![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit1.jpg)
March 8, 2011
Investor Presentation
Raymond James & Associates
32nd Annual Institutional Investors Conference
Raymond James & Associates
32nd Annual Institutional Investors Conference
W. Stancil Starnes Chairman and Chief Executive Officer
Edward L. Rand, Jr. Chief Financial Officer
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit2.jpg)
This presentation contains Forward Looking Statements and other information designed to convey
our projections and expectations regarding future results. There are a number of factors which
could cause our actual results to vary materially from those projected in this presentation. The
principal risk factors that may cause these differences are described in various documents we file
with the Securities and Exchange Commission, such as our Current Reports on Form 8-K, and our
regular reports on Forms 10-Q and 10-K, particularly in “Item 1A, Risk Factors.” Please review
this presentation in conjunction with a thorough reading and understanding of these risk factors.
our projections and expectations regarding future results. There are a number of factors which
could cause our actual results to vary materially from those projected in this presentation. The
principal risk factors that may cause these differences are described in various documents we file
with the Securities and Exchange Commission, such as our Current Reports on Form 8-K, and our
regular reports on Forms 10-Q and 10-K, particularly in “Item 1A, Risk Factors.” Please review
this presentation in conjunction with a thorough reading and understanding of these risk factors.
We especially identify statements concerning our recently-completed acquisition of American
Physicians Service Group (NASDAQ: AMPH) as Forward Looking Statements and direct
your attention to our Form 10K, issued on February 24, 2011, for a discussion of risk factors
pertaining to this transaction and subsequent integration into ProAssurance.
Physicians Service Group (NASDAQ: AMPH) as Forward Looking Statements and direct
your attention to our Form 10K, issued on February 24, 2011, for a discussion of risk factors
pertaining to this transaction and subsequent integration into ProAssurance.
This presentation contains Non-GAAP measures, and we may reference Non-GAAP measures in
our remarks. A reconciliation of these measures to GAAP measures is available in our latest
quarterly news release, which is available in the Investor Relations section of our website,
www.ProAssurance.com, and in the related Current Reports on Form 8K disclosing that release.
our remarks. A reconciliation of these measures to GAAP measures is available in our latest
quarterly news release, which is available in the Investor Relations section of our website,
www.ProAssurance.com, and in the related Current Reports on Form 8K disclosing that release.
FORWARD LOOKING STATEMENTS
2
NON-GAAP MEASURES
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit3.jpg)
ProAssurance: Corporate Profile
Specialty writer of professional liability insurance
Fourth largest writer overall of Medical Professional
Liability (MPL)
Liability (MPL)
Historical Book Value Per Share
Since Inception
CAGR: 16%
CAGR: 16%
Cumulative:1545%
10 Year Summary
CAGR: 15%
CAGR: 15%
Cumulative: 297%
Historical Stock Price (to 2/28/11)
Since Inception
CAGR: 14%
CAGR: 14%
Cumulative:1059%
10 Year Summary
CAGR: 14%
CAGR: 14%
Cumulative: 263%
Consistently Successful Throughout the Insurance Cycle
Up
13%
Y-O-Y
13%
Y-O-Y
Up
15%
Y-O-Y
15%
Y-O-Y
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit4.jpg)
ProAssurance: Corporate Profile
Market Cap : ~$1.9 billion
Total Assets: $4.8 billion
Shareholders’ Equity: $1.9 billion
Historical Book Value Per Share
Since Inception
CAGR: 16%
CAGR: 16%
Cumulative:1545%
10 Year Summary
CAGR: 15%
CAGR: 15%
Cumulative: 297%
Historical Stock Price (to 2/28/11)
Since Inception
CAGR: 14%
CAGR: 14%
Cumulative:1059%
10 Year Summary
CAGR: 14%
CAGR: 14%
Cumulative: 263%
Consistently Successful Throughout the Insurance Cycle
Up
13%
Y-O-Y
13%
Y-O-Y
Up
15%
Y-O-Y
15%
Y-O-Y
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit5.jpg)
2010 Financial Highlights
5
December 31 | Y-O-Y Percentage Change | ||
2010 | 2009 | ||
Gross Premiums Written | $ 533,205 | $ 553,922 | -4% |
Net Premiums Earned | 519,107 | 497,543 | +4% |
Net Investment Income | 146,380 | 150,945 | -4% |
Net Income (Includes Investment Losses) | 231,598 | 222,026 | +4% |
Operating Income | 219,457 | 215,210 | +2% |
Net Income per Diluted Share | $ 7.20 | $ 6.70 | +7% |
Operating Income per Diluted Share | $ 6.82 | $ 6.49 | +5% |
December 31 | |||
2010 | 2009 | ||
Total Assets | $ 4,875,056 | $ 4,647,414 | +5% |
Shareholders’ Equity | 1,855,863 | 1,704,595 | +9% |
Book Value per Share | $ 60.35 | $ 52.59 | +15% |
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit6.jpg)
Capital Management
6
Share repurchase
$105 million spent in 2010 to buy
1.8 million shares
1.8 million shares
$315 million spent to repurchase 6.0
million shares since 2005
million shares since 2005
Proven discipline in prudently
deploying capital
deploying capital
Building the company and enhancing
return through M&A
return through M&A
Continuous review of capital
management alternatives
management alternatives
Share Repurchase History
Conceptual Model of Projected A. M. Best BCAR Scores if
Premiums Increase
Surplus is Reduced
Excess Capital vs. Excess Capacity
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit7.jpg)
ProAssurance: Geographic Profile
Writing throughout the United States
2009 market share of 5% by DPW
Maintaining local knowledge and expertise
7
Corporate Headquarters
Corporate Headquarters
(Birmingham)
ProAssurance Footprint
1 Includes premium
attributable to
American Physicians
acquisition only for December, 2010
attributable to
American Physicians
acquisition only for December, 2010
Top States (2010 Premium in millions)1
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit8.jpg)
ProAssurance: Risk and Distribution Profile
We insure a broad range of healthcare risks, from
home health providers to 800 bed hospitals
home health providers to 800 bed hospitals
8
Direct: 35% / Agents: 65%
2010 Premium: $533 million
Direct: 39% / Agents: 61%
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit9.jpg)
March 8, 2011
Operations and Strategy
W. Stancil Starnes Chairman and Chief Executive Officer
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit10.jpg)
ProAssurance Differentiates in the Marketplace
Defense of claims
Long-term financial strength
Adaptability
Treated Fairly®
10
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit11.jpg)
Claims Defense Remains at Our Core
Our insureds increasingly value reputational defense
as claims data becomes public
as claims data becomes public
11
ProAssurance: 81% Favorable Outcomes
Industry: 74% Favorable Outcomes
Five Year Average
2005-2009
2005-2009
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit12.jpg)
The Ohio Example: 2005 - 2009 Data
Comprehensive, reliable data provided by the Ohio Department of Insurance
12
www.insurance.ohio.gov/Legal/Reports/Documents/MedMal_Closed_Claim_2009.pdf
Fewer Claims Closed With Indemnity
More Claims Defended in Court
2.5x Lower Average Indemnity Payment per Closed Claim
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit13.jpg)
Solid Retention of Well-Underwritten Risks
13
ProAssurance Premium Retention History
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit14.jpg)
Combined Ratio: ProAssurance Consistently Outperforms
Demonstrated Underwriting Performance
ProAssurance Average: 95.3% Industry Average: 108.8%
Source: A.M. Best Aggregates and Averages, Medical Malpractice Lines of Business
14
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit15.jpg)
The Potential Effects of Healthcare Reform
No meaningful Tort Reform in the bill
Known
More customers for us
We have acquired companies to expand our reach
Unknown
Effect on the medical / legal environment
Long-term effects on the business we write and who
purchases that coverage
purchases that coverage
We have unique advantages in this new environment
15
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit16.jpg)
New Products for a Changing Market
Insurance partnership with Ascension Health
Pilot project in Michigan
Joint physician / hospital insurance product: ProControl
Alternative risk and self-insurance mechanisms
16
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit17.jpg)
Tort Reform Resurfaces
Tort Reform has reappeared in Washington
The HEALTH Act should pass the House
Senate passage is far from certain
State Tort Reforms
Existing reforms being tested
New states considering MPL tort reforms
We set prices and reserve levels as if there is no tort
reform, until results reflect otherwise
reform, until results reflect otherwise
17
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit18.jpg)
M & A Update and Strategy
Acquisition of American Physicians Services Group
Modestly accretive to earnings in 2011, after one-time
charges and restructuring costs
charges and restructuring costs
We are now the second leading writer in Texas
Adds to business in Arkansas and Oklahoma
We are industry leaders in M & A
Not all M & A opportunities should be pursued
We prefer “healthcare centric” but look for
closely related liability lines to leverage expertise
(attorneys E & O for example)
closely related liability lines to leverage expertise
(attorneys E & O for example)
Our strategy adapts to the available opportunities for
profitable growth
profitable growth
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![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit19.jpg)
Performance Recognition
Leading industry operating
performance in 2009 in
Moody’s top 100
property & casualty insurers
performance in 2009 in
Moody’s top 100
property & casualty insurers
ProAssurance ranks 79th by
premium, but outperforms in
many key financial measures
premium, but outperforms in
many key financial measures
Fourth straight year in the
Ward’s 50
Ward’s 50
Top 3% of all P&C
companies
companies
19
Source: Moody’s - Statistical Handbook, Ward Group’s - 2010 Ward’s 50
Lower is better
Operating Ratio
PRA 2008 Rank: #1
Combined Ratio
PRA 2008 Rank: #2
Loss & LAE Ratio
PRA 2008 Rank: #5
Return on Core Premium
Return on Surplus
PRA 2008 Rank: #1
PRA 2008 Rank: #5
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit20.jpg)
Driven to Excel / Focused on Shareholder Value
20
Current Prices Present a Compelling Buying Opportunity
Current Price to Book: ~1.0x Average Since Inception: 1.4x
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit21.jpg)
March 8, 2011
W. Stancil Starnes Chairman and Chief Executive Officer
Edward L. Rand, Jr. Chief Financial Officer
Frank B. O’Neil Investor Relations Officer
Investor Meetings
Investor Meetings
Raymond James & Associates
Raymond James & Associates
32nd Annual Institutional Investors Conference
32nd Annual Institutional Investors Conference
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit22.jpg)
Specialty writer of professional liability insurance, primarily Medical Professional Liability (MPL)
Market Cap : ~$1.9 billion
Total Assets: $4.9 billion
Shareholders’ Equity: $1.9 billion
Founded in 1975 / Demutualized to a public company in 1991
ProAssurance: Corporate Profile
Historical Book Value Per Share
Since Inception
CAGR: 16%
CAGR: 16%
Cumulative:1545%
10 Year Summary
CAGR: 15%
CAGR: 15%
Cumulative: 297%
Historical Stock Price (to 2/28/11)
Since Inception
CAGR: 14%
CAGR: 14%
Cumulative:1059%
10 Year Summary
CAGR: 14%
CAGR: 14%
Cumulative: 263%
Consistently Successful Throughout the Insurance Cycle
Up
13%
Y-O-Y
13%
Y-O-Y
Up
15%
Y-O-Y
15%
Y-O-Y
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit23.jpg)
ProAssurance: Business Profile
Largest independent publicly traded writer of MPL insurance
Fourth largest overall writer
Fragmented market
Top 20 writers have just 64% of the market
More than 100 writers with some share of the market
Majority of companies are mutual or similar
Few operate in more than two or three states
23
Company | 2009 DPW (000’s) | Share | Comments | |
1 | Medical Liability Mutual | $ 756,844 | 7.0% | 78% in NY, 22% in NJ |
2 | Medical Protective | $ 727,160 | 6.8% | Berkshire subsidiary Direct competitor |
3 | Doctors Company | $ 601,223 | 5.6% | Non-public Direct competitor |
4 | ProAssurance | $ 541,031 | 5.0% | |
5 | AIG | $ 524,252 | 4.9% | Not a direct competitor Primarily excess writer |
Total DPW: $10.2 billion |
ProAssurance as Top Overall Writer | ||
State | 2009 Share | 2009 Rank |
Alabama | 60% | 1 |
Delaware | 42% | 1 |
DC | 50% | 1 |
Wisconsin | 32% | 1 |
ProAssurance as Overall Writer 2 - 4 | ||
State | 2009 Share | 2009 Rank |
Indiana | 24% | 2 |
Texas1 | 19% | 2 |
Ohio | 17% | 2 |
Iowa | 16% | 2 |
Maryland | 5% | 2 |
Michigan | 15% | 3 |
Kentucky | 12% | 3 |
Missouri | 8% | 3 |
Nevada | 11% | 4 |
Nebraska | 8% | 4 |
Arkansas | 7% | 4 |
Illinois | 5% | 4 |
Kansas | 5% | 4 |
1 Proforma, ProAssurance and American Physicians |
Source: DPW: SNL; Market Share and Rank: Highline Data 2009
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit24.jpg)
ProAssurance: Geographic Profile
Writing across the United States, ProAssurance has broad geographic diversification
Each state presents unique medical and legal challenges
Regional structure provides the local knowledge that differentiates ProAssurance
24
Corporate Headquarters
Corporate Headquarters
(Birmingham)
ProAssurance Footprint
1 Includes premium attributable to American
Physicians
acquisition only for December, 2010. Subject to rounding.
Physicians
acquisition only for December, 2010. Subject to rounding.
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit25.jpg)
ProAssurance: Risk and Distribution Profile
We insure a broad range of healthcare risks, from home health providers to large hospitals
Focus on individual physicians and physician groups
Rated “A” by A.M. Best and Fitch
Dual distribution in DC, Texas and parts of Missouri
25
Direct: 34% / Agents: 66%
2010 Premium: $533 million
Direct: 39% / Agents: 61%
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit26.jpg)
M & A Update
Financial Highlights
Acquisition of American Physicians Services Group (APS) closed November 30, 2010
Announced September 1, 2010
Valued AMPH at $32.50/share—approximately $233 million paid to AMPH shareholders
1.3x Book Value or 11x First Call EPS estimate
Insurance Highlights
We are now the second leading writer in Texas
Adds high quality premium and
~6,700 well-underwritten policyholders
in a challenging market
~6,700 well-underwritten policyholders
in a challenging market
Texas Highlights
One of the fastest growing medical populations
Strong, resilient economy
APS headquarters becomes our Texas regional office
26
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit27.jpg)
We are skilled at finding M & A opportunities, conducting in-depth due diligence and integrating
resulting acquisitions
resulting acquisitions
2009: Consolidation of:
Mid-Continent General Agency
Mid-Continent General Agency
2009: Consolidation of:
Mid-Continent General Agency
Mid-Continent General Agency
Georgia Lawyers Insurance Co.
Georgia Lawyers Insurance Co.
2004: Purchased Selected Renewal Rights from:
OHIC Insurance Company
OHIC Insurance Company
2004: Purchased Selected Renewal Rights from:
OHIC Insurance Company
OHIC Insurance Company
We Expect to Continue Growing Through M & A
27
1994: Consolidation of:
West Virginia Hosp. Ins Co.
West Virginia Hosp. Ins Co.
1994: Consolidation of:
West Virginia Hosp. Ins Co.
West Virginia Hosp. Ins Co.
1995: Consolidation of;
1995: Consolidation of;
Physicians Ins Co of Indiana
Physicians Ins Co of Indiana
Assumed business of:
Physicians Ins Co of Ohio
Physicians Ins Co of Ohio
Assumed business of:
Physicians Ins Co of Ohio
Physicians Ins Co of Ohio
1996: Consolidation of:
1996: Consolidation of:
Missouri Medical Ins Co
Missouri Medical Ins Co
1995: Assumed business of:
Associated Physicians Ins Co. (IL)
Associated Physicians Ins Co. (IL)
1995: Assumed business of:
Associated Physicians Ins Co. (IL)
Associated Physicians Ins Co. (IL)
1998: Consolidation of:
Physicians Protective Trust Fund (FL)
Physicians Protective Trust Fund (FL)
1998: Consolidation of:
Physicians Protective Trust Fund (FL)
Physicians Protective Trust Fund (FL)
1996: Assumed business of:
American Medical Ins Exchange (IN)
American Medical Ins Exchange (IN)
1996: Assumed business of:
American Medical Ins Exchange (IN)
American Medical Ins Exchange (IN)
Founding in the 1970s
Founding in the 1970s
1999: Assumed business of:
Medical Defense Associates (MO)
Medical Defense Associates (MO)
1999: Assumed business of:
Medical Defense Associates (MO)
Medical Defense Associates (MO)
Mutual Assurance
Physicians Ins. Co. of Michigan
Professionals Group
Creation of:
Creation of:
2005: Consolidation of:
NCRIC Group
NCRIC Group
2005: Consolidation of:
NCRIC Group
NCRIC Group
2006: Consolidation of:
PIC Wisconsin Group
PIC Wisconsin Group
2006: Consolidation of:
PIC Wisconsin Group
PIC Wisconsin Group
2007: PRI renewal rights deal
2002: SERTA renewal rights deal
2001: OUM renewal rights deal
2000: DPM Merger
1999: PACO Acquisition
Completed
11/30/10
11/30/10
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit28.jpg)
The Case for Growing Through M & A
Legal and regulatory environment must be favorable
Not all M & A opportunities should be pursued
The key is understanding why companies are available
We don’t “bet the farm” and can acquire without “breaking the bank”
We prefer “healthcare centric” but look for closely related liability lines to leverage expertise
(attorneys E & O for example)
(attorneys E & O for example)
Our strategy adapts to the available opportunities for profitable growth
De Novo vs. Acquisition
Soft Market
Hard Market
M & A
de novo
Expansion
Expansion
Internal
Growth
Growth
All avenues
open
because of
pricing
power
open
because of
pricing
power
M & A is
preferable
because of
pricing
pressure
preferable
because of
pricing
pressure
M & A and the Insurance Cycle
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit29.jpg)
Strategy & Operations: Differentiation is the Key
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit30.jpg)
Current Industry Status
We are in a period of “benign profitability”
Prices have been falling yet profitability remains at attractive levels
We have seen no new large scale market entry from larger commercial competitors
Some consolidation among “mid-decade” start-ups
30
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit31.jpg)
Differentiate Through Claims Defense
Our deep expertise in claims defense has always set us apart
Our financial strength gives our insureds the opportunity for an uncompromising defense of their
claim
claim
Our successful approach to claims establishes a unique competitive advantage
Differentiates our product
Provides long-term financial and marketing advantages
A significant factor in our high retention rate
Helps deter future lawsuits
Our insureds increasingly value reputational defense as claims data becomes public
31
ProAssurance: 82% Favorable Outcomes
Industry: 73% Favorable Outcomes
Source: The PIAA
Five Year Average
2005-2009
2005-2009
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit32.jpg)
The Ohio Example: 2005 - 2009 Data
Comprehensive, reliable data provided by the Ohio Department of Insurance
Broad range of competitors and business approaches
32
www.insurance.ohio.gov/Legal/Reports/Documents/MedMal_Closed_Claim_2008.pdf
Fewer Claims Closed With Indemnity
More Claims Defended in Court
2.5x Lower Average Indemnity Payment per Closed Claim
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit33.jpg)
ProAssurance Claims Tried to a Verdict
New Claims Opened Each Year
Claims Trends Remain Favorable
With frequency down compared to mid-decade the result is fewer cases to try
Severity trends steady and manageable
Trends are much the same in states with or without Tort Reform
33
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit34.jpg)
Loss Trends and Rate Actions
Rates on renewing physician business down less than 14% from peak pricing in 2006
Improved frequency trends are reflected in recent rate declines
Improvement in frequency has outweighed a steady, manageable rise in severity of 3%-5% per year
Loss trends have improved in states with and without tort reforms
Rate changes (up or down) in 2011 will likely be low-to-mid single digits
Despite competitors’ concessions on pricing and terms, we are retaining existing business and
writing some new business that meets our long-term profitability goals
writing some new business that meets our long-term profitability goals
34
Physician Rate Change History1
Premium Retention History
1Excludes PICA for clarity of historical comparison
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit35.jpg)
We enforce stringent underwriting standards to maintain rate structure and enhance profitability
Underwriting process driven by individual risk selection and assessment of loss history, areas of practice,
and location
and location
Rate filings consider the results of the past five to seven years to ensure a single year does not
unduly influence results
unduly influence results
Demonstrated Underwriting Performance
ProAssurance Average: 95.3% Industry Average: 108.8%
Source: A.M. Best Aggregates and Averages, Medical Malpractice Lines of Business
35
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit36.jpg)
Conservative Approach to Reserves
No change in the historic reserving practices that have produced favorable net reserve
development in each of the last eight years
development in each of the last eight years
Conservative reserve strategy provides protection against a loss trend reversal
Reviewed at least quarterly by internal actuarial staff
Regular outside reviews
Independent consulting actuaries (Towers Watson) conduct full review twice per year
Actuaries associated with independent auditor (E&Y) review once per year
Net Liability Reserve Development
Net Reserve per Open MPL Claim1
1 Statutory basis; Loss & LAE
Acquired company data included at end of acquiring year.
Acquired company data included at end of acquiring year.
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit37.jpg)
Tort Reform Resurfaces
Federal Tort Reform has reappeared in Washington
Lots of smoke, so far no fire in Washington
Resurfaced during President Obama’s State of the Union Speech
Republicans are pushing The HEALTH Act which previously passed the House but died in the Senate
Out of Committee in the House
Companion bill introduced in the Senate
Democrats have offered to consider scaled-back reforms
Meaningful Tort Reform was not enacted when Republicans controlled Congress and the White House
State Tort Reforms
New reforms being considered in NC and NY
Reforms enacted in the early part of the decade are now being adjudicated before state Supreme Courts
Challenge underway in WV
Overturned in Georgia, Illinois and Louisiana
Upheld in Maryland
Split decision in Missouri
Whether federal or state, we never give advance credit for untested reforms unless required by
law or regulation
law or regulation
We are prepared, operationally and financially, if Tort Reforms are struck down in our states
Prices are set and reserves established as if there is no tort reform, until results reflect otherwise
37
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit38.jpg)
The Potential Effects of Healthcare Reform
No meaningful Tort Reform in the bill
No immediate effect on the medical/legal climate
Demonstration projects do not provide meaningful reform or immediate data
Known: More customers for us
We have enhanced our ability to write new classes of business
through the acquisition of PICA and
ProAssurance Mid-Continent General Underwriters
through the acquisition of PICA and
ProAssurance Mid-Continent General Underwriters
Unknown: Effect on the medical/legal environment
Increased patient frustration with the system
Possibility of more unexpected outcomes
We are introducing new approaches and new products to take advantage
Likely to hasten M&A amongst smaller insurers that lack the capacity
or capability to insure hospitals or facilities
or capability to insure hospitals or facilities
38
1 Bureau of Labor Statistics 2008 to 2018 Projections
http://data.bls.gov/oep/nioem
http://data.bls.gov/oep/nioem
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit39.jpg)
New Products for a Changing Market
Insurance partnership with Ascension Health
Largest Catholic healthcare system in the US
38 ministry locations in 18 states
Pilot partnership in Michigan to offer coverage to 1,000 affiliated physicians not employed by Ascension
Insurance operations performed by ProAssurance
PRA policies jointly marketed
Joint claims and risk management efforts
Financial involvement of both entities creates incentive to reduce risk
Now being rolled out, policies effective April 1, 2011
Joint physician/hospital insurance product: ProControl
Addresses the unique risk tolerance and claims-handling expectation of each insured
Physicians largely seek claims defense to protect their reputation
Hospitals/facilities seek to protect their reputation in different ways
Broad interest in the market
Alternative risk and self-insurance mechanisms
Captive insurance programs
Deductible programs
Risk Retention Groups for specific specialties or regions
39
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit40.jpg)
Long-Term Financial Strength Sets Us Apart
Ensuring the strength of our balance sheet is our top financial priority
Financial strength differentiates us in the market
The claims defense philosophy that differentiates us in the market leverages our financial strength
40
Shareholders’ Equity
Up Over >70% Since 12/31/06
Total Assets
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit41.jpg)
Financial Performance and Investments
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit42.jpg)
Performance Recognition
Leading industry operating performance
in 2009, ranked by Moody’s top 100
property & casualty insurers
in 2009, ranked by Moody’s top 100
property & casualty insurers
ProAssurance ranks 79th by premium, but
outperforms in key financial measures
outperforms in key financial measures
Fourth straight year in the Ward’s 50
Recognition as one of the 50 top
performing Property & Casualty
insurance companies
performing Property & Casualty
insurance companies
42
Source: Moody’s - Statistical Handbook, Ward Group’s - 2010 Ward’s 50
Lower is better
Operating Ratio
PRA 2008 Rank: #1
Combined Ratio
PRA 2008 Rank: #2
Loss & LAE Ratio
PRA 2008 Rank: #5
Return on Surplus
PRA 2008 Rank: #1
PRA 2008 Rank: #5
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit43.jpg)
43
Consolidated Operating Net Income1
Net Investment Income
Net Premiums Written
1 Excludes the after-tax effects of net realized gains or losses and guaranty fund assessments or recoupments
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit44.jpg)
CUSIP-level portfolio disclosure on our website:
www.proassurance.com/investorrelations/supplemental.aspx
www.proassurance.com/investorrelations/supplemental.aspx
Investments Balance Risk vs. Return
44
$4 Billion Overall Portfolio
$3.6 Billion Fixed Income Portfolio
Average duration: 4.1 years
Average tax-equivalent yield: 4.8%(1)
Investment grade: 97%
Weighted average: AA-
Key Actions in Q4
APS now part of portfolio
Cash reduced due to acquisition
Offset by increase in bonds
12/31/10
(1) APS transaction reduced overall yield by 10bps due to the effect of acquiring its portfolio at market.
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit45.jpg)
The Importance of Investment Income
Investment income compounds significantly due to the long-tail nature of the MPL claims cycle
Lower investment results place greater emphasis on quality underwriting to achieve a combined
ratio below 100%
ratio below 100%
45
Year
1
1
Year
2
2
Year
3
3
Year
4
4
Year
5
5
Year
6
6
Year
7
7
Year
8
8
Incident
Occurs
Occurs
Discovery
and
Preparation
and
Preparation
Claim
Reported
Reported
Trial
and
Appeals
Appeals
Resolution
5-6 Years
After
Claim
Reported
After
Claim
Reported
Life Cycle of a Typical Claim
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit46.jpg)
Pricing discipline becomes even more
critical in a low interest rate environment
critical in a low interest rate environment
Lack of investment yield may be a hard
market catalyst
market catalyst
Return on Equity and Investment Returns
46
Assumes a 1:1 premium to surplus ratio for physicians professional liability claims-made coverages
Combined Ratio Required to
Generate a 13% Return on Equity
Generate a 13% Return on Equity
Long-Term ROE Target is 13%
The choice: chase yield or extend duration
We are maintaining duration, looking for
opportunities
opportunities
The Yield Trap
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit47.jpg)
Conservative Use of Debt and Low Leverage
Low Debt to Cap Ratio
No strain on cash flow
47
Debt to Equity
No Debt Prior to 2001
Strong Capital Position
Prepared for an improving market
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit48.jpg)
Capital Management
Dividends
No current dividend to shareholders
Regular evaluation by Board/Management
Ongoing commitment of cash is a key consideration
48
Share Repurchase
$106 million spent in 2010 to buy
1.8 million shares
1.8 million shares
$315 million spent to repurchase 6.0 million shares
since 2005
since 2005
Proven discipline in prudently deploying
capital
capital
Building the company and enhancing return
through M&A
through M&A
Enhancing shareholder value by repurchasing
shares at prices that build Book Value
shares at prices that build Book Value
Share Repurchase History
Conceptual Model of Projected A. M. Best BCAR Scores if
Premiums Increase
Surplus is Reduced
Excess Capital vs. Excess Capacity
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit49.jpg)
Investing in ProAssurance
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit50.jpg)
Driven to Excel / Focused on Shareholder Value
Maintaining our profitability and book value growth
Outstanding performance in a challenging financial market and a demanding line of insurance
Producing sustainable shareholder value
Finding the right M & A opportunities
Growing Book Value per Share
Significant share ownership at all levels
Focusing on long-term
Preparing for a changing market while maintaining our leading position in the current market
Protecting the balance sheet
Preparing for the market turn
50
Current Prices Present a Compelling Buying Opportunity
Current Price to Book: ~1.0x Average Since Inception: 1.4x
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit51.jpg)
Supplemental Discussion Materials
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit52.jpg)
Effective & Experienced Management
W. Stancil Starnes, JD Chairman & Chief Executive Officer sstarnes@proassurance.com (205) 877-4400 Company Tenure: 3 Years Prior MPL Experience: 29 Years Industry & Related Experience: 32 Years Formerly in the private practice of law in MPL defense and complex corporate litigation. | Victor T. Adamo, JD, CPCU President vadamo@proassurance.com (205) 877-4400 Company Tenure: 25 Years Prior MPL Experience: 5 Years Industry & Related Experience: 30 Years Formerly in the private practice of corporate law. | Jeffrey L. Bowlby, ARM Sr. Vice-President & Chief Marketing Office jbowlby@proassurance.com (517) 347-6306 Company Tenure: 12 Years Prior MPL Experience: - Industry & Related Experience: 26 Years Career-long experience in insurance sales and marketing, most recently as SVP for Marketing with Meadowbrook. |
Howard H. Friedman, ACAS Sr. Vice-President & Chief Underwriting Officer hfriedman@proassurance.com (205) 802-4796 Company Tenure: 14 Years Prior MPL Experience: 16 Years Industry & Related Experience: 30 Years Career-long experience in MPL company operations and management. Former ProAssurance CFO. | Jeffrey P. Lisenby, JD Sr. Vice-President, General Counsel & Secretary jlisenby@proassurance.com (205) 445-2668 Company Tenure: 9 Years Prior MPL Experience: - Industry & Related Experience: 9 Years Formerly in the private practice of law. | Frank B. O’Neil Sr. Vice-President & Chief Communications Officer foneil@proassurance.com (205) 877-4461 Company Tenure: 23 Years Prior MPL Experience: - Industry & Related Experience: 23 Years Formerly a television news executive and anchor. |
Edward L. Rand, Jr., CPA Sr. Vice-President & Chief Financial Officer erand@proassurance.com (205) 802-4718 Company Tenure: 6 Years Prior MPL Experience: - Industry & Related Experience: 18 Years Career-long experience in insurance finance and accounting. Most recently Chief Accounting Officer for Partner Re. | Darryl K. Thomas, JD Sr. Vice-President & Chief Claims Officer dthomas@proassurance.com (205) 445-2668 Company Tenure: 12 Years Prior MPL Experience: 10 Years Industry & Related Experience: 22 Years Career-long experience in MPL claims management. | Hayes V. Whiteside, MD, FACS Sr. Vice-President & Chief Medical Officer hwhiteside@proassurance.com (205) 445-2670 Company Tenure: 6 Years MPL Experience: - Industry & Related Experience: 27 Years Formerly in the private practice of Urology. |
52
Average executive tenure through VP level is 16 years
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit53.jpg)
2010 Financial Highlights
53
December 31 | ||
2010 | 2009 | |
Gross Premiums Written | $ 533,205 | $ 553,922 |
Net Premiums Earned | 519,107 | 497,543 |
Net Investment Income | 146,380 | 150,945 |
Net Income (Includes Investment Losses) | 231,598 | 222,026 |
Operating Income | 219,457 | 215,210 |
Net Income per Diluted Share | $ 7.20 | $ 6.70 |
Operating Income per Diluted Share | $ 6.82 | $ 6.49 |
December 31 | ||
2010 | 2009 | |
Total Assets | $ 4,875,056 | $ 4,647,414 |
Shareholders’ Equity | 1,855,863 | 1,704,595 |
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit54.jpg)
ProAssurance Portfolio Detail: Asset Backed
54
12/31/10
Asset Backed: $732 Million
Weighted Average Rating: “AA+”
Breakdown of Agency MBS Holdings
CMBS Details Provided on Page 33
Sub-Prime: $12.5 mln Market Value (AFS)
$374,000 unrealized loss
$374,000 unrealized loss
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit55.jpg)
ProAssurance Portfolio Detail: CMBS
$99.4 million Fair Value in non-agency CMBS
Book Value: $96 million (3% of fixed income portfolio)
No cumulative losses in our CMBS portfolio
55
12/31/10
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit56.jpg)
ProAssurance Portfolio Detail: Municipals
56
12/31/10
Municipals: $1.2 Billion
Sources of Revenue Backing Municipals
Investment policy has always required
investment grade rating prior to applying the
effect of insurance
investment grade rating prior to applying the
effect of insurance
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit57.jpg)
ProAssurance Portfolio Detail: Equities & Other
57
12/31/10
Equities & Other: $168 Million
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit58.jpg)
ProAssurance Portfolio Detail: Corporate
58
12/31/10
Corporates: $1.1 Billion
Weighted Average Rating: A
![](https://capedge.com/proxy/8-K/0001194794-11-000026/exhibit59.jpg)
ProAssurance Portfolio Detail: Various
12/31/10
Rated A1/P1 or better
Money Markets:
Moody’s: Aaa
S&P: AAA
Weighted average rating
Moody’s: AA3
S&P: AA-
A. M. Best: A+
Treasury / GSE: $295Million
Short Term: $168 Million
BOLI: $50 Million