedwas not reflected in ceded premiums written until the premiums ceded by essentially half.second quarter of 2018 due to the previously mentioned quarter lag. See the Segment Operating Results - Lloyd's Syndicate segment results Syndicates section for further discussion on revisions to the quota share agreement as of the most recent renewal date. As our premiums are earned, we recognize the related ceding commission income which reduces underwriting expense by offsetting DPAC amortization. For the 2017 and 2016 three- and nine-month periods the related ceding commission income was approximately 27% of ceded premiums written. For our consolidated results, eliminations of the inter-segment portion (58% of the Specialty P&C cession) of the transactions are also recorded on a quarter delay.agreement.

(3) 
We have entered into various shared risk arrangements, including quota share, fronting, and captive arrangements, with certain large healthcare systems and other insurance entities. These arrangements include our Ascension Health and CAPAssurance programs. While we cede a large portion of the premium written under these arrangements, they provide us an opportunity to grow net premium through strategic partnerships. TheFor the 2019 three-month period, the decrease in ceded premiums written under our shared risk arrangements was primarily due to changes in exposure related to one of our Ascension Health programs, partially offset by growth in certain of our other shared risk arrangements. For the 2019 nine-month period, the increase in the 2017 three- and nine-month periodsceded premiums written under our shared risk arrangements was primarily driven by a few large tail endorsements that were written, and substantially ceded, during the current quarter related to one of these shared risk arrangements, as previously discussed. The remaining increase in both periods was due to growth in our Ascension Health and CAPAssurance programs.program.
(4) 
As previously discussed, as a part of our alternative market solutions, all or a portion of certain healthcare premium written is ceded to SPCs in our Segregated Portfolio Cell Reinsurance segment under either excess of loss or quota share reinsurance agreements, depending on the structure of the individual program. See the Segment Operating Results - Segregated Portfolio Cell Reinsurance section for further discussion on the cession to the SPCs from our Specialty P&C segment. Premiums ceded to SPCs during the 2019 three- and nine- month periods remained relatively unchanged as compared to the same periods of 2018.

(5)
Given the length of time that it takes to resolve our claims, many years may elapse before all losses recoverable under a reinsurance arrangement are known. As a part of the process of estimating our loss reserve we also make estimates regarding the amounts recoverable under our reinsurance arrangements. As previously discussed, the premiums ultimately ceded under certain of our excess of loss reinsurance arrangements are subject to the losses ceded under the arrangements. As part of the review of our reserves during both the 2019 three- and nine- month periods, we concluded that our current estimate of expected losses and associated recoveries for prior year ceded losses was reasonable; therefore, we did not adjust our estimate of ceded premiums owed to reinsurers during the 2019 three- and nine- month periods. For the 2017 and 20162018 three- and nine-monthnine- month periods, we reduced our estimate of expected losses and associated recoveries for prior year ceded losses, as well as our estimate of ceded premiums owed to reinsurers. The change in the adjustment to ceded premiums owed to reinsurers for the 2017 nine-month period as compared to the same period of 2016 was due to the overall change in expected loss recoveries attributable to one large claim during the second quarter of 2017. We do not believe this isolated claim indicates a change in overall loss trends for us or the industry. Changes to estimates of premiums ceded related to prior accident years are fully earned in the period the changes in estimates occur.
Ceded Premiums Ratio
As shown in the table below, our ceded premiums ratio was affected in both 2017 and 20162018 by revisions to our estimate of premiums owed to reinsurers related to coverages provided in prior accident years.
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
2017 2016Change 2017 2016Change2019 2018Change 2019 2018Change
Ceded premiums ratio, as reported13.8% 13.4%0.4pts 14.2% 13.6%0.6
pts14.4% 14.1%0.3
pts 14.4% 13.5%0.9pts
Less the effect of adjustments in premiums owed under reinsurance agreements, prior accident years (as previously discussed)(1.5%) (1.7%)0.2pts (1.0%) (1.8%)0.8
pts% (0.5%)0.5
pts % (0.9%)0.9pts
Ratio, current accident year15.3% 15.1%0.2pts 15.2% 15.4%(0.2)pts14.4% 14.6%(0.2)pts 14.4% 14.4%pts
The increaseslight decrease in the current accident year ceded premiums ratio forduring the 20172019 three-month period was primarily attributabledue to an increasea decrease in premiumpremiums ceded under our other shared risk arrangements, somewhat offset by a decreaseprimarily due to changes in premium cededexposure related to Syndicate 1729. The decline inone of our Ascension Health programs. For the 2019 nine-month period, the current accident year ceded premiumpremiums ratio forwas unchanged as compared to the 2017 nine-monthsame period wasof 2018 due to a decrease in premium ceded tooffsetting factors. While the effect of the non-renewal of the quota share reinsurance agreement with Syndicate 1729 partiallydecreased the current accident year ceded premiums ratio, the impact was offset by an increasethe effect of the loss portfolio transfer entered into during the second quarter of 2018 (increase in gross premiums written with no premium ceded under our shared risk arrangements (seeceded). See discussion above under the heading "Ceded Premiums Written").Written."
Net Premiums Earned
Net premiums earned were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2017 2016 Change 2017 2016 Change
Gross premiums earned$140,427
 $135,221
 $5,206
 3.8% $402,897
 $391,230
 $11,667
 3.0%
Less: Ceded premiums earned22,096
 19,022
 3,074
 16.2% 62,503
 56,150
 6,353
 11.3%
Net premiums earned$118,331
 $116,199
 $2,132
 1.8% $340,394
 $335,080
 $5,314
 1.6%
Net premiums earned consist of gross premiums earned less the portion of earned premiums that we cede to our reinsurers for their assumption of a portion of our losses. Because premiums are generally earned pro rata over the entire policy period, fluctuations in premiums earned tend to lag those of premiums written. Generally, our policies carry a term of one year, butyear; however, as discussed above, we write certain policies with a twenty-four month term, and a few of our medical technology liability policies carryhave a multi-year term. Tail coverage premiums are generally 100% earned in the period written because the policies insure only incidents that occurred in prior periods and are not cancellable. Retroactive coverage premiums are 100% earned at the inception of the contract, as all of the underlying loss events occurred in the past. Additionally, ceded premium changes due to changes to estimates of premiums owed under reinsurance agreements for prior accident years are fully earned in the period of change.

Net premiums earned were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2019 2018 Change 2019 2018 Change
Gross premiums earned$146,514
 $141,811
 $4,703
 3.3% $434,699
 $437,108
 $(2,409) (0.6%)
Less: Ceded premiums earned21,277
 21,022
 255
 1.2% 59,384
 58,753
 631
 1.1%
Net premiums earned$125,237
 $120,789
 $4,448
 3.7% $375,315
 $378,355
 $(3,040) (0.8%)
The increase in gross premiums earned during the 2017 three-2019 three-month period was primarily due to a loss portfolio transfer entered into during the third quarter of 2019 which resulted in $2.7 million of one-time premium written and nine-month periods primarilyfully earned in the current period (see discussion under the heading "Gross Premiums Written"). Additionally, the increase in gross premiums earned during the 2019 three-month period reflected the pro rata effect of higheran increase in the volume of written premium during the preceding twelve months, predominantly in our physicians line of business driven by increases in renewal pricing. The decrease in gross premiums earned during the 2019 nine-month period was due to the loss portfolio transfer entered into during the second quarter of 2018 which resulted in $26.6 million of one-time premium written and fully earned in the prior period (see discussion under the heading "Gross Premiums Written"). After removing the impact of the loss portfolio transfer, gross

premiums earned increased during the 2019 nine-month period driven by the pro rata effect of an increase in the volume of written premium during the preceding twelve months, predominantly in our healthcare facilities lineand physicians lines of business and a few large tail policies written anddriven by an increase in renewal pricing.
The increase in ceded premiums earned during the third quarter of 2017. For the 20172019 three- and nine-monthnine- month periods as compared to the same periods of 2018 reflected the effect of adjustments made during the 2018 three- and nine- month periods to ceded premiums owed under reinsurance agreements related to prior accident year ceded premiums reductionslosses; no such adjustments were $0.2 million and $3.0 million lower than formade during the 2016 three- and nine-monthsame respective periods respectivelyof 2019 (see previous discussion in this sectionfootnote 5 under the heading "Ceded Premiums Written"). After removing the effect of the prior accident year ceded premium adjustments in 2018, ceded premiums earned decreased during the 2019 three- and nine- month periods approximately $0.6 million and $3.3 million, respectively, as compared to the same periods of 2018. The decrease in ceded premiums earned during both the 2019 three- and nine- month periods was driven by the non-renewal of the quota share reinsurance agreement with Syndicate 1729, partially offset by the pro rata effect of an increase in premiums ceded under our shared risk arrangements during the preceding twelve months, predominately in our CAPAssurance program.
Losses and Loss Adjustment Expenses
The determination of calendar year losses involves the actuarial evaluation of incurred losses for the current accident year and the actuarial re-evaluation of incurred losses for prior accident years, including an evaluation of the reserve amounts required for losses in excess of policy limits.
Accident year refers to the accounting period in which the insured event becomes a liability of the insurer. For claims-made policies, which represent over 90%the majority of the premiums written in our Specialty P&C segment, the insured event generally becomes a liability when the event is first reported to the insurer.us. For occurrence policies, the insured event becomes a liability when the event takes place. For retroactive coverages, the insured event becomes a liability at inception of the underlying contract. We believe that measuring losses on an accident year basis is the best measure of the underlying profitability of the premiums earned in that period, since it associates policy premiums earned with the estimate of the losses incurred related to those policy premiums.
The following table summarizes calendar year net loss ratios by separating losses between the current accident year and all prior accident years. Additionally, the table shows our current accident year net loss ratio wasratios for the three and nine months ended September 30, 2018 were affected by revisions to our estimate of premiums owed to reinsurers related to coverages provided in prior accident years. NetThe net loss ratios for the periodour Specialty P&C segment were as follows:
Net Loss Ratios (1)
Net Loss Ratios (1)
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
2017 2016 Change 2017 2016 Change2019 2018 Change 2019 2018 Change
Calendar year net loss ratio62.4% 62.2% 0.2
pts 64.7% 61.4% 3.3
pts85.9% 81.4% 4.5pts 85.6% 77.4% 8.2pts
Less impact of prior accident years on the net loss ratio(25.4%) (25.9%) 0.5
pts (24.0%) (26.9%) 2.9
pts(8.6%) (12.0%) 3.4pts (8.3%) (14.5%) 6.2pts
Current accident year net loss ratio87.8% 88.1% (0.3)pts 88.7% 88.3% 0.4
pts94.5% 93.4% 1.1pts 93.9% 91.9% 2.0pts
Less estimated ratio increase (decrease) attributable to:                
     
Ceded premium adjustments, prior accident years (2)
(1.9%) (2.1%) 0.2
pts (1.2%) (2.0%) 0.8
pts% (0.7%) 0.7pts % (1.0%) 1.0pts
Current accident year net loss ratio, excluding the effect of prior year ceded premium (3)
89.7% 90.2% (0.5)pts 89.9% 90.3% (0.4)pts94.5% 94.1% 0.4pts 93.9% 92.9% 1.0pts
(1) 
Net losses, as specified, divided by net premiums earned.
(2) 
Reductions to premiums owed under reinsurance agreements for prior accident years increased Netnet premiums earned (the denominator of the current accident year ratio) for the 2017 and 20162018 three- and nine-monthnine- month periods. No such adjustments were made during the 2019 three- and nine- month periods. See the discussion in the Premiums section for our Specialty P&C segment under the heading "Ceded Premiums Written" for additional information.
(3) 
The declinecurrent accident year net loss ratio for the 2019 three- and nine- month periods as compared to the same periods of 2018, excluding the effect of prior year ceded premium adjustments (as shown in the table above), was higher due to our continued concern around loss trends in the broader HCPL industry. Furthermore, the increase in the current accident year net loss ratio forduring the 2017 three-month period primarily reflected2019 three- and nine- month periods was due to changes in the mix of business including a higher volume of earned premium in our excess and surplus lines of business, which carries a higher loss ratio as compared to the segment's overall book of business. For the 2017 nine-month period, the decline reflected anThe increase in our estimate of losses ultimately recoverable from our reinsurance partners and changes in expected loss costs related to mass tort litigation. While we increased our reserves related to mass tort litigation in both the 2017 and 2016 nine-month periods, the increase was substantially less in the 2017 nine-month period and resulted in an 0.3 percentage point decrease to the current accident year net loss ratio induring the 20172019 nine-month period.period was partially offset by the effect of the loss portfolio transfer (net premiums earned at a 95% loss ratio) entered into during the second quarter of 2018, as previously discussed under the heading "Gross Premiums Written."
We recognized net favorable loss development related to our previously established reserves of $30.1$10.8 million and $81.9$31.0 million during the three and nine months ended September 30, 2017,2019, respectively, and $30.0$14.4 million and $90.2$55.0 million during

the same respective periods of 2016.2018. We re-evaluate our previously established reserve each quarter based on ourupon the most recently available claims data andcompleted actuarial analysis supplemented by any new analysis, information or trends that have emerged since the date of that study. We also take into account currently available industry trend information. Development recognized during the three and nine months endedSeptember 30, 20172019 principally related to accident years 20102012 through 2014.2015. Development recognized during the three and nine months ended September 30, 20162018 principally related to accident years 20092011 through 2013.2015. While our reserves continue to develop favorably, net favorable prior year reserve development recognized in the 2019 three- and nine- month periods was lower as compared to the same respective periods of 2018 primarily due to the observed increase in claim severity in the broader HCPL industry as well as prior year loss volatility in large account business.
A detailed discussion of factors influencing our recognition of loss development is included in our Critical Accounting Estimates section under the heading "Reserve for Losses and Loss Adjustment Expenses" and in our 20162018 Form 10-K under the

same heading. Assumptions used in establishing our reserve are regularly reviewed and updated by management as new data becomes available. Any adjustments necessary are reflected in the then current operations. Due to the size of our reserve, even a small percentage adjustment to the assumptions can have a material effect on our results of operations for the period in which the change is made, as was the case in both 20172019 and 20162018.
Underwriting, Policy Acquisition and Operating Expenses
Our Specialty P&C segment underwriting, policy acquisition and operating expenses for the three and nine months ended September 30, 2017 and 2016 were comprised as follows:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2017 2016 Change 2017 2016 Change2019 2018 Change 2019 2018 Change
Specialty P&C segment:               
DPAC amortization$12,405
 $10,901
 $1,504
 13.8% $35,350
 $32,854
 $2,496
 7.6%$13,733
 $12,901
 $832
 6.4% $42,268
 $38,886
 $3,382
 8.7%
Management fees2,004
 1,832
 172
 9.4% 5,156
 4,928
 228
 4.6%1,925
 2,018
 (93) (4.6%) 5,365
 5,504
 (139) (2.5%)
Other underwriting and operating expenses12,628
 13,830
 (1,202) (8.7%) 38,746
 39,737
 (991) (2.5%)14,042
 13,012
 1,030
 7.9% 41,544
 39,443
 2,101
 5.3%
Total$27,037
 $26,563
 $474
 1.8% $79,252
 $77,519
 $1,733
 2.2%$29,700
 $27,931
 $1,769
 6.3% $89,177
 $83,833
 $5,344
 6.4%
DPAC amortization increased for the three and nine months ended September 30, 20172019 as compared to the same respective periods of 2016 primarily2018 driven by an increase in earned premium, excluding the effecteffects of higher gross premiumsthe premium earned from the loss portfolio transfers from the third quarter of 2019 and the second quarter of 2018 as there were no deferred acquisition costs associated with those transactions (see discussion under the heading "Gross Premiums Written"). For the 2019 three-month period, the increase in 2017 and, to a lesser extent, a slight decreaseDPAC amortization was partially offset by an increase in ceding commission income, which is an offset to expense.expense, primarily due to growth in certain of our shared risk arrangements. For the 2019 nine-month period, the increase in DPAC amortization also reflected a decrease in ceding commission income due to the reduction in premiums ceded to Syndicate 1729, partially offset by an increase in ceding commission income from certain of our shared risk arrangements.
Management fees are charged pursuant to a management agreement by the Corporate segment to the operating subsidiaries within our Specialty P&C segment for services provided, based on the extent to which services are provided to the subsidiary and the amount of premium written by the subsidiary. While the terms of the management agreement were consistent between 20162018 and 2017,2019, fluctuations in the amount of premium written by each subsidiary can result in corresponding variations in the management fee charged to each subsidiary during a particular period.
Other underwriting and operating expenses decreasedincreased during the 20172019 three- and nine-monthnine- month periods as compared to the same respective periods of 2016 primarily driven by non-recurring costs in 2016, including state assessments2018 due to fees incurred associated with a data analytics services agreement entered into during the fourth quarter of 2018 of $1.4 million and a donation to a scholarship program for which we received a wholly offsetting tax credit during 2016. The decrease in both periods was$3.7 million, respectively, partially offset by an increasea decrease in compensation related expenses and costs associated withas a result of lower bonuses. See Note 7 of the amortization of new software that was put into service duringNotes to Condensed Consolidated Financial Statements for further information on the first quarter of 2017.data analytics services agreement.

Underwriting Expense Ratio (the Expense Ratio)
The underwritingOur expense ratio for ourthe Specialty P&C segment remained relatively flat for the three and nine months ended September 30, 20172019 and 2018, respectively, was as follows:
 Three Months Ended September 30 Nine Months Ended September 30
 2019 2018 Change 2019 2018 Change
Underwriting expense ratio23.7% 23.1% 0.6pts 23.8% 22.2% 1.6pts
The underwriting expense ratio increased in the 2019 three- and nine- month periods as compared to the same periods of 2016, as shown below:
 Three Months Ended September 30 Nine Months Ended September 30
 2017 2016 Change 2017 2016 Change
Underwriting expense ratio22.8% 22.9% (0.1)pts 23.3% 23.1% 0.2pts

Segregated Portfolio Cell Dividend Expense (Income)
During 2016, we expanded our alternative market solutions by writing HCPL premium in three SPCs at Eastern Re. Consistent with2018. Excluding the SPC structure discussed inimpacts of the Workers' Compensation segment section that follows,loss portfolio transfers entered into during the net operating resultsthird quarter of each cell, net of any participation we have taken in the SPCs, are due to the external owners of that cell. Our Specialty P&C segment does not currently participate in the cells that write HCPL premium,2019 and therefore retains no profit or loss. SPC dividend (expense) income for the three and nine months ended September 30, 2017 and 2016 was as follows:
 Three Months Ended September 30 Nine Months Ended September 30
(In thousands)2017 2016 Change 2017 2016 Change
SPC dividend (expense) income$65
 $(94) $159
 $(5,026) $(94) $(4,932)
The SPC dividend expense for the 2017 nine-month period reflected a $5.2 million pre-tax expense recognized during the second quarter of 2017 related to previously unrecognized SPC dividend2018 (net premiums earned with minimal associated operating expenses), the underwriting expense ratio for the cumulative earnings of unrelated parties that have owned SPCs at various times since 2003 within a Bermuda captive insurance operation. Historically, within our HCPL business, we have written a limited number of segregated cell captive programs through this Bermuda captive arrangement2019 three- and the use of this facility has declinednine- month periods increased 1.1 percentage points and 0.2 percentage points, respectively, as the HCPL insurance market has softened. The SPC dividend expense attributable to those cells was unrelatedcompared to the captive operationssame periods of our Eastern Re subsidiary. See2018. The increase in the Underwriting, Policy Acquisitionunderwriting expense ratio in the 2019 three- and Operating Expense sectionnine- month periods as compared to the same periods of 2018 was driven by the fees associated with a data analytics services agreement, as discussed above, partially offset by a decrease in our Workers' Compensation segment results for more information on our SPCs.compensation related costs as a result of lower bonuses.

Segment Operating Results - Workers' Compensation Insurance
Our Workers' Compensation Insurance segment provides traditionalincludes workers' compensation insurance products and alternative market solutions for workers' compensation risksprovided to employers generally with 1,000 or fewer employees, as discussed in Note 1114 of the Notes to Condensed Consolidated Financial Statements. SegmentWorkers' compensation products offered include guaranteed cost policies, policyholder dividend policies, retrospectively-rated policies, deductible policies and alternative market solutions. Alternative market products include program design, fronting, claims administration, risk management, SPC rental, asset management and SPC management services. Alternative market premiums are 100% ceded to either the SPCs within our Segregated Portfolio Cell Reinsurance segment or, to a limited extent, an unaffiliated captive insurer. Our Workers' Compensation Insurance segment operating results reflectreflected pre-tax underwriting profit or loss which includes SPC dividend expense (income). Investmentfrom these workers' compensation products, exclusive of investment results, which includes the SPC investment results, are included in our Corporate segment. Segment operating results included the following:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20172016Change 20172016Change20192018Change 20192018Change
Net premiums written$54,647
$54,444
$203
0.4% $184,917
$175,986
$8,931
5.1%$49,663
$45,945
$3,718
8.1% $146,101
$150,581
$(4,480)(3.0%)
          
Net premiums earned$57,654
$54,498
$3,156
5.8% $169,791
$163,974
$5,817
3.5%$49,477
$47,296
$2,181
4.6% $141,990
$135,230
$6,760
5.0%
Other income164
86
78
90.7% 519
696
(177)(25.4%)494
376
118
31.4% 1,948
1,828
120
6.6%
Net losses and loss adjustment expenses(35,081)(34,472)(609)1.8% (103,217)(104,160)943
(0.9%)(32,356)(30,650)(1,706)5.6% (93,424)(87,794)(5,630)6.4%
Underwriting, policy acquisition and operating expenses(18,434)(18,331)(103)0.6% (52,220)(52,494)274
(0.5%)(14,895)(15,410)515
(3.3%) (43,456)(41,545)(1,911)4.6%
Segregated portfolio cells dividend (expense) income (1)
(1,722)(1,449)(273)18.8% (5,593)(3,440)(2,153)62.6%
Segment operating results$2,581
$332
$2,249
677.4% $9,280
$4,576
$4,704
102.8%$2,720
$1,612
$1,108
68.7% $7,058
$7,719
$(661)(8.6%)
          
Net loss ratio     65.4%64.8%0.6
pts 65.8%64.9%0.9
pts
Traditional business65.2%66.5%(1.3)pts 65.0%66.5%(1.5)pts
Alternative market business49.7%54.3%(4.6)pts 49.8%55.0%(5.2)pts
Segment results60.8%63.3%(2.5)pts 60.8%63.5%(2.7)pts
     
Underwriting expense ratio     30.1%32.6%(2.5)pts 30.6%30.7%(0.1)pts
Traditional business32.5%34.6%(2.1)pts 30.8%32.4%(1.6)pts
Alternative market business30.6%31.0%(0.4)pts 30.7%31.0%(0.3)pts
Segment results32.0%33.6%(1.6)pts 30.8%32.0%(1.2)pts
(1) Represents the underwriting profit (loss) attributable to the alternative market business ceded to the SPCs at Eastern Re, net of our participation.
On September 18, 2017, Eastern Alliance Insurance Group completed its acquisition of Great Falls Insurance Company’s (“Great Falls”) book of workers’ compensation insurance business for consideration of $4.2 million. Eastern paid $2.85 million at closing, and the remaining $1.35 million is contingent upon Eastern renewing at least 75% of the acquired renewal book of business. In the event Eastern renews less than 75% but greater than 50% of the acquired renewal book of business, the contingent consideration will be reduced on a pro-rated basis. Great Falls is a monoline workers’ compensation insurance company domiciled in Maine and is licensed to write business in Maine and New Hampshire. Great Falls' direct premiums written was approximately $13.3 million for the year ended December 31, 2016. In addition to the renewal book of business, Eastern assumed Great Falls' contracts with agency partners and all Great Falls' employees became our employees. The acquisition of the renewal rights will expand Eastern’s operations into Maine and New Hampshire and ultimately other New England states, providing geographic diversification and the ability to expand our specialty workers’ compensation products and services in the New England marketplace. The transaction was accounted for as an asset acquisition and resulted in the recognition of intangible assets totaling $4.3 million, including transaction-related costs.

Premiums Written
Our workers’ compensation premium volume is driven by fourfive primary factors: (1) the amount of new business written, (2) audit premium, (3) retention of our existing book of business, and (4) premium rates charged on our renewal book of business.business and (5) changes in payroll exposure.
Gross, ceded and net premiums written were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20172016Change 20172016Change
Gross premiums written         
Traditional business*$42,592
$43,225
$(633)(1.5%) $139,614
$136,407
$3,207
2.4%
Alternative market business17,091
16,685
406
2.4% 63,623
58,013
5,610
9.7%
Segment results59,683
59,910
(227)(0.4%) 203,237
194,420
8,817
4.5%
Less: Ceded premiums written        
Traditional business2,193
2,851
(658)(23.1%) 5,956
7,174
(1,218)(17.0%)
Alternative market business*2,843
2,615
228
8.7% 12,364
11,260
1,104
9.8%
Segment results5,036
5,466
(430)(7.9%) 18,320
18,434
(114)(0.6%)
Net premiums written     

 



Traditional business40,399
40,374
25
0.1% 133,658
129,233
4,425
3.4%
Alternative market business14,248
14,070
178
1.3% 51,259
46,753
4,506
9.6%
Segment results$54,647
$54,444
$203
0.4% $184,917
$175,986
$8,931
5.1%
* Traditional gross premiums written and alternative market ceded premiums written are reported net of alternative market premiums assumed by our traditional business totaling $0.2 million and $0.5 million for the 2017 three- and nine-month periods, respectively, and $0.2 million and $0.7 million for the same respective periods of 2016.
Our traditional workers’ compensation insurance products include guaranteed cost, dividend, deductible and retrospectively-rated policies. Our alternative market business is 100% ceded to either the SPCs at our wholly owned Cayman Islands reinsurance subsidiary, Eastern Re, or to unaffiliated captive insurers. As of September 30, 2017, there were 24 (21 active) SPCs at Eastern Re and 3 active alternative market programs with unaffiliated captive insurers.
Additional information regarding the structure of the SPCs is included in the Underwriting, Policy Acquisition and Operating Expense section that follows.
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20192018Change 20192018Change
Gross premiums written$70,066
$65,719
$4,347
6.6% $223,638
$228,271
$(4,633)(2.0%)
Less: Ceded premiums written20,403
19,774
629
3.2% 77,537
77,690
(153)(0.2%)
Net premiums written$49,663
$45,945
$3,718
8.1% $146,101
$150,581
$(4,480)(3.0%)
Gross Premiums Written
Gross premiums written by product were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2019 2018 Change 2019 2018 Change
Traditional business:               
Guaranteed cost$44,164
 $39,601
 $4,563
 11.5% $124,460
 $122,474
 $1,986
 1.6%
Policyholder dividend4,718
 4,551
 167
 3.7% 16,972
 17,737
 (765) (4.3%)
Deductible2,199
 2,277
 (78) (3.4%) 5,276
 7,236
 (1,960) (27.1%)
Retrospective36
 369
 (333) (90.2%) 3,073
 6,013
 (2,940) (48.9%)
Other2,220
 2,123
 97
 4.6% 6,822
 7,305
 (483) (6.6%)
Alternative market business16,729
 16,798
 (69) (0.4%) 67,035
 67,506
 (471) (0.7%)
Total$70,066
 $65,719
 $4,347
 6.6% $223,638
 $228,271
 $(4,633) (2.0%)

Gross premiums written in our traditional business increased during the three months ended September 30, 2019 as compared to the same period of 2018, which primarily reflected new business written, including the addition of four large policies totaling $3.9 million, and alternative marketan increase in audit premium, partially offset by a decrease in renewal pricing and the renewal retention rate. Gross premiums written in our traditional business decreased during the nine months ended September 30, 2019 as compared to the same period of 2018, which reflected our reaction to underpricing that is occurring in a very competitive market. New business written, renewal pricing and the renewal retention rate all declined during the 2019 nine-month period as compared to the same period of 2018. Retrospective policy premiums written include an estimate for retrospective premium adjustments, which are based on the loss experience of the underlying policies. Retrospective premium adjustments decreased premiums written by $0.4 million and $1.8 million in the 2019 three- and nine- month periods, respectively, compared to adjustments that decreased premiums written by $0.2 million and increased premiums written by $0.4 million for the same respective periods of 2018.
New business opportunities, renewal pricing and retention continue to be a challenge as a result of intense competition, especially from package carriers that are willing to underprice their workers’ compensation products to offset other coverages. This has resulted in fewer new business opportunities, which is reflected in a 13% decline in submissions during the 2019 nine-month period. However, new business written was higher for the three and nine months ended September 30, 20172018 as it included approximately $3.1 million and 2016 are reflected$11.1 million, respectively, of premiums written related to the acquisition of the Great Falls renewal book of business. Renewal pricing decreases reflect the competitive market, as well as the impact of state loss cost decreases in the table above. The increasemajority of the states in gross premiums writtenwhich we write business. In addition, the decrease in the retention rate during the 2019 nine-month period reflected the loss of two large policies totaling approximately $3.3 million during the second quarter of 2019. If these two policies would have renewed, the retention rate for the nine months ended September 30, 2017segment during the 2019 nine-month period would have been 1.4 percentage points higher as compared to the same period of 2016, primarily reflected new business written and an improved retention rate, partially offset by a reduction in audit premium and declines in renewal pricing. 2018.
Gross premiums written in our traditionalalternative market business declined fordecreased during the three months ended September 30, 2017, primarily due to the changes in estimated premiums under retrospectively rated policies. The underlying loss experience on the retrospectively rated policies resulted in a reduction of written premium in 2017,2019 three- and nine- month periods as compared to an increasethe same periods in written premium2018. New business and renewal pricing trends in 2016.our alternative market business for the 2019 nine-month period were relatively consistent with the trends in our traditional business. We retained all 16 of the available workers' compensation alternative market programs up for renewal forduring the nine months ended September 30, 2017, including one program in the third quarter of 2017.2019. During the third quarter of 2017,2019, we added one new alternative market program at Eastern Re that will write business previously ceded to two unaffiliated captive programs. One of the unaffiliated programs was non-renewed during the third quarter of 2017 and the other program will be non-renewed in the fourth quarter of 2017.

Inova Re.
New business, audit premium, retention and renewal price changes for both the traditional business and the alternative market business for 2017 and 2016 are shown in the table below:
 Three Months Ended September 30
 2017 2016
($ in millions)Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
New business$7.1
$2.1
$9.2
 $5.3
$1.5
$6.8
Audit premium (including EBUB)$0.4
$0.3
$0.7
 $1.5
$
$1.5
Retention rate (1)
85%92%87% 81 %88 %83 %
Change in renewal pricing (2)
(5%)(4%)(5%) (4%)(2%)(3%)

Nine Months Ended September 30Three Months Ended September 30
2017 20162019 2018
($ in millions)Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
New business$24.2
$8.5
$32.7

$15.1
$7.7
$22.8
$10.5
$0.8
$11.3
 $10.2
$1.6
$11.8
Audit premium (including EBUB)$2.1
$0.7
$2.8

$4.2
$0.4
$4.6
$1.4
$0.4
$1.8
 $0.6
$0.6
$1.2
Retention rate (1)
86%94%88%
83%88%84%81%96%84% 85%87%85%
Change in renewal pricing (2)
(4%)(4%)(4%)
(2%)(1%)(1%)(4%)(5%)(4%) 1%1%1%
      
Nine Months Ended September 30
2019 2018
($ in millions)Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
New business$22.3
$3.0
$25.3
 $34.2
$7.0
$41.2
Audit premium (including EBUB)$2.3
$1.3
$3.6
 $2.6
$1.0
$3.6
Retention rate (1)
81%93%84% 85%91%87%
Change in renewal pricing (2)
(3%)(4%)(3%) (1%)%%
   
(1) We calculate our workers' compensation retention rate as annualized expiring renewed premium divided by all annualized expiring premium subject to renewal. Our retention rate can be impacted by various factors, including price or other competitive issues, insureds being acquired, or a decision not to renew based on our underwriting evaluation.
(1) We calculate our workers' compensation retention rate as annualized expiring renewed premium divided by all annualized expiring premium subject to renewal. Our retention rate can be impacted by various factors, including price or other competitive issues, insureds being acquired, or a decision not to renew based on our underwriting evaluation.
(1) We calculate our workers' compensation retention rate as annualized expiring renewed premium divided by all annualized expiring premium subject to renewal. Our retention rate can be impacted by various factors, including price or other competitive issues, insureds being acquired, or a decision not to renew based on our underwriting evaluation.
(2) The pricing of our business includes an assessment of the underlying policy exposure and the effects of current market conditions. We continue to base our pricing on expected losses, as indicated by our historical loss data. The renewal rate decreases reflected the competitive workers’ compensation environment and the impact of loss cost reductions due to declining frequency trends in certain states in which we do business.
(2) The pricing of our business includes an assessment of the underlying policy exposure and the effects of current market conditions. We continue to base our pricing on expected losses, as indicated by our historical loss data.
(2) The pricing of our business includes an assessment of the underlying policy exposure and the effects of current market conditions. We continue to base our pricing on expected losses, as indicated by our historical loss data.

Ceded Premiums Written
Ceded premiums written reflected our external reinsurance programs and alternative market business ceded to unaffiliated captive insurance companies.
Ceded premiums written were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20172016Change 20172016Change
Premiums ceded to external reinsurers         
Traditional business$2,573
$2,896
$(323)(11.2%) $6,928
$7,498
$(570)(7.6%)
Alternative market business1,783
1,725
58
3.4% 6,401
5,606
795
14.2%
Segment results4,356
4,621
(265)(5.7%) 13,329
13,104
225
1.7%
Change in return premium estimate under external reinsurance        

Traditional business(380)(45)(335)744.4% (972)(324)(648)(200.0%)
Alternative market business


nm
 


nm
Segment results(380)(45)(335)744.4% (972)(324)(648)(200.0%)
Premiums ceded to unaffiliated captive insurers        

Traditional business


nm
 


nm
Alternative market business1,060
890
170
19.1% 5,963
5,654
309
5.5%
Segment results1,060
890
170
19.1% 5,963
5,654
309
5.5%
Total ceded premiums written     







Traditional business2,193
2,851
(658)(23.1%) 5,956
7,174
(1,218)(17.0%)
Alternative market business2,843
2,615
228
8.7% 12,364
11,260
1,104
9.8%
Segment results$5,036
$5,466
$(430)(7.9%) $18,320
$18,434
$(114)(0.6%)
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2019 2018 Change 2019 2018 Change
Premiums ceded to SPCs$16,706
 $16,275
 $431
 2.6% $64,610
 $63,214
 $1,396
 2.2%
Premiums ceded to external reinsurers3,471
 3,429
 42
 1.2% 10,287
 9,502
 785
 8.3%
Premiums ceded to unaffiliated captive insurers23
 523
 (500) (95.6%) 2,425
 4,292
 (1,867)
(43.5%)
Change in return premium estimate under external reinsurance203
 (453) 656
 144.8% 215
 682
 (467) (68.5%)
Total ceded premiums written$20,403
 $19,774
 $629
 3.2% $77,537
 $77,690
 $(153) (0.2%)
WeOur Workers' Compensation Insurance segment cedes alternative market business under a 100% quota share reinsurance agreement, net of a ceding commission, to SPCs in our Segregated Portfolio Cell Reinsurance segment.
Under our external reinsurance agreement, we retain the first $0.5 million in risk insured by us on our traditional business and cede losses in excess of this amount on each loss occurrence under our primary external reinsurance treaty. Effective May 1, 2019, our primary reinsurance layer was renewed with an AAD equal to the greater of $3.9 million or 2.1% of subject premium, in excess of the $0.5 million retention per loss occurrence, and the elimination of the return premium component of the contract. The addition of the AAD was partially offset by a reduction in the reinsurance rates under our renewed program. Per our reinsurance agreements, we cede premiums related to our traditional external reinsurance contract contains a returnbusiness on an earned premium provision under which we estimate return premium based on the underlying loss experience of policies covered under the contract. In our alternative market business, the risk retention for each loss occurrence ranges from $0.3 million to $0.35 million based on the alternative market program. We cede 100% ofbasis. The increase in premiums written under four alternative market programs to unaffiliated captive insurers.
Premiums ceded to external reinsurers in our traditional business decreased during the three and nine months ended September 30, 2017. The decline in traditional ceded premiums2019 primarily reflected an increase in revenue sharing with our reinsurance broker,earned premium, partially offset by the impact of lower reinsurance rates for the treaty year effective May 1, 2019.
The decrease in premiums ceded to unaffiliated captive insurers during the three and nine months ended September 30, 2019 reflected the impact of a novation of an increaseunaffiliated captive program into an SPC at Inova Re during the fourth quarter of 2018. The premium now written through this SPC is reflected in reinsurance rates.premiums ceded to SPCs in the table above. As of September 30, 2019, there is only one remaining unaffiliated captive program.
Changes in the return premium estimate reflected the loss experience under the reinsurance contract for the three and nine months ended September 30, 20172019 and 2016.2018. The increasechange in theestimated return premium estimate for the three and nine months ended September 30, 2017 primarily2019 reflected improvedprior year unfavorable loss experience in the 2015-2016 and 2016-2017 contract years.

development on reinsured claims.
Ceded Premiums Ratio
Ceded premiums ratio was as follows:
Three Months Ended September 30
2017 2016 ChangeThree Months Ended September 30 Nine Months Ended September 30
Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
2019 2018 Change 2019 2018 Change
Ceded premiums ratio, as reported5.1%16.6%8.4% 6.6%15.7%9.1% (1.5)0.9(0.7)33.5% 34.2% (0.7)pts 34.1% 34.6% (0.5)pts
Less the effect of: 
    

     

 
Premiums ceded to SPCs (100%)25.4% 25.8% (0.4)pts 26.2% 25.0% 1.2
pts
Retrospective premium adjustments% % 
pts 0.1% % 0.1
pts
Premiums ceded to unaffiliated captive insurers (100%)1.2% 2.4% (1.2)pts 1.1% 2.7% (1.6)pts
Return premium estimated under external reinsurance(0.9%)—%(0.6%) (0.1%)—%(0.1%) (0.8)(0.5)0.4% (0.9%) 1.3
pts 0.1% 0.5% (0.4)pts
Premiums ceded to unaffiliated captive insurers (100%)—%5.5%1.7% —%4.8%1.4% 0.70.3
Ceded premiums ratio, less the effects of above6.0%11.1%7.3%
6.7%10.9%7.8% (0.7)0.2(0.5)
Assumed premiums earned (not ceded to external reinsurers)(0.3%) (0.3%) 
pts (0.3%) (0.3%) 
pts
Ceded premiums ratio (related to external reinsurance), less the effects of above6.8%
7.2%
(0.4)pts 6.9%
6.7% 0.2
pts

Nine Months Ended September 30

2017 2016 Change

Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
Ceded premiums ratio, as reported4.3%19.4%9.0%
5.3%19.4%9.5% (1.0)(0.5)
Less the effect of:






    
Return premium estimated under external reinsurance(0.7%)—%(0.5%)
(0.2%)—%(0.2%) (0.5)(0.3)
Premiums ceded to unaffiliated captive insurers (100%)—%8.3%2.8%
—%8.7%2.7% (0.4)0.1
Ceded premiums ratio, less the effects of above5.0%11.1%6.7%
5.5%10.7%7.0% (0.5)0.4(0.3)
Per our reinsurance agreements,The above table reflects ceded premiums earned as a percent of gross premiums earned. As discussed above, we cede premiums related to our traditional business to external reinsurers on an earned premium basis, whereas alternative marketbasis. For the three months ended September 30, 2019, the ceded premiums are ceded on a written premium basis. The decreaseratio, excluding the effects in the traditional ceded premium ratio reflectstable above, decreased as compared to the same period in 2018 which primarily reflected the impact of lower reinsurance rates for the revenue sharing noted above, partially offset by the increase in reinsurance rates. The alternative markets ceded premium ratio, less the effect of premiums ceded to the unaffiliated captive insurers, reflected premiums ceded to our external reinsurers related to the SPCs at Eastern Re. The reinsurance rate for our alternative market business varies by program.treaty year effective May 1, 2019.

Net Premiums Earned
Net premiums earned were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20172016Change 20172016Change
Gross premiums earned       

 
Traditional business*$43,492
$42,582
$910
2.1% $127,761
$127,426
$335
0.3%
Alternative market business20,200
18,502
1,698
9.2% 59,855
55,601
4,254
7.7%
Segment results63,692
61,084
2,608
4.3% 187,616
183,027
4,589
2.5%
Less: Ceded premiums earned       



Traditional business2,193
2,850
(657)(23.1%) 5,956
7,174
(1,218)(17.0%)
Alternative market business*3,845
3,736
109
2.9% 11,869
11,879
(10)(0.1%)
Segment results6,038
6,586
(548)(8.3%) 17,825
19,053
(1,228)(6.4%)
Net premiums earned     







Traditional business41,299
39,732
1,567
3.9% 121,805
120,252
1,553
1.3%
Alternative market business16,355
14,766
1,589
10.8% 47,986
43,722
4,264
9.8%
Segment results$57,654
$54,498
$3,156
5.8% $169,791
$163,974
$5,817
3.5%
* Traditional gross premiums earned and alternative market ceded premiums earned are reported net of alternative market premiums assumed by our traditional business totaling $0.2 million and $0.4 million for the 2017 three- and nine-month periods, respectively, and $0.2 million and $0.7 million for the same respective periods of 2016.
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20192018Change 20192018Change
Gross premiums earned$74,403
$71,835
$2,568
3.6% $215,561
$206,927
$8,634
4.2%
Less: Ceded premiums earned24,926
24,539
387
1.6% 73,571
71,697
1,874
2.6%
Net premiums earned$49,477
$47,296
$2,181
4.6% $141,990
$135,230
$6,760
5.0%
Net premiums earned consist of gross premiums earned less the portion of earned premiums that we cede to SPCs in our Segregated Portfolio Cell Reinsurance segment, external reinsurers for their assumptionor to any unaffiliated captive insurers. Because premiums are generally earned pro rata over the entire policy period, fluctuations in premiums earned tend to lag those of a portion of our losses.premiums written. Our workers’ compensation policies are twelve-monthtwelve month term policies, and premiums are earned on a pro rata basis over the policy period. Net premiums earned also include premium adjustments related to the audit of our insureds' payrolls. Payroll audits are conducted subsequent to the end of the policy period and any related adjustments are recorded as fully earned in the current period. In addition, we record an estimate for EBUB and evaluate the estimate on a quarterly basis. We did not adjust the EBUB estimate during the three and nine months ended September 30, 2017 and 2016.2019 or 2018. The increase in net premiums earned primarily reflected the pro rata effect of higher net premiums written during the preceding twelve months, partially offset by retrospective premium adjustments, as previously discussed.
Losses and Loss Adjustment Expenses
The following table summarizes calendar year net loss ratios by separating losses between the current accident year and all prior accident years. Calendar year and current accident year net loss ratios by component were as follows:
 Three Months Ended September 30
 2017 2016 Change
 Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
Calendar year net loss ratio*65.2%49.7%60.8% 66.5%54.3%63.3% (1.3)(4.6)(2.5)
Less impact of prior accident years on the net loss ratio(0.9%)(11.7%)(4.0%) (1.0%)(9.7%)(3.3%) 0.1
(2.0)(0.7)
Current accident year net loss ratio66.1%61.4%64.8%
67.5%64.0%66.6% (1.4)(2.6)(1.8)
Less impact of audit premium on loss ratio%(0.9%)(0.3%) %0.2%% 
(1.1)(0.3)
Current accident year net loss ratio, excluding the effect of audit premium66.1%62.3%65.1%
67.5%63.8%66.6%
(1.4)(1.5)(1.5)


Nine Months Ended September 30

2017
2016 Change

Traditional BusinessAlternative Market BusinessSegment
Results

Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
Calendar year net loss ratio*65.0%49.8%60.8%
66.5%55.0%63.5%
(1.5)(5.2)(2.7)
Less impact of prior accident years on the net loss ratio(1.0%)(13.5%)(4.5%)
(1.0%)(6.4%)(2.4%)

(7.1)(2.1)
Current accident year net loss ratio66.0%63.3%65.3%
67.5%61.4%65.9%
(1.5)1.9
(0.6)
Less impact of audit premium on loss ratio%(1.0%)(0.3%)
%(0.6%)(0.2%)

(0.4)(0.1)
Current accident year net loss ratio, excluding the effect of audit premium66.0%64.3%65.6%
67.5%62.0%66.1%
(1.5)2.3
(0.5)
* The net loss ratios for the 2017 three- and nine-month periods in the above tables are calculated before the impact of $0.2 million and $0.4 million, respectively, and $0.2 million and $0.7 million for the same respective periods of 2016 of premiums earned that is assumed by and ceded from the traditional and alternative markets business.
The current accident year net loss ratio in our traditional business decreased during the 2017 three- and nine-month periods which primarily reflected more favorable trends in claim closing results in 2017 as compared to 2016, which reduced loss indications for the 2017 accident year. The accident year loss ratio for the alternative market business reflected the aggregate loss ratio for all programs. Loss reserves are estimated for each program on a quarterly basis. Due to the size of some of the programs, quarterly claim activity can cause the accident year loss ratio to fluctuate significantly period to period.
Calendar year incurred losses ceded to our external reinsurers in both our traditional and alternative market business totaled $8.0 million and $20.6 million for the three and nine months ended September 30, 2017, respectively, compared to ceded incurred losses of $1.5 million and $20.1 million for the same respective periods of 2016. The increase in ceded incurred losses for the three months ended September 30, 2017 primarily reflected one large claim with ceded losses of $5.5 million.
We recognized net favorable prior year development related to our previously established reserve of $2.3 million and $7.6 million for the three and nine months ended September 30, 2017, respectively, and $1.8 million and $3.9 million for the same respective periods of 2016. The net favorable prior year development included $0.4 million and $1.2 million related to amortization of the purchase accounting fair value adjustment for our traditional business for both the three and nine months ended September 30, 2017 and 2016, respectively. It also included net favorable prior year development for our alternative market business of $1.9 million and $6.4 million for the three and nine months ended September 30, 2017, respectively, and $1.4 million and $2.7 million for the same respective periods of 2016. The prior year favorable development reflected better than expected claims trends in the 2015 and 2016 accident years.
Within our alternative market business, audit premium from insureds results in a decrease in the net loss ratio, whereas audit premium returned to insureds results in an increase in the net loss ratio. We recognized audit premium of $0.3 million and $0.7 million in the three and nine months ended September 30, 2017, respectively, and $0.4 million in the nine months ended September 30, 2016 including a nominal amount during the 2016 three-month period, the effect of which is reflected in the tables above.
In our traditional business, we estimate our current accident year loss and loss adjustment expenses based on an expected loss ratio. Incurred losses and loss adjustment expenses are determined by applying the expected loss ratio to net premiums earned, which includes audit premium, for the respective period. In our alternative market business, we estimate our current accidentThe following table summarizes calendar year net loss ratios by separating losses and loss adjustment expenses based on the underlying actuarial methodologies without consideration of audit premium. As a result, we removed the effects of audit premium in the above table for purposes of evaluatingbetween the current accident year and all prior accident years. Calendar year and current accident year net loss ratio.ratios by component were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
 2019 2018 Change 2019 2018 Change
Calendar year net loss ratio65.4% 64.8% 0.6
pts 65.8% 64.9% 0.9pts
Less impact of prior accident years on the net loss ratio(2.8%) (5.9%) 3.1
pts (2.4%) (3.1%) 0.7pts
Current accident year net loss ratio68.2% 70.7% (2.5)pts 68.2% 68.0% 0.2pts
The addition of the AAD under the reinsurance treaty effective May 1, 2019 slightly increased the current accident year net loss ratios for both the three and nine months ended September 30, 2019 as compared to the same periods of 2018 (see previous discussion under the heading "Ceded Premiums Written"). For the 2019 three-month period, the impact of the AAD on the change in the current accident year net loss ratio as compared to the 2018 three-month period was more than offset by the effect of a higher current accident year net loss ratio in the 2018 three-month period due to an increase to the ratio during the third quarter of 2018 driven by the impact of severity-related claim activity related to economic growth trends and the increase in new and less experienced workers to the workforce. The impact of renewal rate decreases on the current accident year net loss ratio for the 2019 three- and nine- month periods was offset by favorable claim trends during 2019.
Calendar year incurred losses (excluding IBNR) ceded to our external reinsurers decreased $5.2 million and $11.2 million for the 2019 three- and nine- month periods, respectively, as compared to the same periods of 2018. Current accident year ceded incurred losses decreased $9.9 million and $7.0 million during the 2019 three- and nine- month periods, respectively, as compared to the same periods of 2018.
We recognized net favorable prior year development related to our previously established reserve of $1.4 million and $3.4 million for the three and nine months ended September 30, 2019, respectively, as compared to $2.8 million and $4.2 million for the same respective periods of 2018. The net favorable prior year development for the three and nine months ended September 30, 2019 reflected overall favorable trends in claim closing patterns, primarily in the 2016 accident year. Net favorable development for the three and nine months ended September 30, 2018 primarily related to the 2015 and 2016 accident years. For both the three and nine months ended September 30, 2019 and 2018, the net favorable prior year development included $0.4 million and $1.2 million, respectively, related to the amortization of the purchase accounting fair value adjustment.

Underwriting, Policy Acquisition and Operating Expenses
Underwriting, policy acquisition and operating expenses includes the amortization of commissions, premium taxes and underwriting salaries, which are capitalized and deferred over the related workers’ compensation policy period, net of external ceding commissions earned. The capitalization of underwriting salaries can vary as they are subject to the success rate of our contract acquisition efforts. These expenses also include a management fee charged by theour Corporate segment, which represents intercompany charges pursuant to a management agreement, and the amortization of intangible assets, primarily related to the acquisition of Eastern by ProAssurance. The management fee is based on the extent to which services are provided to the subsidiary and the amount of premium written by the subsidiary.

The table below provides a comparison of underwriting, policy acquisition and operating expenses:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20172016Change 20172016Change
Traditional business$13,508
$13,821
$(313)(2.3%) $37,632
$39,136
$(1,504)(3.8%)
Alternative market business4,926
4,510
416
9.2 % 14,588
13,358
1,230
9.2 %
Underwriting, policy acquisition and operating expenses$18,434
$18,331
$103
0.6 % $52,220
$52,494
$(274)(0.5%)
The decrease inOur Workers' Compensation Insurance segment underwriting, policy acquisition and operating expenses were comprised as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2019 2018 Change 2019 2018 Change
DPAC amortization$9,021
 $9,793
 $(772) (7.9%) $26,072
 $24,798
 $1,274
 5.1%
Management fees525
 492
 33
 6.7% 1,677
 1,707
 (30) (1.8%)
Other underwriting and operating expenses9,939
 9,957
 (18) (0.2%) 29,122
 28,340
 782
 2.8%
SPC ceding commission offset(4,590) (4,832) 242
 (5.0%) (13,415) (13,300) (115) 0.9%
Total$14,895
 $15,410
 $(515) (3.3%) $43,456
 $41,545
 $1,911
 4.6%
The decrease in our traditional line of businessDPAC amortization for the 2017 three- and nine-month periodsthree months ended September 30, 2019 as compared to the same respective periods of 2016period in 2018 was driven by the decreaseimpact of higher capitalized underwriting salaries during the first half of 2018 and the resulting increase in intangible asset amortization recognized during the third quarter of $0.6 million2018. The increase in DPAC amortization for the nine months ended September 30, 2019 primarily reflected the increase in net premiums earned. The increase in other underwriting and $1.7 million, respectively. In addition,operating expenses for the decreasenine months ended September 30, 2019 reflected an increase in compensation and benefit related costs, professional fees and, to a lesser extent, an increase in the 2017 nine-month period includedallocation of technology costs charged by our Corporate segment. As previously discussed, alternative market premiums written through our Workers' Compensation Insurance segment's alternative market business unit are 100% ceded, less a ceding commission, to either the effectSPCs in our Segregated Portfolio Cell Reinsurance segment or, to a limited extent, an unaffiliated captive insurer. The ceding commission consists of an amount for fronting fees, cell rental fees, commissions, premium taxes, claims administration fees and risk management fees. The fronting fees, commissions, premium taxes and risk management fees are recorded as an offset to underwriting, policy acquisition and operating expenses. Cell rental fees are recorded as a $0.6 million pension settlement charge relatedcomponent of other income and claims administration fees are recorded as ceded ULAE. The increase in SPC ceding commissions earned for nine months ended September 30, 2019 as compared to the terminationsame respective period of a legacy Eastern pension plan recorded2018 primarily reflected the increase in the first quarter of 2016.alternative market earned premium.
Underwriting Expense Ratio (the Expense Ratio)
The underwriting expense ratio for the Workers' Compensation segment included the impact of the following:
 Three Months Ended September 30
 2017 2016 Change
 Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
Underwriting expense ratio, as reported*32.5%30.6%32.0% 34.6%31.0%33.6% (2.1)(0.4)(1.6)
Less estimated ratio increase (decrease) attributable to:           
Amortization of intangible assets1.8%%1.3% 3.3%%2.4% (1.5)
(1.1)
Management fee1.1%%0.8% 1.1%%0.8% 


Impact of audit premium(0.3%)(0.5%)(0.3%) (1.2%)0.1%(0.9%) 0.9
(0.6)0.6
Impact of return premium estimate(0.3%)%(0.2%) %%% (0.3)
(0.2)
Underwriting expense ratio, less listed effects30.2%31.1%30.4% 31.4%30.9%31.3% (1.2)0.2
(0.9)

Nine Months Ended September 30

2017 2016 Change

Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
 Traditional BusinessAlternative Market BusinessSegment
Results
Underwriting expense ratio, as reported*30.8%30.7%30.8%
32.4%31.0%32.0%
(1.6)(0.3)(1.2)
Less estimated ratio increase (decrease) attributable to:



















Non-recurring/unusual expenses%%%
0.5%%0.4%
(0.5)
(0.4)
Amortization of intangible assets1.8%%1.3%
3.2%%2.4%
(1.4)
(1.1)
Management fee1.2%%0.9%
1.2%%0.9%



Impact of audit premium(0.5%)(0.5%)(0.5%)
(1.0%)(0.3%)(0.8%)
0.5
(0.2)0.3
Impact of return premium estimate(0.2%)%(0.2%)
(0.1%)%(0.1%)
(0.1)
(0.1)
Underwriting expense ratio, less listed effects28.5%31.2%29.3%
28.6%31.3%29.2%
(0.1)(0.1)0.1
* The underwriting expense ratios for the 2017 three- and nine-month periods in the above tables are calculated before the impact of $0.2 million and $0.4 million, respectively, and $0.2 million and $0.7 million for the same respective periods of 2016 of premiums earned that is assumed by and ceded from the traditional and alternative markets business, respectively.

 Three Months Ended September 30 Nine Months Ended September 30
 2019 2018 Change 2019 2018 Change
Underwriting expense ratio, as reported30.1% 32.6% (2.5)pts 30.6% 30.7% (0.1)pts
Less estimated ratio increase (decrease) attributable to:             
Impact of ceding commissions received from SPCs2.6% 3.2% (0.6)pts 2.9% 2.9% 
pts
Retrospective premium adjustment0.1% 0.1% 
pts 0.2% (0.1%) 0.3
pts
Impact of audit premium(0.6%) (0.2%) (0.4)pts (0.3%) (0.4%) 0.1
pts
Impact of return premium estimate0.1% (0.2%) 0.3
pts % 0.1% (0.1)pts
Underwriting expense ratio, less listed effects27.9% 29.7% (1.8)pts 27.8% 28.2% (0.4)pts
The decrease in the traditional expense ratio for the three months ended September 30, 2017, exclusive of the items noted in the tables, primarily reflected the increase in net premiums earned. There were no other individually significant variances by expense category that contributed to the increase in the expense ratio. The change in the alternative market expense ratio for the three and nine months ended September 30, 20172019, excluding the items noted in the table, primarily reflected ceding commissions, which vary by program.
Non-recurring expensesthe increase in net premiums earned. Additionally, the decrease for the nine months ended September 30, 2016 in the above table2019 three-month period also reflected a pension settlement charge,decrease in DPAC amortization, as discussed above.previously discussed.

Segment Operating Results - Segregated Portfolio Cell Dividend Expense (Income)Reinsurance
Our Workers' CompensationThe Segregated Portfolio Cell Reinsurance segment provides turn-key workers' compensation alternative market solutions that include program design, fronting, claims administration, risk management, SPC rental, asset management and SPC management services. The asset management and SPC management services are outsourced to a third party. Alternative market customers include individual companies, groups and associations. SPC dividend expense (income) for each period representsreflects the operating results (underwriting profit or loss, attributable to the alternative market business ceded to theplus investment results) of SPCs ofat Inova Re and Eastern Re, netour Cayman Islands SPC operations, as discussed in Note 14 of any participation we have taken in the SPCs.
TheNotes to Condensed Consolidated Financial Statements. SPCs are segregated pools of assets and liabilities that provide an insurance facility for a defined set of risks. Assets of each SPC are solely for the benefit of that individual cell and each SPC is solely responsible for the liabilities of that individual cell. Assets of one SPC are statutorily protected from the creditors of the others. Each SPC is owned, fully or in part, by an agency, group or association and the operating results of the SPCs are due to the participants of that cell. We participate to a varying degree in the results of selected SPCs. Our ownership interest inSPCs and, for the SPCs in which we participate, is asour participation interest ranges from a low as 25% and asof 20% to a high as 100%of 85%. Under the SPC structure, the net operating results of each cell, net of our participation, are due to the external owners of that cell.
The SPC financial resultscell participants are included in the table below. Thereflected as an SPC dividend expense (income) representsin our Segregated Portfolio Cell Reinsurance segment. In addition, our Segregated Portfolio Cell Reinsurance segment includes the operatingSPC investment results as the investments are solely for the benefit of eachthe cell participants and investment results due to external cell participants are reflected in the aggregate.
SPC dividend expense (income) was. As of September 30, 2019, there were 27 (23 active) SPCs. The majority of the SPCs only assume workers' compensation insurance, healthcare professional liability insurance or a combination of the two from our Workers' Compensation Insurance and Specialty P&C segments. In addition, an SPC at Eastern Re assumed an errors and omissions liability policy from a captive insurer unaffiliated with ProAssurance.
Segment operating results reflects our share of the underwriting and investment results of the SPCs in which we participate, and included the following:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20192018Change 20192018Change
Net premiums written$15,268
$14,832
$436
2.9% $62,886
$60,709
$2,177
3.6%
          
Net premiums earned$19,779
$18,963
$816
4.3% $58,566
$54,247
$4,319
8.0%
Net investment income445
371
74
19.9% 1,261
1,100
161
14.6%
Net realized gains (losses)(98)1,397
(1,495)(107.0%) 1,949
467
1,482
317.3%
Other income176
86
90
104.7% 397
176
221
125.6%
Net losses and loss adjustment expenses(9,778)(8,560)(1,218)14.2% (40,496)(27,561)(12,935)46.9%
Underwriting, policy acquisition and operating expenses(5,951)(5,516)(435)7.9% (17,091)(16,070)(1,021)6.4%
SPC net operating results4,573
6,741
(2,168)(32.2%) 4,586
12,359
(7,773)(62.9%)
SPC dividend (expense) income (1)
(3,621)(5,255)1,634
(31.1%) (1,375)(9,787)8,412
(86.0%)
Segment operating results (2)
$952
$1,486
$(534)(35.9%)
$3,211
$2,572
$639
24.8%
          
Net loss ratio49.4%45.1%4.3
pts 69.1%50.8%18.3
pts
Underwriting expense ratio30.1%29.1%1.0
pts 29.2%29.6%(0.4)pts
(1) Represents the operating (profit) loss due to external cell participants.
(2) Represents our share of the operating profit (loss) of the SPCs in which we participate.

Premiums Written
The majority of premiums in our Segregated Portfolio Cell Reinsurance segment are assumed from either our Workers' Compensation Insurance or Specialty P&C segments. Premium volume is driven by five primary factors: (1) the amount of new business written, (2) retention of the existing book of business, (3) premium rates charged on the renewal book of business and, for workers' compensation business, (4) audit premium and (5) changes in payroll exposure.
Gross, ceded and net premiums written were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2017 2016 Change 2017 2016 Change
Net premiums earned$16,113
 $14,539
 $1,574
 10.8% $47,544
 $43,026
 $4,518
 10.5%
Other income34
 3
 31
 1,033.3% 83
 10
 73
 730.0%
Less: Net losses and loss adjustment expenses8,016
 7,888
 128
 1.6% 23,698
 23,683
 15
 0.1%
Less: Underwriting, policy acquisition and operating expenses4,926
 4,510
 416
 9.2% 14,587
 13,358
 1,229
 9.2%
SPC net operating results - profit/(loss)3,205
 2,144
 1,061
 49.5% 9,342

5,995

3,347
 55.8%
Less: Eastern participation - profit/(loss)1,483
 695
 788
 113.4% 3,749
 2,555
 1,194
 46.7%
SPC dividend expense (income)$1,722
 $1,449
 $273
 18.8% $5,593
 $3,440
 $2,153
 62.6%
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2019 2018 Change 2019 2018 Change
Gross premiums written$17,281
 $16,799
 $482
 2.9% $70,556
 $68,255
 $2,301
 3.4%
Less: Ceded premiums written2,013
 1,967
 46
 2.3% 7,670
 7,546
 124
 1.6%
Net premiums written$15,268
 $14,832
 $436
 2.9% $62,886
 $60,709
 $2,177
 3.6%
Gross Premiums Written
Gross premiums written reflected reinsurance premiums assumed by component as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2019 2018 Change 2019 2018 Change
Workers' compensation$16,706
 $16,275
 $431
 2.6% $64,610
 $63,214
 $1,396
 2.2%
Healthcare professional liability575
 524
 51
 9.7% 5,465
 5,041
 424
 8.4%
Other
 
 
 nm
 481
 
 481
 nm
Gross Premiums Written$17,281
 $16,799
 $482
 2.9% $70,556
 $68,255
 $2,301
 3.4%
Gross premiums written for the 2019 and 2018 three- and nine- month periods were primarily comprised of workers' compensation coverages assumed from our Workers' Compensation Insurance segment. The increase in SPC dividend expense forgross premiums written during the 20172019 three- and nine-monthnine- month periods as compared to the same periods of 2016,2018 was due todriven by new business written and an increase in the renewal retention rate, partially offset by a decrease in renewal pricing related to the competitive workers' compensation marketplace. We retained all 18 of the available alternative market programs, including 16 workers' compensation programs and 2 healthcare professional liability programs up for renewal during the nine months ended September 30, 2019. During the third quarter of 2019, we added one new alternative market program at Inova Re.
New business, audit premium, retention and renewal price changes for the assumed workers' compensation premium is shown in the table below:
 Three Months Ended September 30 Nine Months Ended September 30
($ in millions)2019 2018 2019 2018
New business$0.8
 $1.6
 $3.0
 $7.0
Audit premium (including EBUB)$0.4
 $0.6
 $1.3
 $1.0
Retention rate (1)
96% 87% 93% 91%
Change in renewal pricing (2)
(5%) 1% (4%) %
(1) We calculate our workers' compensation retention rate as annualized expiring renewed premium divided by all annualized expiring premium subject to renewal. Our retention rate can be impacted by various factors, including price or other competitive issues, insureds being acquired, or a decision not to renew based on our underwriting evaluation.
(2) The pricing of our business includes an assessment of the underlying policy exposure and the effects of current market conditions. We continue to base our pricing on expected losses, as indicated by our historical loss data.

Ceded Premiums Written
Ceded premiums written were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20192018Change 20192018Change
Ceded premiums written$2,013
$1,967
$46
2.3% $7,670
$7,546
$124
1.6%
For the workers' compensation business, each SPC has in place its own external reinsurance arrangements. The healthcare professional liability business is assumed net of reinsurance from our Specialty P&C segment; therefore, there are no ceded premiums related to the healthcare professional liability business reflected in the table above. The risk retention for each loss occurrence for the workers' compensation business ranges from $0.3 million to $0.35 million based on the program, with limits up to $119.7 million. In addition, each program has aggregate reinsurance coverage between $1.1 million and $2.1 million on a program year basis. Per the SPC external reinsurance agreements, premiums are ceded on a written premium basis and changes in ceded premiums written during the 2019 three- and nine- month periods primarily reflected changes in gross written premium, as compared to the same respective periods in 2018. External reinsurance rates vary based on the alternative market program.
Ceded Premiums Ratio
Ceded premiums ratio was as follows:
 Three Months Ended September 30 Nine Months Ended September 30
 2019 2018 Change 2019 2018 Change
Ceded premiums ratio12.0% 12.1% (0.1)pts 11.9% 11.9% pts
The above table reflects ceded premiums as a percent of gross premiums written for the workers' compensation business only; healthcare professional liability business is assumed net of reinsurance, as discussed above. The ceded premiums ratio remained relatively unchanged for the 2019 three- and nine- month periods as compared to the same respective periods of 2018.
Net Premiums Earned
Gross, ceded and net premiums earned were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20192018Change 20192018Change
Gross premiums earned$22,218
$21,476
$742
3.5% $65,856
$61,069
$4,787
7.8%
Less: Ceded premiums earned2,439
2,513
(74)(2.9%) 7,290
6,822
468
6.9%
Net premiums earned$19,779
$18,963
$816
4.3% $58,566
$54,247
$4,319
8.0%
Net premiums earned which droveconsist of gross premiums earned less the improvementportion of earned premiums that the SPCs cede to external reinsurers. Because premiums are generally earned pro rata over the entire policy period, fluctuations in premiums earned tend to lag those of premiums written. Policies ceded to the SPCs are twelve month term policies and premiums are earned on a pro rata basis over the policy period. Net premiums earned also include premium adjustments related to the audit of workers' compensation insureds' payrolls. Payroll audits are conducted subsequent to the end of the policy period and any related adjustments are recorded as fully earned in the current period. The increase in net premiums earned primarily reflected the pro rata effect of higher net premiums written during the preceding twelve months.
Net Investment Income and Net Realized Investment Gains (Losses)
Net investment income for the 2019 and 2018 three- and nine- month periods was primarily attributable to interest earned on available-for-sale fixed maturity investments, which primarily includes investment-grade corporate debt securities. Net realized investment gains and losses during the 2019 and 2018 three- and nine- month periods primarily reflected changes in the value of the SPCs' equity securities portfolio.

Losses and Loss Adjustment Expenses
The following table summarizes the calendar year net loss ratios by separating losses between the current accident year and all prior accident years. The current accident year net loss ratio for our Segregated Portfolio Cell Reinsurance segment reflects the aggregate loss ratio for all programs. Loss reserves are estimated for each program on a quarterly basis. Due to the size of some of the programs, quarterly claims activity can cause the current accident year net loss ratio to fluctuate significantly from period to period.
Calendar year and current accident year net loss ratios for the three months ended September 30, 2019 and 2018 was as follows:
 Three Months Ended September 30
 2019 2018 Change
Calendar year net loss ratio49.4% 45.1% 4.3
pts
Less impact of prior accident years on the net loss ratio(16.7%) (19.7%) 3.0
pts
Current accident year net loss ratio66.1% 64.8% 1.3
pts
The increase in the current accident year net loss ratio for the 2019 three-month period primarily reflected the effect of the continuation of intense price competition and the resulting renewal rate decreases.
For the nine months ended September 30, 2019, our Segregated Portfolio Cell Reinsurance segment net loss ratios were affected by a $10 million reserve that an SPC at Eastern Re established during the second quarter of 2019. This SPC previously assumed an errors and omissions liability policy that provides coverage for losses up to a lifetime maximum of $10 million from a captive insurer unaffiliated with ProAssurance. During the second quarter of 2019, a claim was filed under this policy that met the lifetime maximum limit and, accordingly, a $10 million reserve was recorded. We do not participate in the SPC that assumed this policy; therefore, these losses are the obligation of the external cell participants and are reflected in the SPC dividend expense (income) and have no effect on our Segregated Portfolio Cell Reinsurance segment operating results for the nine months ended September 30, 2019. Given the significance of this one-time event, we have removed the impact of the policy from each of the ratios below (as shown in boththe columns labeled "Adjusted") in order to assist in the comparability between periods. Calendar year and current accident year net loss ratios for the nine months ended September 30, 2019 and 2018 was as follows:
 Nine Months Ended September 30
 2019 2018 Change
 As reported E&O reserve impactAdjusted As reported As reportedAdjusted
Calendar year net loss ratio69.1% 16.6pts52.5% 50.8% 18.3pts1.7pts
Less impact of prior accident years on the net loss ratio(13.4%) 0.1pts(13.5%) (15.2%) 1.8pts1.7pts
Current accident year net loss ratio82.5% 16.5pts66.0% 66.0% 16.5ptspts
Excluding the impact of the errors and omissions liability policy, as shown in the table above, the current accident year net loss ratio for the 2019 nine-month period was unchanged as compared to the same period of 2018.
Calendar year incurred losses ceded to our external reinsurers increased $0.5 million and $1.9 million for the 2019 three- and nine- month periods, respectively, as compared to the same periods of 2018. Current accident year ceded incurred losses totaled $1.8 million and $2.0 million for the 2019 three- and nine- month periods, respectively, compared to $1.3 million for the 2018 nine-month period. There were no current accident year ceded incurred losses reported in the 2018 three-month period.
We recognized net favorable prior year reserve development of $3.3 million and $7.8 million for the three and nine months ended September 30, 2019, respectively, and $3.7 million and $8.2 million for the same respective periods of 2018. The net favorable prior year reserve development for the three and nine months ended September 30, 2019 primarily reflected better than expected claim trends in the 2015 through 2018 accident years due to lower frequency and severity than anticipated at the time the reserves were established. The net favorable prior year reserve development for the three and nine months ended September 30, 2018 reflected overall favorable trends in claim closing patterns, primarily in the 2015 and 2016 accident years.

Underwriting, Policy Acquisition and Operating Expenses
Our Segregated Portfolio Cell Reinsurance segment underwriting, policy acquisition and operating expenses were comprised as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2019 2018 Change 2019 2018 Change
DPAC amortization$5,493
 $5,291
 $202
 3.8% $16,159
 $15,448
 $711
 4.6%
Other underwriting and operating expenses458
 225
 233
 103.6% 932
 622
 310
 49.8%
Total$5,951
 $5,516
 $435
 7.9% $17,091
 $16,070
 $1,021
 6.4%
DPAC amortization primarily represented ceding commissions, which vary by program and are paid to our Workers' Compensation Insurance and Specialty P&C segments for premiums assumed. Ceding commissions include an amount for fronting fees, commissions, premium taxes and risk management fees, which are reported as an offset to underwriting, policy acquisition and operating expenses within our Workers' Compensation Insurance and Specialty P&C segments. In addition, ceding commissions paid to our Workers' Compensation Insurance segment include cell rental fees which are recorded as other income within our Workers' Compensation Insurance segment. The increase in other underwriting and operating expenses for the three and nine months ended September 30, 2019 as compared to the same periods of 2018 primarily reflected an increase in fees related to letters of credit posted as program collateral.
Underwriting Expense Ratio (the Expense Ratio)
The underwriting expense ratio included the impact of the following:
 Three Months Ended September 30 Nine Months Ended September 30
 2019 2018 Change 2019 2018 Change
Underwriting expense ratio, as reported30.1% 29.1% 1.0pts 29.2% 29.6% (0.4)pts
Less impact of audit premium on expense ratio(0.5%) (1.0%) 0.5pts (0.5%) (0.5%) 
pts
Underwriting expense ratio, excluding the effect of audit premium30.6% 30.1% 0.5pts 29.7% 30.1% (0.4)pts
The underwriting expense ratio primarily reflects the weighted average ceding commission percentage of all SPC programs.

Segment Operating Results - Lloyd's SyndicateSyndicates
Through a wholly owned and consolidated subsidiary, we are a corporate member ofOur Lloyd's Syndicates segment includes operating results from our participation in certain Syndicates at Lloyd's of London and have provided the majority (58%) of the capital to Syndicate 1729 which writes and reinsures property and casualty business. The remaining capital for Syndicate 1729 is provided by unrelated third parties, including private names and other corporate members.
Syndicate 1729 covers a range of property and casualty insurance and reinsurance lines, and has a maximum underwriting capacity of £100.0 million for the 2017 underwriting year, of which £57.6 million ($77.2 million based on September 30, 2017 exchange rates) is our allocated underwriting capacity.London. We have committeda total capital commitment to provide capital (alsosupport our Lloyd's Syndicate operations through 2019 of up to $200 million, referred to as FAL) of up to $200.0 millionFAL. The Board, through 2022 to support oura non-binding resolution, extended this commitment through 2022. For the 2019 underwriting capacity and are meetingyear, our FAL requirement withwas comprised of investment securities heldand cash and cash equivalents deposited with Lloyd's which at Lloyd's. Our FAL securitiesSeptember 30, 2019 had a fair value of $99.2approximately $134.7 million, at September 30, 2017, as discussed in Note 3 of the Notes to Condensed Consolidated Financial Statements.
Our Lloyd's Syndicate segment results include both our 58% participation in the operating results of Syndicate 1729 and 100% of the operating results of our wholly owned subsidiaries that support Syndicate 1729 and were composed as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20172016Change 20172016Change
Gross premiums written$20,972
$18,956
$2,016
10.6% $56,995
$50,870
$6,125
12.0%
Net premiums written$18,773
$16,342
$2,431
14.9% $44,555
$42,575
$1,980
4.7%
          
Net premiums earned$16,318
$14,578
$1,740
11.9% $45,374
$40,533
$4,841
11.9%
Net investment income412
351
61
17.4% 1,194
1,004
190
18.9%
Net realized gains (losses)31
50
(19)(38.0%) 105
59
46
78.0%
Other income(1,881)734
(2,615)(356.3%) (1,641)1,174
(2,815)(239.8%)
Net losses and loss adjustment expenses(20,444)(11,299)(9,145)80.9% (40,718)(25,989)(14,729)56.7%
Underwriting, policy acquisition and operating expenses(6,723)(6,251)(472)7.6% (19,786)(16,660)(3,126)18.8%
Income tax benefit (expense)(61)(1,352)1,291
(95.5%) 495
(2,248)2,743
(122.0%)
Segment operating results$(12,348)$(3,189)$(9,159)287.2% $(14,977)$(2,127)$(12,850)604.1%
          
Net loss ratio125.3%77.5%47.8
pts 89.7%64.1%25.6
pts
Underwriting expense ratio41.2%42.9%(1.7)pts 43.6%41.1%2.5
pts
We normally report results from our Syndicate 1729 involvement in Lloyd's Syndicates on a quarter delay,lag, except when information is available that is material to the current period (see discussion that follows under the heading "Property and Natural Catastrophe Losses"). Furthermore, the investment results associated with our FAL investments and certain U.S. paid administrative expenses are reported concurrently as that information is available on an earlier time frame. However,
Lloyd's Syndicate 1729. We are the majority capital provider to Syndicate 1729, which covers a range of property and casualty insurance and reinsurance lines. For the 2019 underwriting year, we slightly decreased our participation in the operating results of Syndicate 1729 from 62% to 61% which, due to the quarter lag, was not reflected in our Lloyd's Syndicates segment results until the second quarter of 2019. The remaining capital for Syndicate 1729 is provided by unrelated third parties, including private names and other corporate members. Syndicate 1729 has a maximum underwriting capacity of £128 million for the 2019 underwriting year, of which £78 million (approximately $96 million based on September 30, 2019 exchange rates) is our allocated underwriting capacity.
Lloyd's Syndicate 6131. We are the sole (100%) capital provider to an SPA, Syndicate 6131, which focuses on contingency and specialty property business. As an SPA, Syndicate 6131 is only allowed to underwrite one quota share reinsurance contract with Syndicate 1729. Due to the quarter lag, our participation in Syndicate 6131 was not reflected in our Lloyd's Syndicates segment results until the second quarter of 2018 as Syndicate 6131 began writing business effective January 1, 2018. For the 2019 underwriting year, Syndicate 6131 has a maximum underwriting capacity of £12 million (approximately $15 million based on September 30, 2019 exchange rates).
In addition to the results of our participation in Lloyd's Syndicates, as discussed above, our Lloyd's Syndicates segment also includes 100% of the operating results of our wholly owned subsidiaries that support our operations at Lloyd's. For the three and nine months ended September 30, 2019 and 2018, the results of our Lloyd's Syndicates segment were as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)20192018Change 20192018Change
Gross premiums written$30,427
$26,387
$4,040
15.3% $83,247
$62,949
$20,298
32.2%
Ceded premiums written(8,599)(1,756)(6,843)389.7% (21,660)(16,610)(5,050)30.4%
Net premiums written$21,828
$24,631
$(2,803)(11.4%) $61,587
$46,339
$15,248
32.9%
          
Net premiums earned$21,295
$19,022
$2,273
11.9% $57,215
$48,987
$8,228
16.8%
Net investment income1,077
783
294
37.5% 3,282
2,370
912
38.5%
Net realized gains (losses)285
(98)383
390.8% 725
(404)1,129
279.5%
Other income (loss)(165)352
(517)(146.9%) (278)247
(525)(212.6%)
Net losses and loss adjustment expenses(11,907)(10,032)(1,875)18.7% (34,640)(31,023)(3,617)11.7%
Underwriting, policy acquisition and operating expenses(9,411)(8,439)(972)11.5% (25,445)(23,745)(1,700)7.2%
Income tax benefit (expense)161
361
(200)(55.4%) 161
355
(194)(54.6%)
Segment operating results$1,335
$1,949
$(614)(31.5%) $1,020
$(3,213)$4,233
131.7%
          
Net loss ratio55.9%52.7%3.2
pts 60.5%63.3%(2.8)pts
Underwriting expense ratio44.2%44.4%(0.2)pts 44.5%48.5%(4.0)pts

Property and Natural Catastrophe Losses
As previously mentioned, we normally report results from our involvement in Lloyd's Syndicates on a quarter lag; however, during the thirdfourth quarter of 2017, Syndicate 1729 reported preliminary loss estimates2018, we accelerated our reporting of approximately $6.8 million, net of reinsurance and reinstatement premiums, of storm-related losses in connection with Hurricanes Harvey, Irma and Maria,Hurricane Michael, which affected Texas, several statesthe northwest portion of Florida during October 2018. These losses would have normally been reported in the southeastern United States and islands infirst quarter of 2019 due to the Caribbean. Dueaforementioned quarter lag. However, due to the availability and significance of these estimates, we have accelerated our reporting of these storm-related losses into the thirdfourth quarter of 2017. We estimate2018, which is consistent with our share (58%)policy of reporting significant losses in the net pre-tax losses from these stormsperiod in which they become known to be approximately $7.5 million net of reinsurance and reinstatement premiums, which are written and earnedus. No such adjustments were made during the period. The pre-tax impactthree and nine months ended September 30, 2019 or 2018.
Gross Premiums Written
Changes in our premium volume within our Lloyd's Syndicates segment are driven by four primary factors: (1) the amount of new business and the recognitionchannels in which the business is written, (2) our retention of these losses onexisting business, (3) the segment's operating results abovepremium charged for business that is renewed, which is affected by rates charged and by the 2017 three-amount and nine-month periods was as follows:
(In thousands)Three and Nine Months Ended September 30, 2017
Gross premiums written$1,391
Net premiums written$1,391
Net premiums earned$1,391
Gross losses(36,492)
Reinsurance recoveries27,626
Net losses and loss adjustment expenses(8,866)
Segment operating results, before tax$(7,475)

Premiums Writtentype of coverage an insured chooses to purchase and (4) the timing of premium written through multi-period policies.
Gross premiums written in 2017during the nine months ended September 30, 2019 consisted of casualtyproperty insurance coverages (40%(45% of total gross written premium)premiums written), property insurancecasualty coverages (35%(30%), catastrophe reinsurance coverages (19%(15%), specialty property coverages (7%) and property reinsurance coverages (6%(3%). For the 2017 three- and nine-month periods, netGross premiums written increased primarily dueduring the 2019 three- and nine- month periods as compared to new business written andthe same respective periods of 2018 driven by volume increases on renewal business. In addition, the increase in the 2017 three-business and nine-month periods reflected the effect of reinstatement premiums recorded during the third quarter of 2017 which represents the additional premium payable to the Syndicate to restore coverage limits that have been exhaustedrenewal pricing increases, as a result of reinsured storm-related losses under certain excess of loss reinsurance treaties. The increase in net premiumswell as new business written, in both periods was partially offset by revisions to contract terms related to the quota share agreement with our Specialty P&C segment, as discussed below, and, for the 2017 nine-month period, the effect of revised terms on our reinsurance arrangements.primarily property insurance coverages.
As discussed in our Specialty P&C segment operating results, prior to January 1, 2018 Syndicate 1729 servesserved as a reinsurer on a quota share basis for a wholly owned insurance subsidiary in our Specialty P&C segment. For premiumPremiums assumed we include in written premium an estimate of all premiums to be earned over the entire period covered by the reinsurance agreement, generally one year, in the quarter in which the reinsurance agreement becomes effective. The quota share agreement withfrom our Specialty P&C segment renewed effective January 1,were approximately $1.2 million during the nine months ended September 30, 2018. The 2017 and reflected revised contract terms which reduced premium assumed by Syndicate 1729 by essentially half. Currently, there are no plans to renew the quota share agreement on the next renewal date on January 1, 2018. Results from this ceding arrangement are reported in the Specialty P&C segment on the same quarter delay in order to be consistent with the Lloyd's Syndicate segment as the effect of doing so is not material and thus gross premiums written for the 2017 three- and nine-month periods reflected the change to the reinsurance terms described above.
The 2015 and 20142016 calendar year quota share arrangements with our Specialty P&C segment were commuted in December 20162018 and 2015,2017, respectively. Due to the reporting delay,quarter lag, the effecteffects of the 20152017 and 2014 commutation was2016 commutations were reported byin both segments insegments' results during the first quarters of 20172019 and 2016,2018, respectively, and isare reflected in the Lloyd's Syndicates segment results for the nine months ended September 30, 20172019 and 2016,2018, respectively. The commutations did not differ significantly from previously recorded amounts.
Ceded Premiums Written
Syndicate 1729 utilizes reinsurance to provide the capacity to write larger limits of liability on individual risks, to provide protection against catastrophic loss and to provide protection against losses in excess of policy limits. Ceded premiums written increased for the three and nine months ended September 30, 2019 primarily due to the increased utilization and cost associated with reinsurance on property and catastrophe business. For the 2019 three-month period, the increase in ceded premiums written also reflected the timing of and revised contract terms related to the renewal of a catastrophe reinsurance agreement that renewed during the third quarter of 2019 instead of during the second quarter, which has been the typical renewal period.
Net Premiums Earned
Net premiums earned consist of gross premiums earned less the portion of earned premiums that we cede to our reinsurers for their assumption of a portion of our losses. PoliciesPremiums written to date primarily carry a term of one year. Because premiumsthrough open-market channels are generally earned pro rata over the entire policy period, which is predominately twelve months; whereas premiums written through delegated underwriting authority arrangements are earned over twenty-four months. Therefore, net premiums earned is affected by shifts in the mix of policies written between the open-market and delegated underwriting authority arrangements. Additionally, fluctuations in premiums earned tend to lag those of premiums written. Additionally, premiumsPremiums for certain policies and assumed reinsurance contracts are reported subsequent to the coverage period and/or may be subject to adjustment based on loss experience. These premium adjustments are earned when reported, which can result in further fluctuation in earned premium. Net
Gross, ceded and net premiums earned forwere as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2019 2018 Change 2019 2018 Change
Gross premiums earned$26,399
 $23,050
 $3,349
14.5% $72,225
 $60,289
 $11,936
19.8%
Less: Ceded premiums earned5,104
 4,028
 1,076
26.7% 15,010
 11,302
 3,708
32.8%
Net premiums earned$21,295
 $19,022
 $2,273
11.9% $57,215
 $48,987
 $8,228
16.8%

The increase in gross premiums earned during the three and nine months ended September 30, 20172019 as compared to the same respective periods of 2018 was driven by the pro rata effect of higher premiums written during the preceding twelve months, primarily property insurance coverages, and, to a greater extent for the 2019 nine-month period, the pro rata effect of shifts in the mix of premiums written during the preceding twelve months; a larger proportion of premiums were written through the open-market, as compared to previous years, which are predominately earned over twelve months. For the 2019 nine-month period, the increase in gross premiums earned also reflected the increase in our participation in Syndicate 1729 and Syndicate 6131 at the beginning of 2018 which was not reflected in our Lloyd's Syndicates segment results until the second quarter of 2018.
The increase in ceded premiums earned during the 2019 three- and nine- month periods was driven by the pro rata effect of an increase in premiums ceded under reinsurance arrangements during the preceding twelve months.
Gross and net premiums earned included a nominal amount of premium assumed from our Specialty P&C segment ofduring the 2019 nine-month period as compared to approximately $2.9$1.2 million and $9.5$4.5 million respectively, and approximately $3.4 million and $10.4 million forduring the same respective periods of 2016. In addition, net premiums earned in the 20172018 three- and nine-monthnine- month periods, included reinstatement premiums associated with the storm-related losses, as previously discussed.respectively.
Net Losses and Loss Adjustment Expenses
Losses for the period were primarily recorded using the loss assumptions by risk category incorporated into the business plan submitted to Lloyd's for Syndicate 1729 with consideration given to loss experience incurred to date. The assumptions used in the business plan were consistent with loss results reflected in Lloyd's historical data for similar risks. Syndicate 6131 follows a process similar to Syndicate 1729 for the establishment of initial reserves. We expect loss ratios to fluctuate from quarter to quarter as Syndicate 1729 writes more business and the book begins to mature. We also expect loss ratios of Syndicate 6131 to fluctuate from quarter to quarter as Syndicate 6131 assumes more business from Syndicate 1729. The loss ratios will also fluctuate due to the timing of earned premium adjustments (see discussion in this section under the heading "Net Premiums Earned"). Premium and exposure for some of Syndicate 1729's insurance policies and reinsurance contracts are initially estimated and subsequently adjusted over an extended period of time as underlying premium reports are received under binding authority programs.from cedants and insureds. When reports are received, the premium, exposure and corresponding loss estimates are revised accordingly. Changes in loss estimates due to premium or exposure fluctuations are incurred in the accident year in which the premium is earned.
The following table summarizes calendar year net loss ratios by separating losses between the current accident year and all prior accident years. Net loss ratios for the period were as follows:
 Net Loss Ratios
 Three Months Ended September 30 Nine Months Ended September 30
 2019 2018 Change 2019 2018 Change
Calendar year net loss ratio55.9% 52.7% 3.2pts 60.5% 63.3% (2.8)pts
Less impact of prior accident years on the net loss ratio(2.4%) (3.4%) 1.0pts % 0.6% (0.6)pts
Current accident year net loss ratio58.3% 56.1% 2.2pts 60.5% 62.7% (2.2)pts
The current accident year net loss ratio increased during the three months ended September 30, 2019 as compared to the same period of 2018 driven by 47.8%a decrease in estimated reinsurance recoveries related to property and 25.6%catastrophe related losses as compared to the same period of 2018 and, to a lesser extent, the effect of the increase in ceded premiums earned, as previously discussed. A larger portion of property and catastrophe related losses during the 2018 three-month period exceeded the reinsurance retention limits whereas Syndicate 1729 retained more of these losses during the 2019 three-month period due to certain excess of loss reinsurance agreement terms. The decrease in the current accident year net loss ratio during the nine months ended September 30, 2019 as compared to the same period of 2018 was driven by an increase in estimated reinsurance recoveries related to property and catastrophe related losses as compared to the prior year period, partially offset by the increase in ceded premiums earned.
We recognized $0.5 million of favorable prior year development and a nominal amount of unfavorable prior year development for the three and nine months ended September 30, 2017,2019, respectively, driven by the estimated storm-related losses and reinstatement premiums recognized during the third quarter of 2017, as previously discussed, which increased the net loss ratio by approximately 47.7% and 17.3%, respectively. The net loss ratio in the 2016 three-month period was lower than in prior periods and reflected the reversal of approximately $2.8compared to $0.6 million of net favorable prior year development during the third quarterand $0.3 million of 2016 which was a result of a change in methodology related to recordingunfavorable prior year development. Additionally, the net loss ratiodevelopment for the first nine monthssame respective periods of 2016 was lower than in prior periods and reflected reductions attributable to shifts in the mix of business as well as increased reliance on the actual loss experience on the book of business written by Syndicate 1729.2018.

Underwriting, Policy Acquisition and Operating Expenses
Underwriting, policy acquisition and operating expenses increased by $0.5$1.0 million and $3.1$1.7 million for the three2019 three- and nine months ended September 30, 2017,nine- month periods, respectively, as compared to the same periods in 20162018. The increase during the 2019 three- and primarily reflected the anticipated growth in Syndicate 1729 operations. As operations have matured, the total amount of underwriting salaries has increased along with the number of policies successfully written. Underwriting compensation is capitalized as DPAC only when efforts are successful. The decrease in the expense ratio for the 2017 three-month periodnine- month periods was primarily due to the growth in Syndicate 1729 operations and an increase in DPAC amortization primarily due to an increase in net premiums earned, partially offset by the effect of higher operational expenses incurred during the 2018 three- and nine- month periods associated with establishing Syndicate 6131.
The underwriting expense ratio decreased during the 2019 three- and nine- month periods as compared to the same periods in 2018 primarily due to the increased volume of earned premium driven by reinstatement premiums recorded and earned as a result of the storm-related lossesgrowth of the Syndicates. In addition, the decrease in the third quarter of 2017, as previously discussed. The increase in theunderwriting expense ratio for the 2017 nine-month period was primarily duein both periods as compared to the timingsame periods in 2018 reflected the effect of certainhigher operational expenses relative toincurred during the increase in earned premiums.2018 three- and nine- month periods associated with the establishment of Syndicate 6131.
Net Investment IncomeInvestments
Net investment income for the 20172019 and 20162018 three- and nine-monthnine- month periods was primarily attributable to interest earned on the FAL investments. Ourour FAL investments, arewhich primarily short-term investments andincludes investment-grade corporate debt securities. Syndicate 1729's fixed maturities portfolio includes certain debt securities classified as trading securities. Investment results associated with these fixed maturity trading securities are reported on the same quarter lag.
Taxes
Operating results of this segment are subject to U.K. income tax law. Tax expense incurred in 2016 reflected the use of prior year Syndicate 1729 operating losses to offset current period Syndicate 1729 operating results.

Segment Operating Results - Corporate
Our Corporate segment includes investment operations, other than those reported in our Segregated Portfolio Cell Reinsurance and Lloyd's Syndicates segments, interest expense and U.S. income taxes all of which are managed at the corporate level with the exception of investment assets solely allocated to Syndicate 1729 as discussed in Note 1114 of the Notes to Condensed Consolidated Financial Statements. Our Corporate segment operating results also reflectincludes non-premium revenues generated outside of our insurance entities and corporate expenses. Segment operating results for our Corporate segment were net earnings of $22.4 million and $79.7 million for the three and nine months ended September 30, 2019, respectively, as compared to $30.3 million and $58.7 million for the same respective periods of 2018 and included the following:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2017 2016 Change 2017 2016 Change20192018Change 20192018Change
Net investment income$23,317
 $24,910
 $(1,593) (6.4%) $68,398
 $74,280
 $(5,882) (7.9%)$22,159
$22,112
$47
0.2% $65,495
$64,207
$1,288
2.0%
Equity in earnings (loss) of unconsolidated subsidiaries4,164
 (3,349) 7,513
 224.3% 8,489
 (6,607) 15,096
 228.5%$(1,277)$5,228
$(6,505)(124.4%) $(7,240)$12,247
$(19,487)(159.1%)
Net realized gains (losses)7,718
 15,687
 (7,969) (50.8%) 18,705
 18,255
 450
 2.5%$947
$11,074
$(10,127)(91.4%) $44,390
$2,588
$41,802
1,615.2%
Other income1,023
 15
 1,008

6,720.0% 1,974
 758
 1,216

160.4%$963
$699
$264
37.8% $2,701
$2,737
$(36)(1.3%)
Underwriting, policy acquisition and operating expenses(4,989) (5,086) 97
 (1.9%) (21,062) (20,748) (314) 1.5%
Segregated portfolio cells dividend (expense) income (1)
(1,234) (1,653) 419
 (25.3%) (3,457) (2,361) (1,096) 46.4%
Operating expense$2,682
$5,053
$(2,371)(46.9%) $12,676
$15,351
$(2,675)(17.4%)
Interest expense(4,124) (3,748) (376) 10.0% (12,402) (11,285) (1,117) 9.9%$4,274
$3,645
$629
17.3% $12,850
$11,308
$1,542
13.6%
Income tax benefit (expense)(5,963) (8,328) 2,365
 (28.4%) (4,962) (14,209) 9,247
 (65.1%)
Segment operating results$19,912
 $18,448
 $1,464
 7.9% $55,683
 $38,083
 $17,600
 46.2%
(1) Represents the investment results attributable to the SPCs at Eastern Re
Income tax expense (benefit)$(6,528)$155
$(6,683)(4,311.6%) $157
$(3,584)$3,741
104.4%
Net Investment Income, Equity in Earnings (Loss) of Unconsolidated Subsidiaries, Net Realized Investment Gains (Losses)
Net Investment Income
Net investment income is primarily derived from the income earned by our fixed maturity securities and also includes dividend income from equity securities, income from our short-term and cash equivalent investments, earnings from other investments and increases in the cash surrender value of BOLI contracts. Investment fees and expenses are deducted from net investment income.
Net investment income by investment category was as follows:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2017 2016 Change 2017 2016 Change2019 2018 Change 2019 2018 Change
Fixed maturities$18,503
 $20,660
 $(2,157) (10.4%) $56,655
 $63,759
 $(7,104) (11.1%)$17,020
 $16,038
 $982
 6.1% $49,852
 $48,244
 $1,608
 3.3%
Equities4,495
 3,779
 716
 18.9% 12,437
 10,983
 1,454
 13.2%3,943
 5,687
 (1,744) (30.7%) 13,756
 15,553
 (1,797) (11.6%)
Short-term and Other investments1,131
 1,456
 (325) (22.3%) 2,867
 2,524
 343
 13.6%
Short-term investments, including Other1,758
 1,276
 482
 37.8% 4,874
 3,795
 1,079
 28.4%
BOLI620
 639
 (19) (3.0%) 1,517
 1,537
 (20) (1.3%)645
 621
 24
 3.9% 1,557
 1,525
 32
 2.1%
Investment fees and expenses(1,432) (1,624) 192
 (11.8%) (5,078) (4,523) (555) 12.3%(1,207) (1,510) 303
 (20.1%) (4,544) (4,910) 366
 (7.5%)
Net investment income$23,317
 $24,910
 $(1,593) (6.4%) $68,398
 $74,280
 $(5,882) (7.9%)$22,159
 $22,112
 $47
 0.2% $65,495
 $64,207
 $1,288
 2.0%
Fixed Maturities
The decreaseincrease in income from our fixed maturities during the 2019 three- and nine- month periods was primarily due to higher yields from certain asset classes in our income from fixed maturity securities for the 2017 three- and nine-month periods was due to lower yields and lower average investment balances. We reduced the size of our fixed portfolio over the last year in order to pay dividends and invest in other asset classes. Onportfolio. In addition, on an overall basis, our average investment in fixed maturity securities was approximately 8%5% and 6% lower1% higher for the 20172019 three- and nine-monthnine- month periods, respectively, as compared to the same respective periods of 2016.2018.
Average yields for our fixed maturity portfolio were as follows:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
2017 2016 2017 20162019 2018 2019 2018
Average income yield3.1% 3.3% 3.1% 3.3%3.4% 3.3% 3.4% 3.3%
Average tax equivalent income yield3.5% 3.7% 3.5% 3.8%3.4% 3.4% 3.4% 3.4%

Equities
Income from our equity portfolio increaseddecreased during the 20172019 three- and nine-monthnine- month periods as compared to the same respective periods in 2016of 2018 which reflected an increase toa decrease in our allocation to this asset category as well as a different mix of equities owned.
Investment FeesOther Investments and ExpensesShort-term Investments
Investment feesShort-term investments, which have a maturity at purchase of one year or less are carried at fair value, which approximates their cost basis, and expenses decreasedare primarily composed of investments in U.S. treasury obligations, commercial paper and money market funds. Income from our other investments and short-term investments increased during the 2017 three-month period2019 three- and nine- month periods primarily attributable to higher yields as compared to the same period in 2016 primarily due to a decrease in subsequent interest expense on our LP subscriptions. Investment fees and expenses increased during the 2017 nine-month period as compared to the same period in 2016 primarily due to an increase in subsequent interest expense on our LP subscriptions and incentive fees on our convertible bond portfolio. Subsequent interest expense on somerespective periods of our LPs is paid on subscriptions that occur later in the fund-raising process and incentive fees for returns that exceed a high water mark on our convertible bond portfolio reflected an increase in the fair value of the portfolio.2018.
Equity in Earnings (Loss) of Unconsolidated Subsidiaries
Equity in earnings (loss) of unconsolidated subsidiaries is derived from our investment interests accounted for under the equity method. Results werewas as follows:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2017 2016 Change 2017 2016 Change2019 2018 Change 2019 2018 Change
Investment LPs/LLCs$8,227
 $4,998
 $3,229
 64.6% $22,590
 $10,341
 $12,249
 118.5%
All other investments, primarily investment fund LPs/LLCs$4,495
 $11,283
 $(6,788) (60.2%) $8,621
 $31,396
 $(22,775) (72.5%)
Tax credit partnerships(4,063) (8,347) 4,284
 (51.3%) (14,101) (16,948) 2,847
 (16.8%)(5,772) (6,055) 283
 (4.7%) (15,861) (19,149) 3,288
 (17.2%)
Equity in earnings (loss) of unconsolidated subsidiaries$4,164
 $(3,349) $7,513
 224.3% $8,489
 $(6,607) $15,096
 228.5%$(1,277) $5,228
 $(6,505) (124.4%) $(7,240) $12,247
 $(19,487) (159.1%)
We hold interests in certain LPs/LLCs that generate earnings from trading portfolios, secured debt, debt securities, multi-strategy funds and private equity investments. The performance of the LPsLPs/LLCs is affected by the volatility of equity and credit markets. For our investments in LPs/LLCs, we record our allocable portion of the partnership operating income or loss as the results of the LPs/LLCs become available. Our investment results from our portfolio of investments in LPs/LLCs resultsdecreased for the 20172019 three- and nine-monthnine- month periods were affected primarilydriven by higherlower reported earnings from several LPs.

two LP investments which accounted for $6.2 million and $17.7 million, respectively, of the decrease as compared to the 2018 three- and nine- month periods.
Our tax credit partnership investments are designed to generate returns in the form of tax credits and tax-deductible project operating losses and are comprised of qualified affordable housing project tax credit partnership interestspartnerships and historic tax credit interests.partnerships. We account for our tax credit partnership investments under the equity method and record our allocable portion of the operating losses of the underlying properties based on estimates provided by the partnerships. For our qualified affordable housing project tax credit partnership interestspartnerships, we adjust our estimates of our allocable portion of operating losses periodically as actual operating results of the underlying properties become available. Our historic tax credit investmentspartnerships are short-term in nature and remaining operating losses are expected to be recognized primarily during 2017. Basedin 2019. The results from our tax credit partnership investments for the three and nine months ended September 30, 2019 reflected lower partnership operating losses as compared to the same respective periods of 2018. In addition, based on operating results received, we increased our estimate of partnership operating losses by $0.1$1.5 million and $2.2$3.0 million in the 2017 three-three and nine-month periodsnine months ended September 30, 2019, respectively, as compared to $5.1$0.4 million and $8.1$3.1 million infor the same respective periods in 2016, predominantly related to our qualified affordable housing tax credit partnership interests.of 2018.
The tax benefits received from our tax credit partnerships, which are not reflected in our investment results above, reduced our tax expensesexpense in 20172019 and 20162018 as follows:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
(In millions)2017 2016 2017 20162019 2018 2019 2018
Tax credits recognized during the period$6.0
 $7.3
 $17.8
 $20.8
$4.6
 $5.2
 $13.9
 $15.8
Tax benefit of tax credit partnership operating losses$1.4
 $2.9
 $4.9
 $5.9
$1.2
 $1.3
 $3.3
 $4.0
Tax credits provided by the underlying projects of the historic tax credit partnerships are typically available in the tax year in which the project is put into active service, whereas the tax credits provided by qualified affordable housing project tax credit partnerships are provided over approximately a ten year period. The decrease in tax credits recognized for the three and nine months ended September 30, 20172019 was primarily attributable to our historic tax credit partnership investments.

Non-GAAP Financial Measure – Tax Equivalent Investment Result
We believe that to fully understand our investment returns it is important to consider the current tax benefits associated with certain investments as the tax benefit received represents a portion of the return provided by our tax-exempt bonds, BOLI, common and preferred stocks, and tax credit partnership investments (our(collectively, our tax-preferred investments). We impute a pro forma tax-equivalent result by estimating the amount of fully-taxable income needed to achieve the same after-tax result as is currently provided by our tax-preferred investments. We believe this better reflects the economics behind our decision to invest in certain asset classes that are either taxed at lower rates and/or result in reductions to our current federal income tax expense. Our pro forma tax-equivalent investment result is shown in the table that follows as iswell as a reconciliation of our GAAP net investment result to our tax equivalent result.
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
(In thousands)2017 2016 2017 20162019 2018 2019 2018
GAAP net investment result:              
Net investment income$23,317
 $24,910
 $68,398
 $74,280
$22,159
 $22,112
 $65,495
 $64,207
Equity in earnings (loss) of unconsolidated subsidiaries4,164
 (3,349) 8,489
 (6,607)(1,277) 5,228
 (7,240) 12,247
GAAP net investment result$27,481
 $21,561
 $76,887
 $67,673
$20,882
 $27,340
 $58,255
 $76,454
              
Pro forma tax-equivalent investment result$39,644
 $36,215
 $113,824
 $110,784
$27,209
 $34,554
 $77,306
 $98,524
              
Reconciliation of pro forma and GAAP tax-equivalent investment result:              
GAAP net investment result$27,481
 $21,561
 $76,887
 $67,673
$20,882
 $27,340
 $58,255
 $76,454
Taxable equivalent adjustments, calculated using the 35% federal statutory tax rate:       
Taxable equivalent adjustments, calculated using the 21% federal statutory tax rate       
State and municipal bonds2,219
 2,855
 7,080
 8,959
191
 332
 659
 1,082
BOLI334
 344
 817
 828
171
 165
 414
 405
Dividends received441
 338
 1,642
 1,396
99
 150
 379
 608
Tax credit partnerships9,169
 11,117
 27,398
 31,928
5,866
 6,567
 17,599
 19,975
Pro forma tax-equivalent investment result$39,644
 $36,215
 $113,824
 $110,784
$27,209
 $34,554
 $77,306
 $98,524


Net Realized Investment Gains (Losses)
The following table provides detailed information regarding our Netnet realized investment gains (losses).
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
(In thousands)2017 2016 2017 20162019 2018 2019 2018
OTTI losses, total:              
State and municipal bonds$
 $(100) $
 $(100)
Corporate debt
 
 (419) (7,604)$(66) $(86) $(202) $(490)
Other investments
 
 
 (3,130)
Portion of OTTI losses recognized in other comprehensive income before taxes:              
Corporate debt
 
 248
 1,068
36
 
 124
 
Net impairment losses recognized in earnings
 (100) (171) (9,766)(30) (86) (78) (490)
Gross realized gains, available-for-sale securities1,721
 3,853
 4,294
 8,920
Gross realized (losses), available-for-sale securities(260) (369) (1,726) (5,620)
Net realized gains (losses), trading securities3,602
 1,277
 10,957
 5,243
Gross realized gains, available-for-sale fixed maturities651
 690
 1,877
 5,589
Gross realized (losses), available-for-sale fixed maturities(125) (1,371) (453) (5,099)
Net realized gains (losses), equity investments1,935
 4,689
 12,902
 17,208
Net realized gains (losses), other investments478
 335
 2,197
 833
397
 561
 974
 1,652
Change in unrealized holding gains (losses), trading securities2,152
 9,809
 2,526
 17,646
Change in unrealized holding gains (losses), convertible securities, carried at fair value as a part of Other investments23
 880
 621
 976
Change in unrealized holding gains (losses), equity investments(1,427) 6,599
 26,504
 (15,411)
Change in unrealized holding gains (losses), convertible securities, carried at fair value as a part of other investments(519) (260) 2,597
 (1,126)
Other2
 2
 7
 23
65
 252
 67
 265
Net realized investment gains (losses)$7,718
 $15,687
 $18,705
 $18,255
$947
 $11,074
 $44,390
 $2,588
We did not recognize any OTTI during the 2017 three-month period. During the 2017 nine-month period, we recognized OTTI in earnings of $0.2 million and $0.2 million in non-credit impairments in OCI, both of which related to corporate bonds.
We recognized a nominal amount of OTTI in earnings during the 2016 three-month period. During the 2016 nine-month period, we recognized OTTI in earnings of $6.5 million related to corporate bonds, including credit-related OTTI of $5.5 million related to debt instruments from ten issuers in the energy sector. The fair value of these bonds declined in the first quarter of 2016 as did the credit quality of the issuers and we recognized credit-related OTTI to reduce the amortized cost basis of the bonds to the present value of future cash flows we expected to receive from the bonds. During the 2016 nine-month period, we also recognized non-credit impairments of $0.9 million in OCI relative to the bonds of these issuers, as the fair value of the bonds was less than the present value of the expected future cash flows from the securities.
We also recognized a $3.1 million OTTI in earnings during the 2016 nine-month period related to an investment fund that is accounted for using the cost method (classified as Other investments). The fund is focused on the energy sector and securities held by the fund declined in value during 2016. An OTTI was recognized to reduce our carrying value of the investment to the NAV reported by the fund.
Operating Expenses
Corporate segment operating expenses forFor the three and nine months ended September 30, 20172019, we recognized a nominal amount of both credit related OTTI in earnings and 2016,non-credit OTTI in OCI, both of which related to a corporate bond. We recognized OTTI in earnings of $0.1 million and $0.5 million during the 2018 three- and nine- month periods, respectively, related to debt instruments from two issuers in the energy sector.
We recognized $0.9 million and $44.4 million of net realized investment gains during the 2019 three- and nine- month periods, respectively. Net realized investment gains for the 2019 three-month period were driven by realized gains from the sale of equity investments, partially offset by unrealized holding losses on our equity portfolio during the period. For the 2019 nine-month period, net realized investment gains were driven by unrealized holding gains on our equity portfolio and realized gains from the sale of equity investments during the period. The primary driver of the unrealized holding gains during the 2019 nine-month period was the improvement in the market since December 31, 2018, which caused our equity securities to increase in value. The most significant sectors that benefited were the financial and energy sectors.

Operating Expenses
Corporate segment operating expenses were comprised as follows:
Three Months Ended September 30 Nine Months Ended September 30Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2017 2016 Change 2017 2016 Change2019 2018 Change 2019 2018 Change
Operating expenses$9,333
 $9,086
 $247
 2.7% $32,546
 $31,713
 $833
 2.6%$7,056
 $9,461
 $(2,405) (25.4%) $25,083
 $27,702
 $(2,619) (9.5%)
Management fee offset(4,344) (4,000) (344) 8.6% (11,484) (10,965) (519) 4.7%(4,374) (4,408) 34
 (0.8%) (12,407) (12,351) (56) 0.5%
Segment Total$4,989
 $5,086
 $(97) (1.9%) $21,062
 $20,748
 $314
 1.5%$2,682
 $5,053
 $(2,371) (46.9%) $12,676
 $15,351
 $(2,675) (17.4%)
The increasedecrease in operating expenses for the three months ended September 30, 20172019 three- and nine- month periods was primarily driven by a decrease in share-based compensation expenses and other compensation related costs, primarily as a result of lower bonuses. The decrease in share-based compensation expenses in the 2019 three- and nine- month periods was attributable to a decrease in the value of the projected awards based upon the decline of one of the associated performance metrics as well as fewer awards outstanding as compared to the same periods of 2018. In addition, the 2019 three- and nine- month periods reflected a decrease in technology expenses due to an increase in staffing costs. The increase inthe allocation of technology costs to the operating expenses for the nine months ended September 30, 2017 was primarily driven by an increase in compensation related costssubsidiaries within our Specialty P&C and professional fees, partially offset by the effect of costs incurred during the first three quarters of 2016 related to a pre-acquisition liabilityWorkers' Compensation Insurance segments from a discontinued operation.

our Corporate segment.
Operating subsidiaries within our Specialty P&C and Workers' Compensation Insurance segments are charged a management fee by the Corporate segment for services provided to these subsidiaries. The management fee is based on the extent to which services are provided to the subsidiary and the amount of gross premium written by the subsidiary. Under the arrangement, the expenses associated with such services are reported as expenses of the Corporate segment, and the management fees charged are reported as an offset to Corporate operating expenses. While the terms of the management arrangement were consistent between 20162018 and 2017,2019, fluctuations in the amount of gross premium written by each subsidiary can result in corresponding variations in the management fee charged to each subsidiary during a particular period.
Segregated Portfolio Cell Dividend
Interest Expense (Income)
During the first quarter of 2017, we began reporting in the Corporate segment the portion of the SPC dividend expense (income) that is attributable to the investment results of the SPCs, all of which are reported in the Corporate segment, to better align the expense with the related investment results of the SPCs. For comparative purposes, we have reflected the SPC dividendConsolidated interest expense for the prior periods inthree and nine months ended September 30, 2019 and 2018 was comprised as follows:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2019 2018 Change 2019 2018 Change
Senior Notes due 2023$3,357
 $3,357
 $
 % $10,071
 $10,071
 $
 %
Revolving Credit Agreement (including fees and amortization)156
 131
 25
 19.1% 474
 1,255
 (781) (62.2%)
Mortgage Loans (including amortization)*351
 375
 (24) (6.4%) 1,096
 1,038
 58
 5.6%
(Gain)/loss on interest rate cap410
 (264) 674
 (255.3%) 1,209
 (1,121) 2,330
 (207.9%)
Other
 
 
 nm
 
 19
 (19) nm
Interest expense$4,274
 $3,599
 $675
 18.8% $12,850
 $11,262
 $1,588
 14.1%
* During each of the three and nine months ended September 30, 2019, we received a nominal cash payment associated with our interest rate cap which was recorded as a reduction to interest expense associated with our Mortgage Loans.
Consolidated interest expense increased during the three and nine months ended September 30, 2019 as compared to the same manner. SPC dividendrespective periods of 2018 driven by the change in fair value of our interest rate cap. The interest rate cap is designated as an economic hedge of interest rate risk associated with our variable rate Mortgage Loans. Excluding the impact of the change in fair value of our interest rate cap, consolidated interest expense remained relatively unchanged for the 2019 three-month period and decreased for the 2019 nine-month period as compared to the same respective periods of 2018. The decrease during the nine months ended September 30, 2019 was $1.2due to lower interest expense on our Revolving Credit Agreement as we did not have any outstanding borrowings during the 2019 nine-month period compared to weighted average outstanding borrowings of $55 million and $3.5 millionduring the 2018 nine-month period. Interest expense on our Revolving Credit Agreement for the three and nine months ended September 30, 2017, respectively, as compared to $1.7 million2019 and $2.4 million for the same respective periods of 2016. See the Underwriting, Policy Acquisition and Operating Expense section in our Workers' Compensation segment results for more information on our SPCs.
Interest Expense
Interest expense increased during the three and nine months endedSeptember 30, 2017 driven2018 primarily by an increase inreflected unused commitment fees as there were no outstanding borrowings during those periods. See further discussion of our weighted average outstanding debt which was $408 millionin Note 9 and $432 million for the three and nine months ended September 30, 2017, respectively, as compared to $350 million for the same respective periodsfurther discussion of 2016, and, to a lesser extent, an increase in the averageour interest rate oncap agreement in Note 10 of the outstanding borrowings under our Revolving Credit Agreement.
Interest expense for three and nine months ended September 30, 2017 and 2016 is provided in the following table:
 Three Months Ended September 30 Nine Months Ended September 30
($ in thousands)2017 2016 Change 2017 2016 Change
Senior notes due 2023$3,357
 $3,357
 $
 % $10,071
 $10,071
 $
 %
Revolving credit agreement (including fees and amortization)757
 381
 376
 98.7% 2,302
 1,185
 1,117
 94.3%
Other10
 10
 
 % 29
 29
 
 %
 $4,124
 $3,748
 $376
 10.0% $12,402
 $11,285
 $1,117
 9.9%
Notes to Condensed Consolidated Financial Statements.

Taxes
Tax expense allocated to our Corporate segment includes U.S. tax only, which would include U.S. tax expense incurred from our corporate membership in Lloyd's of London.London and tax expense incurred from SPCs at Inova Re, one of our Cayman Islands reinsurance subsidiaries, which intend to elect to be taxed as U.S. taxpayers. The U.K. tax expense incurred by the U.K. based subsidiaries of our Lloyd's SyndicateSyndicates segment is allocated to that segment. Consolidated tax expense (benefit) reflects the tax expense (benefit) of both segments, as shown in the table below:
Three Months Ended
September 30
 Nine Months Ended
September 30
Three Months Ended
September 30
 Nine Months Ended
September 30
(In thousands)2017 2016 2017 20162019 2018 2019 2018
Corporate segment income tax expense (benefit)$5,963
 $8,328
 $4,962
 $14,209
$(6,528) $155
 $157
 $(3,584)
Lloyd's Syndicate segment income tax expense (benefit)61
 1,352
 (495) 2,248
Lloyd's Syndicates segment income tax expense (benefit)(161) (361) (161) (355)
Consolidated income tax expense (benefit)$6,024
 $9,680
 $4,467
 $16,457
$(6,689) $(206) $(4) $(3,939)
Factors affecting our consolidated effective tax rate include the following:
 Three Months Ended
September 30
 Nine Months Ended
September 30
 2017 2016 2017 2016
Statutory rate35.0% 35.0% 35.0% 35.0%
Tax-exempt income*(5.6%) (3.8%) (6.8%) (5.7%)
Tax credits(17.0%) (13.1%) (18.9%) (16.9%)
U.K. operating results15.3% 0.5% 6.1% 0.1%
Excess tax benefit on share-based compensation% % (2.8%) %
Other(10.5%) 3.6% (7.9%) 2.1%
Effective tax rate17.2% 22.2% 4.7% 14.6%
* Includes tax-exempt interest, dividends received deduction and change in cash surrender value of BOLI.
Our effective tax rates for the 2017 three- and nine-month periods were 17.2% and 4.7%, respectively, and differ from the projected effective tax rate due to certain discrete items. These discrete items increased our projected effective tax rate by 7.4% and reduced our projected effective tax rate by 5.1% for the 2017 three- and nine-month periods, respectively. Our effective tax rates for the 2016 three- and nine-month periods were 22.2% and 14.6%, respectively, and differ from the projected effective tax rate due to certain discrete items. These discrete items increased our projected effective tax rate by 10.5% and 2.9% for the 2016 three- and nine-month periods, respectively. The effect of these discrete items on the 2017 and 2016 three- and nine-month periods resulted in our effective tax rates as shown in the table above.
 Three Months Ended
September 30
 Nine Months Ended
September 30
 2019 2018 2019 2018
Statutory rate21.0% 21.0% 21.0% 21.0%
Tax-exempt income*(3.7%) (1.7%) (2.0%) (3.0%)
Tax credits(44.1%) (16.7%) (23.1%) (23.3%)
Non-U.S. operating results(2.4%) (1.1%) (0.3%) 1.1%
Tax deficiency (excess tax benefit) on share-based compensation(0.6%) (0.1%) % (0.1%)
Other(33.9%) (2.1%) 4.4% (1.5%)
Total effective tax rate(63.7%) (0.7%) % (5.8%)
*Includes tax-exempt interest, dividends received deduction and change in cash surrender value of BOLI.
The provision (benefit) for income taxes and the effective tax rate for the 20172019 and 2018 three- and nine-monthnine- month periods are determined based upon our current estimate of anour annual effective tax rate at the end of each quarterly reporting period (the projected annual effective tax rate) plus the impact of certain discrete items that are not included in the projected annual effective tax rate. Our projected annual effective tax rates for the 20172019 and 2016 nine-month periods2018 were 9.8%benefits of 54.4% and 11.7%,3.0% at September 30, 2019 and 2018, respectively, before those certainconsideration of discrete items were considered.items. Our projected annual effective tax rates for both the 20172019 and 20162018 nine-month periods were different from the statutory federal income tax rate primarily due to a portion of our investment income being tax-exempt and the utilization of tax credits transferred to us from our tax credit partnership investments. While projected tax credits for 2017 are less than 2016, they continue to haveinvestments and a reducing effect on the effective tax rate for the 2017 three- and nine-month periods.portion of our investment income being tax-exempt. Tax credits were $6.0 million and $17.8 million forrecognized during the three and nine months ended September 30, 2017,2019 were $4.6 million and $13.9 million, respectively, as compared to $7.3$5.2 million and $20.8$15.8 million for the same respective periods of 2018. While projected tax credits for 2019 are less than 2018, they continue to have a significant impact on the effective tax rate for the 2019 three- and nine- month periods.
Our projected annual effective tax rate was a benefit of 54.4% as of September 30, 2019, which was entirely offset by the impact of discrete items of 54.4% resulting in 2016.an effective tax rate for the 2019 nine-month period of 0.0%. Our projected annual effective tax rate was a benefit of 3.0% as of September 30, 2018, which was reduced by the impact of discrete items of 2.8% resulting in an effective tax rate for the 2018 nine-month period of a benefit of 5.8%.
For the 20172019 and 2018 nine-month period, one notableperiods, the most significant discrete item that decreasedaffected our effective tax rate was the excess tax benefit on share-based compensation that resulted from the applicationtreatment of revised accounting guidance, which was effective January 1, 2017. Under the revised guidance, the difference between the deduction for tax purposes, which is based upon the fair market value of share-based awardsnet realized investment gains and the time of vesting,losses. Net realized investment gains and the compensation cost recognized for financial reporting purposes, which is based upon the fair market value of the share-based awards on the date of grant, is to be recognizedlosses are treated as income tax expense (benefit)discrete items and reflected in the current period rather than an adjustment to OCI as was required under prior guidance. See Note 1 of the Notes to Condensed Consolidated Financial Statements for further discussion on the adoption of the guidance. Another discrete item that increased our effective tax rate wasin the exclusionperiod in which they are included in income. This treatment of a tax benefit for U.K. lossesnet realized investment gains of $44.4 million and $2.6 million in our Lloyd's SyndicateCorporate segment that resulted fromfor the applicationnine months ended September 30, 2019 and 2018, respectively, accounted for an increase of accounting guidance related to interim period taxes for entities subject to multiple tax jurisdictions. Under this accounting guidance, an entity anticipating an ordinary loss55.4% and 0.9% in a jurisdiction for which no tax benefit can be recognized must exclude the loss and related tax benefit from the overall calculations of the estimated annual effective tax rate and interim period tax.in the same respective periods.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.
We believe that we are principally exposed to three types of market risk related to our investment operations. These risks are interest rate risk, credit risk and equity price risk. We are also exposed to interest rate risk related to our variable rate Mortgage Loans and Revolving Credit Agreement. We have limited exposure to foreign currency risk as we issue few insurance contracts denominated in currencies other than the U.S. dollar and we have few monetary assets or obligations denominated in foreign currencies.
Interest Rate Risk
Investments
Our fixed maturitymaturities portfolio is exposed to interest rate risk. Fluctuations in interest rates have a direct impact on the market valuation of these securities. As interest rates rise, market values of fixed income portfolios fall and vice versa. Certain of the securities are held in an unrealized loss position; we do not intend to sell and believe we will not be required to sell any of the debt securitiessecurity held in an unrealized loss position before its anticipated recovery.
The following table summarizestables summarize estimated changes in the fair value of our available-for-sale fixed maturity securities for specific hypothetical changes in interest rates by asset class at September 30, 20172019 and December 31, 20162018. There are principally two factors that determine interest rates on a given security: market interest rateschanges in the level of yield curves and credit spreads. As different asset classes can be affected in different ways by movements in those two factors, we have broken outseparated our portfolio by asset class in the following table.tables.
Interest Rate Shift in Basis PointsInterest Rate Shift in Basis Points
September 30, 2017September 30, 2019
($ in millions)(200) (100) Current 100 200(200) (100) Current 100 200
Fair Value:                  
Fixed maturities, available for sale:         
U.S. Treasury obligations$157
 $153
 $148
 $144
 $140
$128
 $125
 $121
 $117
 $114
U.S. Government-sponsored enterprise obligations20
 19
 19
 18
 17
23
 23
 22
 22
 21
State and municipal bonds748
 720
 693
 667
 642
316
 304
 293
 283
 272
Corporate debt1,362
 1,316
 1,273
 1,230
 1,189
1,437
 1,392
 1,349
 1,307
 1,267
Asset-backed securities349
 344
 335
 323
 310
539
 528
 516
 504
 491
All fixed maturity securities$2,636
 $2,552
 $2,468
 $2,382
 $2,298
Total fixed maturities, available for sale$2,443
 $2,372
 $2,301
 $2,233
 $2,165
                  
Duration:                  
Fixed maturities, available for sale:         
U.S. Treasury obligations3.03
 2.95
 2.86
 2.78
 2.71
3.04
 2.96
 2.89
 2.81
 2.74
U.S. Government-sponsored enterprise obligations1.70
 1.67
 3.36
 4.54
 4.81
0.77
 0.72
 1.26
 3.04
 4.07
State and municipal bonds3.77
 3.74
 3.75
 3.79
 3.82
3.66
 3.61
 3.61
 3.67
 3.75
Corporate debt3.36
 3.33
 3.36
 3.36
 3.32
3.18
 3.12
 3.10
 3.09
 3.06
Asset-backed securities1.77
 2.12
 3.10
 3.85
 4.17
2.03
 2.07
 2.27
 2.57
 2.74
All fixed maturity securities3.23
 3.24
 3.41
 3.52
 3.55
($ in millions)December 31, 2016
Fair Value:         
U.S. Treasury obligations$155
 $151
 $147
 $142
 $138
U.S. Government-sponsored enterprise obligations31
 31
 30
 29
 29
State and municipal bonds865
 832
 800
 770
 740
Corporate debt1,365
 1,321
 1,279
 1,238
 1,198
Asset-backed securities373
 368
 357
 344
 331
All fixed maturity securities$2,789
 $2,703
 $2,613
 $2,523
 $2,436
         
Duration:         
U.S. Treasury obligations3.00
 2.93
 2.85
 2.78
 2.72
U.S. Government-sponsored enterprise obligations1.55
 1.70
 2.39
 2.67
 2.70
State and municipal bonds3.85
 3.82
 3.83
 3.87
 3.91
Corporate debt3.21
 3.20
 3.22
 3.22
 3.18
Asset-backed securities1.75
 2.48
 3.38
 3.86
 4.10
All fixed maturity securities3.18
 3.26
 3.40
 3.47
 3.49
Total fixed maturities, available for sale2.96
 2.92
 2.95
 3.03
 3.07


 Interest Rate Shift in Basis Points
 December 31, 2018
($ in millions)(200) (100) Current 100 200
Fair Value:         
Fixed maturities, available for sale:         
U.S. Treasury obligations$127
 $124
 $120
 $117
 $114
U.S. Government-sponsored enterprise obligations36
 36
 35
 34
 33
State and municipal bonds316
 305
 294
 283
 273
Corporate debt1,300
 1,261
 1,224
 1,187
 1,153
Asset-backed securities443
 432
 421
 409
 396
Total fixed maturities, available for sale$2,222
 $2,158
 $2,094
 $2,030
 $1,969
          
Duration:         
Fixed maturities, available for sale:         
U.S. Treasury obligations2.77
 2.70
 2.63
 2.57
 2.50
U.S. Government-sponsored enterprise obligations0.66
 0.98
 2.65
 3.77
 4.18
State and municipal bonds3.61
 3.58
 3.59
 3.64
 3.73
Corporate debt2.98
 2.97
 2.93
 2.89
 2.83
Asset-backed securities2.18
 2.46
 2.86
 3.11
 3.23
Total fixed maturities, available for sale2.86
 2.91
 2.99
 3.04
 3.04
Computations of prospective effects of hypothetical interest rate changes are based on numerous assumptions, including the maintenance of the existing level and composition of fixed income security assets, and should not be relied on as indicative of future results.
Certain shortcomings are inherent in the method of analysis presented in the computation of the fair value of fixed rate instruments. Actual values may differ from the projections presented should market conditions vary from assumptions used in the calculation of the fair value of individual securities, including non-parallel shifts in the term structure of interest rates and changing individual issuer credit spreads.
At September 30, 2019, our fixed maturities portfolio includes fixed maturities classified as trading securities which do not have a significant amount of exposure to market interest rates or credit spreads.
Our cash and short-term investment portfolioinvestments at September 30, 2017 was2019 were carried on aat fair value which approximates their cost basis which approximates its fair value.due to their short-term nature. Our portfolio lackscash and short-term investments lack significant interest rate sensitivity due to itstheir short duration.
Debt
Our variable interest rate Mortgage Loans are exposed to interest rate risk. However, a 1% change in LIBOR will not materially impact our annualized interest expense. Additionally, we have economically hedged the risk of a change in interest rates in excess of 1% on the Mortgage Loans through the purchase of an interest rate cap derivative instrument, which effectively caps our annual interest rate on the Mortgage Loans at a maximum of 3.675% (see Note 10 of the Notes to Condensed Consolidated Financial Statements for additional information). The fair value of the interest rate cap is not materially impacted by a 1% change in LIBOR; however, the carrying value of the interest rate cap is impacted by future expectations for LIBOR as well as estimations of volatility in the future yield curve.
Our Revolving Credit Agreement is exposed to interest rate risk as it is LIBOR based and a 1% change in LIBOR will impact annual interest expense only to the extent that there is an outstanding balance. For every $100 million drawn on our Revolving Credit Agreement, a 1% change in interest rates will change our annual interest expense by $1 million. Any outstanding balances on the Revolving Credit Agreement can be repaid on each maturity date, which has typically ranged from one to three months. As of September 30, 2019, no borrowings were outstanding under our Revolving Credit Agreement.

Credit Risk
We have exposure to credit risk primarily as a holder of fixed income securities. We control this exposure by emphasizing investment grade credit quality in the fixed income securities we purchase.
As of September 30, 20172019, 94% of our fixed maturity securities were rated investment grade as determined by NRSROs, such as Fitch, Moody’s and Standard & Poor’s. We believe that this concentration in investment grade securities reduces our exposure to credit risk on our fixed income investments to an acceptable level. However, investment grade securities, in spite of their rating, can rapidly deteriorate and result in significant losses. Ratings published by the NRSROs are one of the tools used to evaluate the creditworthiness of our securities. The ratings reflect the subjective opinion of the rating agencies as to the creditworthiness of the securities, andsecurities; therefore, we may be subject to additional credit exposure should the ratingratings prove to be unreliable.
We also have exposure to credit risk related to our receivables from reinsurers. Our receivables from reinsurers (with regard to both paid and unpaid losses) approximated $321373 million at September 30, 20172019 and $279355 million at December 31, 20162018. We monitor the credit risk associated with our reinsurers using publicly available financial and rating agency data. We have not historically experienced material credit losses due to the financial condition of a reinsurer.
Equity Price Risk
At September 30, 2017,2019, the fair value of our equity investments, excluding our equity investments in bond investment funds as discussed in the following paragraph, was $293223 million. These equity securities are subject to equity price risk, which is defined as the potential for loss in fair value due to a decline in equity prices. The weighted average beta of this group of securities was 10.91. Beta measures the price sensitivity of an equity security or group of equity securities to a change in the broader equity market, in this case the S&P 500 Index. If the value of the S&P 500 Index increased by 10%, the fair value of these securities would be expected to increase by 10.0%9.1% to $322243 million. Conversely, a 10% decrease in the S&P 500 Index would imply a decrease of 10.0%9.1% in the fair value of these securities to $264203 million. The selected hypothetical changes of plus or minus 10% do not reflect what could be considered the best or worst case scenarios and are used for illustrative purposes only.
Our equity investments include equity investments in certain bond investment funds which are not significantly subject to significant equity price risk, and thus we have excluded these investments from the above analysis.

ITEM 4. CONTROLS AND PROCEDURES.
The Chief Executive Officerprincipal executive officer and Chief Financial Officerprincipal financial officer of the Company participated in management’s evaluation of our disclosure controls and procedures (as defined in SEC Rule 13a-15(e)) as of September 30, 20172019. ProAssurance’s disclosure controls and procedures are designed to reasonably assure that information required to be disclosed by us in reports we file or submit under the Exchange Act is accumulated and communicated to our management as appropriate to allow timely decisions regarding disclosure and is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms. Based on that evaluation, the Chief Executive Officerprincipal executive officer and Chief Financial Officerprincipal financial officer have concluded that our disclosure controls and procedures are effective.
Changes in Internal Control over Financial Reporting
There have been no significant changes in our internal controls over financial reporting that have materially affected, or are reasonably likely to materially affect, those controls during the quarter.
PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS.
See Note 67 of the Notes to Condensed Consolidated Financial Statements.
ITEM 1A. RISK FACTORS.
There are no changes to the "Risk Factors" in Part 1, Item 1A of the 2016December 31, 2018 report on Form 10-K.
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS.
(a)Not applicable.
(b)Not applicable.
(c)Information required by Item 703 of Regulation S-K.
Period Total Number of Shares Purchased Average Price Paid per Share Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plans or Programs* (In thousands)
July 1 - 31, 20172019 

 N/A 

 $109,643
August 1 - 31, 20172019 

 N/A 

 $109,643
September 1 - 30, 20172019 

 N/A 

 $109,643
Total 

 $— 

  
*Under its current plan begun in November 2010, the ProAssurance Board of Directors has authorized $600 million for the repurchase of common shares or the retirement of outstanding debt. This is ProAssurance’s only plan for the repurchase of common shares, and the plan has no expiration date.

ITEM 6. EXHIBITS
Exhibit Number Description
   
Employment Agreement between ProAssurance and Edward L. Rand, Jr. dated as of July 1, 2019.
 Certification of Principal Executive Officer of ProAssurance as required under SEC rule 13a-14(a).
  
 Certification of Principal Financial and Accounting Officer of ProAssurance as required under SEC rule 13a-14(a).
  
 Certification of Principal Executive Officer of ProAssurance as required under SEC Rule 13a-14(b) and Section 1350 of Chapter 63 of Title 18 of the United States Code, as amended (18 U.S.C. 1350).
  
 Certification of Principal Financial and Accounting Officer of ProAssurance as required under SEC Rule 13a-14(b) and Section 1350 of Chapter 63 of Title 18 of the United States Code, as amended (18 U.S.C. 1350).
  
 XBRL Instance Document
  
 XBRL Taxonomy Extension Schema Document
  
 XBRL Taxonomy Extension Calculation Linkbase Document
  
 XBRL Taxonomy Extension Definition Linkbase Document
  
 XBRL Taxonomy Extension Labels Linkbase Document
  
 XBRL Taxonomy Extension Presentation Linkbase Document

SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
PROASSURANCE CORPORATION
November 6, 20175, 2019
/s/    Edward L. Rand, Jr.Dana S. Hendricks
Edward L. Rand, Jr.Dana S. Hendricks
Chief Financial Officer
(Duly authorized officer and principal financial officer)


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