UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM 10-Q

(Mark One)
[X]  Quarterly report pursuant to Section 13 or 15(d) of the Securities Exchange
     Act of 1934 for the quarterly period ended SEPTEMBER 30, 2003 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)

                Delaware                                 63-1261433
- ----------------------------------------    ------------------------------------
    (State or other jurisdiction of         (IRS Employer Identification ID No.)
    incorporation of organization)

  100 Brookwood Place, Birmingham, AL                      35209
- ----------------------------------------    ------------------------------------
(Address of principal executive offices)                 (Zip Code)

                                 (205) 877-4400
            --------------------------------------------------------
              (Registrant's telephone number, including area code)

Indicate by check mark whether the registrant (l) 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 [X] No [ ].

Indicate by check mark whether the registrant is an accelerated filer (as
defined in Rule 12b-2 of the Exchange Act.) Yes [X] No [ ].

As of September 30, 2003 there were 28,968,522 shares of the registrant's common
stock outstanding.



                            ProAssurance Corporation
                                    Form 10Q

                                Table of Contents


                                                                                           
Part I - Financial Information

         Item l.  Condensed Consolidated Financial Statements (Unaudited)
                  of ProAssurance Corporation and Subsidiaries

                  Condensed Consolidated Balance Sheets.....................................   3

                  Condensed Consolidated Statements of Changes in Capital...................   4

                  Condensed Consolidated Statements of Income...............................   5

                  Condensed Consolidated Statements of Comprehensive Income.................   6

                  Condensed Consolidated Statements of Cash Flows...........................   7

                  Notes to Condensed Consolidated Financial Statements......................   8

         Item 2.  Management's Discussion and Analysis of Financial Condition
                  and Results of Operations.................................................  18

         Item 3.  Quantitative and Qualitative Disclosures about Market Risk................  32

         Item 4.  Controls and Procedures...................................................  33

         Forward-Looking Statements.........................................................  34

Part II - Other Information

         Item 1.  Legal Proceedings.........................................................  35

         Item 2.  Changes in Securities and Use of Proceeds.................................  35

         Item 6.  Exhibits and Reports on Form 8-K..........................................  36

         Signature .........................................................................  37




                    PROASSURANCE CORPORATION AND SUBSIDIARIES
                CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)
                        (IN THOUSANDS, EXCEPT SHARE DATA)



                                                                                 SEPTEMBER 30             December 31
                                                                                     2003                   2002
                                                                                 ------------------------------------
                                                                                                    
ASSETS
Investments:
   Fixed maturities available for sale, at fair value                            $  1,808,691             $ 1,328,897
   Equity securities available for sale, at fair value                                 44,570                  60,552
   Equity securities, trading portfolio, at fair value                                    439                       -
   Real estate, net                                                                    17,274                  17,549
   Short-term investments                                                              60,626                 252,854
   Other                                                                               25,546                  19,645
   Business owned life insurance                                                       51,057                       -
                                                                                 ------------------------------------
Total investments                                                                   2,008,203               1,679,497

Cash and cash equivalents                                                              53,146                 143,306
Premiums receivable                                                                   124,295                 111,028
Receivable from reinsurers on unpaid losses and loss adjustment
   expenses                                                                           515,945                 462,012
Prepaid reinsurance premiums                                                           17,769                  21,294
Deferred taxes                                                                         73,460                  73,091
Other assets                                                                          104,437                  96,422
                                                                                 ------------------------------------
                                                                                 $  2,897,255             $ 2,586,650
                                                                                 ====================================

LIABILITIES AND STOCKHOLDERS' EQUITY
Liabilities:
Policy liabilities and accruals:
   Reserve for losses and loss adjustment expenses                               $  1,823,868             $ 1,622,468
   Unearned premiums                                                                  291,389                 248,371
   Reinsurance premiums payable                                                        65,857                  62,549
                                                                                 ------------------------------------
Total policy liabilities                                                            2,181,114               1,933,388
Other liabilities                                                                      73,759                  49,198
Long-term debt                                                                        104,715                  72,500
                                                                                 ------------------------------------
Total liabilities                                                                   2,359,588               2,055,086

Minority interest                                                                           -                  26,370

Commitments and contingencies                                                               -                       -

Stockholders' Equity:
   Common stock, par value $0.01 per share
     100,000,000 shares authorized; 29,090,287 and 28,998,917 shares
     issued, respectively                                                                 291                     290
   Additional paid-in capital                                                         309,915                 308,501
   Accumulated other comprehensive income, net of deferred tax
     expense of $22,471 and $19,612, respectively                                      41,727                  35,545
   Retained earnings                                                                  185,790                 160,914
                                                                                 ------------------------------------
                                                                                      537,723                 505,250
   Less treasury stock, at cost, 121,765 shares                                           (56)                    (56)
                                                                                 ------------------------------------
Total stockholders' equity                                                            537,667                 505,194
                                                                                 ------------------------------------
                                                                                 $  2,897,255             $ 2,586,650
                                                                                 ====================================


See accompanying notes.

                                       3



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
       CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN CAPITAL (UNAUDITED)
                                 (IN THOUSANDS)



                                                                   ACCUMULATED OTHER
                                                                     COMPREHENSIVE           RETAINED        OTHER CAPITAL
                                                     TOTAL              INCOME               EARNINGS          ACCOUNTS
                                                   -----------------------------------------------------------------------
                                                                                                 
Balance at December 31, 2002                       $  505,194           $  35,545           $  160,914        $  308,735

Net income                                             24,876                   -               24,876                 -

Change in fair value of securities available
      for sale, net of reclassification
      adjustments and deferred taxes                    5,296               5,296                    -                 -

Acquisition of minority interest                          886                 886                    -                 -

Common stock issued for compensation                    1,073                   -                    -             1,073

Common stock options exercised                            342                   -                    -               342

                                                   -----------------------------------------------------------------------
Balance at September 30, 2003                      $  537,667           $  41,727           $  185,790        $  310,150
                                                   =======================================================================




                                                                   Accumulated Other
                                                                     Comprehensive           Retained        Other Capital
                                                     Total              Income               Earnings          Accounts
                                                   -----------------------------------------------------------------------
                                                                                                 
Balance at December 31, 2001                       $  413,231           $   3,533           $  148,707        $  260,991

Net income                                                232                   -                  232                 -

Change in fair value of securities available
      for sale, net of reclassification
      adjustments, deferred taxes and minority
      interest                                         37,451              37,451                    -                 -

Change in minority interest                               254                   -                    -               254

Common stock issued for compensation                      974                   -                    -               974

Common stock options exercised                             11                   -                    -                11

                                                   -----------------------------------------------------------------------
Balance at September 30, 2002                      $  452,153           $  40,984           $  148,939        $  262,230
                                                   =======================================================================


See accompanying notes.

                                       4



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
             CONDENSED CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED)
                      (IN THOUSANDS, EXCEPT PER SHARE DATA)



                                                               THREE MONTHS ENDED           NINE MONTHS ENDED
                                                                  SEPTEMBER 30                SEPTEMBER 30
                                                            -----------------------------------------------------
                                                               2003          2002          2003          2002
                                                            -----------------------------------------------------
                                                                                            
Revenues:
   Gross premiums written                                   $ 196,750     $  160,875    $  557,216      $ 465,063
                                                            =====================================================
   Net premiums written                                     $ 180,620     $  130,653    $  497,834      $ 386,306
                                                            =====================================================

   Premiums earned                                          $ 184,756     $  151,023    $  514,199      $ 419,555
   Premiums ceded                                              19,326         29,076        62,889         73,525
                                                            -----------------------------------------------------
   Net premiums earned                                        165,430        121,947       451,310        346,030
   Net investment income                                       18,301         19,819        53,393         58,773
   Net realized investment gains (losses)                       1,436        (13,560)        4,149        (17,338)
   Other income                                                 1,022          1,660         4,572          5,284
                                                            -----------------------------------------------------
Total revenues                                                186,189        129,866       513,424        392,749

Expenses:
   Losses and loss adjustment expenses                        171,901        139,589       488,103        397,829
   Reinsurance recoveries                                      26,118         23,721        85,972         67,698
                                                            -----------------------------------------------------
   Net losses and loss adjustment expenses                    145,783        115,868       402,131        330,131
   Underwriting, acquisition and insurance expenses            26,438         21,380        77,094         65,862
   Loss on early extinguishment of debt                           305              -           305              -
   Interest expense                                             1,188            689         2,257          2,203
                                                            -----------------------------------------------------
Total expenses                                                173,714        137,937       481,787        398,196
                                                            -----------------------------------------------------

Income (loss) before income taxes, minority interest and
   cumulative effect of accounting change                      12,475         (8,071)       31,637         (5,447)

Provision for income taxes:
   Current expense (benefit)                                    4,624         (1,257)       10,763            378
   Deferred expense (benefit)                                  (1,884)        (3,200)       (4,183)        (6,701)
                                                            -----------------------------------------------------
                                                                2,740         (4,457)        6,580         (6,323)
Income (loss) before minority interest and cumulative
   effect of accounting change                                  9,735         (3,614)       25,057            876
Minority interest                                                   -            910           181          2,338
                                                            -----------------------------------------------------

Income (loss) before cumulative effective of accounting
   change                                                       9,735         (4,524)       24,876         (1,462)

Cumulative effect of accounting change, net of tax                  -              -             -          1,694
                                                            -----------------------------------------------------

Net income (loss)                                           $   9,735     $   (4,524)   $   24,876      $     232
                                                            =====================================================

Earnings per share (basic):
   Income (loss) before cumulative effect of accounting
   change                                                   $    0.34     $    (0.18)   $     0.86      $   (0.06)
   Cumulative effect of accounting change, net of tax               -              -             -           0.07
                                                            -----------------------------------------------------
   Net income (loss)                                        $    0.34     $    (0.18)   $     0.86      $    0.01
                                                            =====================================================

Earnings per share (diluted):
   Income (loss) before cumulative effect of accounting
   change                                                   $    0.33     $    (0.18)   $     0.85      $   (0.06)
   Cumulative effect of accounting change, net of tax               -            -              -            0.06
                                                            -----------------------------------------------------
   Net income (loss)                                        $    0.33     $    (0.18)   $     0.85      $    0.00
                                                            =====================================================

Weighted average number of common shares outstanding:
   Basic                                                       28,967         25,851        28,935         25,845
                                                            =====================================================
   Diluted                                                     29,165         25,851        29,108         25,862
                                                            =====================================================


See accompanying notes.

                                       5



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
      CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (UNAUDITED)
                                 (IN THOUSANDS)



                                                                THREE MONTHS ENDED             NINE MONTHS ENDED
                                                                    SEPTEMBER 30                  SEPTEMBER 30
                                                               ---------------------------------------------------
                                                                 2003         2002             2003         2002
                                                               ---------------------------------------------------
                                                                                              
Comprehensive income:

  Net income (loss)                                            $  9,735     $ (4,524)        $ 24,876     $    232

  Change in fair value of securities available  for
     sale, net of deferred taxes and minority interest           (9,394)      20,634            7,849       26,181

  Reclassification adjustment for realized (gains)
     losses included in income, net of deferred taxes              (979)       8,814           (2,553)      11,270

                                                               ---------------------------------------------------
Comprehensive income (loss)                                    $   (638)    $ 24,924         $ 30,172     $ 37,683
                                                               ===================================================


See accompanying notes.

                                       6



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
           CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
                                 (IN THOUSANDS)



                                                                                     NINE MONTHS ENDED
                                                                                        SEPTEMBER 30
                                                                            -----------------------------------
                                                                                2003                  2002
                                                                            -----------------------------------
                                                                                            
OPERATING ACTIVITIES

Net cash provided (used) by operating activities                            $    217,772          $     157,137

INVESTING ACTIVITIES

Purchases of available-for-sale securities:

     Fixed maturities                                                           (916,128)              (576,174)

     Equity                                                                         (864)               (21,975)

Proceeds from sale or maturity of available-for-sale securities:

     Fixed maturities                                                            456,971                448,724

     Equities                                                                     20,160                  6,556

Purchase of trading portfolio securities                                            (436)                     -

Purchase of other investments                                                     (6,750)               (10,000)

Net decrease in short-term investments                                           192,228                 37,083

Purchase of business owned life insurance                                        (50,000)                     -

Other                                                                             (1,552)                 5,074
                                                                            -----------------------------------

Net cash provided (used) by investing activities                                (306,371)              (110,712)

FINANCING ACTIVITIES

Proceeds from issuance of debentures                                             104,641                      -

Repayment of debt                                                                (72,500)                (7,500)

Purchase of minority interest                                                    (33,304)                     -

Other                                                                               (398)                     -
                                                                            -----------------------------------

Net cash provided (used) by financing activities                                  (1,561)                (7,500)
                                                                            -----------------------------------

Increase (decrease) in cash and cash equivalents                                 (90,160)                38,925

Cash and cash equivalents at beginning of period                                 143,306                 53,163
                                                                            -----------------------------------

Cash and cash equivalents at end of period                                  $     53,146          $      92,088
                                                                            ===================================


See accompanying notes.

                                       7



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
                               SEPTEMBER 30, 2003

1. BASIS OF PRESENTATION

         The accompanying unaudited condensed consolidated financial statements
include the accounts of ProAssurance Corporation and its subsidiaries
(collectively "ProAssurance"). The financial statements have been prepared in
accordance with accounting principles generally accepted in the United States
for interim financial information and with 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 accounting principles generally accepted in the United
States for complete financial statements. In the opinion of management, all
adjustments, consisting of normal recurring adjustments, considered necessary
for a fair presentation have been included. Operating results for the nine month
period ended September 30, 2003 are not necessarily indicative of the results
that may be expected for the year ending December 31, 2003.

         Certain reclassifications have been made to conform the 2002 financial
statements to the 2003 presentation. These changes had no effect on previously
reported results of operations or shareholders' equity.

Stock-Based Compensation

         ProAssurance grants stock options to key employees under its Incentive
Compensation Stock Plan ("the ProAssurance Plan") and accounts for such stock
options under the recognition and measurement principles of APB Opinion No. 25,
Accounting for Stock Issued to Employees, and related Interpretations ("APB
25"). The following table illustrates the effect on net income (in thousands)
and earnings per share as if ProAssurance had applied the fair value recognition
provisions of Statement of Financial Accounting Standard (SFAS) No. 123,
Accounting for Stock-Based Compensation, to options granted under the
ProAssurance Plan.



                                                           THREE MONTHS ENDED      NINE MONTHS ENDED
                                                              SEPTEMBER 30            SEPTEMBER 30
                                                         ---------------------------------------------
                                                           2003        2002        2003        2002
                                                         ---------------------------------------------
                                                                                 
Net income (loss), as reported                           $  9,735    $ (4,524)   $  24,876   $     232

Add:  Stock-based employee compensation expense
recognized under APB 25 with the exercise of options,
net of tax                                                     18           -           59           -

Deduct:  Total stock-based employee compensation
expense determined under fair value based method
for all awards, net of related tax effects                   (218)        (94)        (628)       (470)
                                                         ---------------------------------------------
Pro forma net income (loss)                              $  9,535    $ (4,618)   $  24,307   $    (238)
                                                         =============================================

Earnings (loss) per share:
    Basic--as reported                                   $   0.34    $  (0.18)   $    0.86   $    0.01
                                                         =============================================
    Basic--pro forma                                     $   0.33    $  (0.18)   $    0.84   $   (0.01)
                                                         =============================================

    Diluted--as reported                                 $   0.33    $  (0.18)   $    0.85   $    0.00
                                                         =============================================
    Diluted--pro forma                                   $   0.33    $  (0.18)   $    0.84   $   (0.02)
                                                         =============================================


         At September 30, 2003, ProAssurance has 290,500 options outstanding
under the plan that were granted in 2003 with an exercise price of $22 per
share. The estimated fair value of each option is $8.46, using the Black-Scholes
option pricing model and the following model assumptions: risk-free interest
rate of 3.1%; volatility of 0.34; expected life of 6 years; and dividend yield
of 0%.

                                       8



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
                               SEPTEMBER 30, 2003

2. SEGMENT INFORMATION

         ProAssurance operates in the United States of America in two reportable
industry segments: the professional liability insurance segment and the personal
lines segment.

         The professional liability insurance segment principally provides
professional liability insurance for providers of health care services, and to a
limited extent, providers of legal services. The professional liability segment
includes the operating results of four significant insurance companies: The
Medical Assurance Company, Inc., Medical Assurance of West Virginia Inc.,
ProNational Insurance Company, and Red Mountain Casualty Insurance Company, Inc.

         The personal lines segment provides personal auto, homeowners, boat and
umbrella coverages primarily to educational employees and their families through
a single insurance company, MEEMIC Insurance Company.

         The accounting policies of the segments are consistent with those
described in the Notes to the Consolidated Financial Statements included in
ProAssurance's December 31, 2002 Annual Report on Form 10-K. Other than cash and
marketable securities owned directly by the parent company, the identifiable
assets of ProAssurance are allocated to the reportable operating segments.
Except for investment income earned directly by the parent company and interest
expense related to long-term debt held by the parent company, all revenues and
expenses of ProAssurance are allocated to the operating segments for purposes of
SFAS No. 131, Disclosures about Segments of an Enterprise and Related
Information. Revenue is primarily from unaffiliated customers and the effects of
transactions between segments have been eliminated.

                                       9



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
                               SEPTEMBER 30, 2003

2. SEGMENT INFORMATION (CONTINUED)

         The table below provides a reconciliation of segment information to
total consolidated information (in thousands).



                                                THREE MONTHS ENDED             NINE MONTHS ENDED
                                                   SEPTEMBER 30                   SEPTEMBER 30
                                            --------------------------------------------------------
                                               2003            2002            2003          2002
                                            --------------------------------------------------------
                                                                               
Revenues:
   Professional liability lines             $   139,163     $   88,021     $   377,728     $ 273,372
   Personal lines                                46,920         41,845         135,521       119,377
   Corporate investment income                      106              -             175             -
                                            --------------------------------------------------------
Total                                       $   186,189     $  129,866     $   513,424     $ 392,749
                                            ========================================================

Income (loss) before cumulative
  effect of accounting change:
   Professional liability lines             $     8,667     $   (8,984)    $    13,573     $ (12,487)
   Personal lines                                 1,969          4,915          12,854        12,464
   Corporate                                       (901)          (455)         (1,551)       (1,439)
                                            --------------------------------------------------------
   Total                                    $     9,735     $   (4,524)    $    24,876     $  (1,462)
                                            ========================================================

Net income (loss):
   Professional liability lines             $     8,667     $   (8,984)    $    13,573     $ (10,793)
   Personal lines                                 1,969          4,915          12,854        12,464
   Corporate                                       (901)          (455)         (1,551)       (1,439)
                                            --------------------------------------------------------
   Total                                    $     9,735     $   (4,524)    $    24,876     $     232
                                            ========================================================




                                                            SEPTEMBER 30        DECEMBER 31
                                                                2003               2002
                                                           --------------------------------
                                                                         
Identifiable Assets:
   Professional liability lines                            $   2,443,170       $  2,184,551
   Personal lines                                                417,596            372,086
   Corporate                                                      36,489             30,013
                                                           --------------------------------
   Total assets                                            $   2,897,255       $  2,586,650
                                                           ================================


                                       10



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
                               SEPTEMBER 30, 2003

3. INVESTMENTS

         The amortized cost of available for sale fixed maturities and equity
securities was $1.789 billion and $1.334 billion at September 30, 2003 and
December 31, 2002, respectively.

         Operating results for the nine months ended September 30, 2003 and 2002
included the following (in millions):



                                                                                  NINE MONTHS ENDED
                                                                                     SEPTEMBER 30
                                                                             ---------------------------
                                                                                2003              2002
                                                                             ---------------------------
                                                                                          
Proceeds from sales, excluding maturities and paydowns                       $   274.3          $  278.8

Gross realized gains                                                         $     6.4          $    6.8
Gross realized (losses)                                                           (2.0)             (8.8)
Other than temporary impairment losses                                            (0.3)            (15.3)
Trading portfolio gains (losses)                                                     -                 -
                                                                             ---------------------------
Net realized investment gains (losses)                                       $     4.1          $  (17.3)
                                                                             ===========================


4. RESERVES FOR LOSSES AND LOSS ADJUSTMENT EXPENSES

         ProAssurance establishes reserves for losses and loss adjustment
expenses based on its estimates of the future amounts necessary to pay claims
and expenses associated with the investigation and settlement of claims.
ProAssurance considers expected outcomes for 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. ProAssurance
believes that the methods it uses to establish reserves are reasonable and
appropriate. However, estimating reserves, especially professional liability
reserves, is a complex process which is heavily dependent on judgment and
involves many uncertainties. As a result, reserve estimates may vary
significantly from the eventual outcome. The assumptions used in establishing
ProAssurance's reserves are regularly reviewed and updated by management as new
data becomes available. Any adjustments necessary are reflected in then current
operations.

         ProAssurance's management believes the unearned premiums under
contracts together with the related anticipated investment income to be earned
are adequate to discharge the related contract liabilities.

5. DEFERRED POLICY ACQUISITION COSTS

         Costs that vary with and are directly related to the production of new
and renewal premiums (primarily premium taxes, commissions and underwriting
salaries) are deferred to the extent they are recoverable against unearned
premiums and are amortized as related premiums are earned. Amortization of
deferred acquisition costs, net of ceding commissions earned, amounted to
approximately $39.8 million and $29.0 million for the nine months ended
September 30, 2003 and 2002, respectively.

6. INCOME TAXES

         The provision for income taxes is different from that which would be
obtained by applying the statutory Federal income tax rate to income before
taxes because a portion of ProAssurance's investment income is tax-exempt.

                                       11



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
                               SEPTEMBER 30, 2003

7. LONG-TERM DEBT

         In early July 2003, ProAssurance issued $107.6 million of 3.90%
Convertible Debentures (Debentures) in a Private Offering transaction, net of an
underwriter's discount of $3.0 million. ProAssurance used the net proceeds to
pay off its existing term loan having an outstanding principal balance of $67.5
million. The balance of the net proceeds will be used for general corporate
purposes, which may include contributions to the capital of its insurance
subsidiaries to support the expected growth in insurance operations.

         Summarized information regarding the structure and terms of the
         Debentures follows:

         Issue Price. The Debentures were issued at 97.25% of their principal
         amount and each Debenture has a principal amount at maturity of $1,000.

         Maturity Date. June 30, 2023.

         Ranking. The Debentures are unsecured obligations and rank equally in
         right of payment with all other existing and future unsecured and
         unsubordinated obligations. The Debentures are not guaranteed by any of
         ProAssurance's subsidiaries and, accordingly, the Debentures are
         effectively subordinated to the indebtedness and other liabilities of
         ProAssurance's subsidiaries, including insurance policy-related
         liabilities.

         Interest. Interest is payable on June 30 and December 30 of each year,
         beginning December 30, 2003, at an annual rate of 3.90%. In addition,
         ProAssurance may be required to pay contingent interest, as set forth
         below under Contingent Interest.

         Contingent Interest. Contingent interest is due to the holders of the
         Debentures during any six-month period from June 30 to December 29 and
         from December 30 to June 29 commencing with the six-month period
         beginning June 30, 2008, if the average market price of a Debenture for
         the five trading days ending on the second trading day immediately
         preceding the relevant six-month period equals 120% or more of the
         principal amount of the Debentures. The amount of contingent interest
         payable in respect of any six-month period will equal 0.1875% of the
         average market price of a Debenture for the five trading day period
         referred to above.

                                       12



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
                               SEPTEMBER 30, 2003

7. LONG-TERM DEBT (CONTINUED)

         Conversion Rights. Holders may convert the Debentures at any time prior
         to stated maturity from and after the date of the following events:

                  -        if the sale price of ProAssurance's common stock for
                           at least 20 trading days in the 30 trading-day period
                           ending on the last trading day of the immediately
                           preceding fiscal quarter exceeds 120% of the
                           conversion price on that 30th trading day;

                  -        if ProAssurance calls the Debentures for redemption;
                           or

                  -        upon the occurrence of certain corporate
                           transactions.

         For each $1,000 principal amount of Debentures surrendered for
         conversion, holders initially will receive 23.9037 shares of common
         stock. This represents an initial conversion price of approximately
         $41.83 per share of common stock. The conversion rate may be adjusted
         for certain reasons, but will not be adjusted for accrued interest or
         contingent interest, if any. Upon conversion, holders will generally
         not receive any cash payment representing accrued interest or
         contingent interest, if any. Instead, accrued interest and contingent
         interest will be deemed paid by the common stock received by the
         holders on conversion. Debentures called for redemption may be
         surrendered for conversion until the close of business two business
         days prior to the redemption date. Upon conversion, ProAssurance has
         the right to deliver, in lieu of common stock, cash or a combination of
         cash and shares of common stock.

         Payment at Maturity. Each holder of $1,000 Debentures will be entitled
         to receive $1,000 at maturity, plus accrued interest, including
         contingent interest, if any.

         Sinking Fund. None.

         Optional Redemption. ProAssurance may not redeem the Debentures prior
         to July 7, 2008. ProAssurance may redeem some or all of the Debentures
         for cash on or after July 7, 2008, upon at least 30 days but not more
         than 60 days notice by mail to holders at par.

         Repurchase Right of Holders. Each holder of the Debentures may require
         ProAssurance to repurchase all or a portion of the holder's Debentures
         on June 30, 2008, June 30, 2013 and June 30, 2018 at a purchase price
         equal to the principal amount of the Debentures plus accrued and unpaid
         interest, including contingent interest, if any, to the date of
         repurchase. ProAssurance may choose to pay the purchase price in cash,
         shares of common stock, or a combination of cash and shares of common
         stock. If ProAssurance elects to pay all or a portion of the repurchase
         price in common stock, the shares of common stock will be valued at
         97.5% of the average sale price for the 20 trading days immediately
         preceding and including the third day prior to the repurchase date.

                                       13



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
                               SEPTEMBER 30, 2003

7. LONG-TERM DEBT (CONTINUED)

         Change of Control. Upon a change of control of ProAssurance, holders
         may require ProAssurance, subject to conditions, to repurchase all or a
         portion of the Debentures. Depending upon the date at which the change
         of control occurs, ProAssurance will pay a purchase price equal to a
         varying percentage of the applicable principal amount of such
         Debentures plus accrued and unpaid interest, including contingent
         interest and additional amounts, if any. The percentage ranges from
         110% for dates before June 29, 2004 to 100% for dates after June 30,
         2008. ProAssurance may choose to pay the repurchase price in cash,
         shares of common stock, shares of common stock of the surviving
         corporation or a combination of cash and shares of the applicable
         common stock. If ProAssurance elects to pay all or a portion of the
         repurchase price in shares of common stock, the shares of the
         applicable common stock will be valued at 97.5% of the average sale
         price of the applicable common stock for 20 trading days commencing
         after the third trading day following notice of the occurrence of a
         change of control.

         Events of Default. If there is an event of default under the
         Debentures, the principal amount of the Debentures, plus accrued
         interest, including contingent interest, if any, may be declared
         immediately due and payable. These amounts automatically become due and
         payable if an event of default relating to certain events of
         bankruptcy, insolvency or reorganization occurs.

Registration Rights.  On October 24, 2003 ProAssurance filed a shelf
registration statement with the SEC with respect to the resale of the
Debentures and the shares of common stock issuable upon conversion of the
Debentures pursuant to a registration rights agreement. The registration rights
agreement requires ProAssurance to use reasonable best efforts to cause such
shelf registration statement to become effective within 180 days after the
original issuance of the Debentures. ProAssurance has also agreed to keep the
shelf registration statement effective until the earliest of:

          -  two years after the last date of original issuance of any of the
             Debentures;
          -  the date when the holders of the Debentures and common stock
             issuable upon conversion of the Debentures are able to sell all
             such securities immediately pursuant to Rule 144 under the
             Securities Act;
          -  the date when all of the Debentures and common stock issuable upon
             conversion of the Debentures are registered upon the shelf
             registration statement and sold in accordance with it; or
          -  the date when all of the Debentures and common stock issuable
             upon conversion of the Debentures have ceased to be outstanding.

ProAssurance will be required to pay additional amounts if its obligations to
register the Debentures and the shares of common stock issuable upon conversion
of the Debentures are not fulfilled within the specified time periods.

The Debentures do not require ProAssurance to maintain minimum financial
covenants.

                                       14



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
                               SEPTEMBER 30, 2003

8. STOCKHOLDERS' EQUITY

         At September 30, 2003 ProAssurance had 100 million shares of authorized
common stock and 50 million shares of authorized preferred stock. The Board of
Directors has the authorization to determine the provisions for the issuance of
shares of the preferred stock, including the number of shares to be issued and
the designations, powers, preferences and rights and the qualifications,
limitations or restrictions of such shares. At September 30, 2003, the Board of
Directors had not authorized the issuance of any preferred stock nor determined
any provisions for the preferred stock.

9. COMMITMENTS AND CONTINGENCIES

         ProAssurance is involved in various legal actions arising primarily
from claims related to insurance policies. At other times legal actions may
arise from claims asserted by policyholders. The legal actions arising from
these claims have been considered by ProAssurance in establishing its reserves.
While the outcome of all legal actions is not presently determinable,
ProAssurance's management is of the opinion, based on consultation with legal
counsel, that the settlement of these actions will not have a material adverse
effect on ProAssurance's financial position. However, to the extent that the
settlement of these actions exceeds the corresponding reserves, the settlements
could have a material effect on ProAssurance's results of operations for the
period in which the settlements are made.

10. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE AND NEW ACCOUNTING
PRONOUNCEMENTS

         In June 2001, the Financial Accounting Standards Board (FASB) issued
SFAS No. 141 Business Combinations. SFAS No. 141 requires that the purchase
method of accounting be used for all business combinations with a closing date
after June 30, 2001. SFAS No. 141 includes guidance on the initial recognition
and measurement of goodwill and other intangible assets in a business
combination. The FASB has also issued SFAS No. 142 Goodwill and Other Intangible
Assets, effective for fiscal years beginning after December 15, 2001. SFAS No.
142 addresses how goodwill and other intangible assets should be accounted for
in financial statements upon acquisition and how these items should be accounted
for subsequent to acquisition. SFAS No. 142 does not presume that goodwill and
all other intangible assets are wasting assets requiring amortization. Instead,
goodwill and intangible assets that have indefinite useful lives are tested at
least annually for impairment. ProAssurance does not believe that any of its
recorded goodwill or intangible assets has suffered impairment.

         ProAssurance adopted SFAS Nos. 141 and 142 effective January 1, 2002.
Upon adoption, ProAssurance discontinued amortizing its recorded goodwill and
deferred credits and wrote-off unamortized deferred credits of $1.7 million that
existed at December 31, 2001 related to business combinations completed prior to
July 1, 2001. The write-off was recognized as the cumulative effect of a change
in accounting principle. There was no tax effect related to the write-off
because the deferred credits were not amortizable for tax purposes.

         In January 2003, the FASB issued Interpretation No. 46 (FIN 46),
Consolidation of Variable Interest Entities, An Interpretation of ARB No. 51.
FIN 46 defines variable interest entities (VIEs) as those entities or activities
that distribute either profits or losses to beneficiaries through established
contractual, ownership, or other interests. The interpretation introduced a new
consolidation model which determines control (and consolidation) based on
primary beneficiary status of a VIE. The primary beneficiary is defined as that
interest that receives over half the expected losses, or over half of the
expected returns. FIN 46 is effective for all new variable interest entities
created or acquired after January 31, 2003. For variable interest entities
created or acquired prior to February 1, 2003, the provisions of FIN 46 must be
applied for the first interim or annual period beginning after December 15,
2003.

                                       15



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
                               SEPTEMBER 30, 2003

10. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE AND NEW ACCOUNTING
    PRONOUNCEMENTS (CONTINUED)

         ProAssurance does not believe that the adoption of FIN 46 will have a
material impact on its financial statements. ProAssurance holds passive
investments in four limited partnerships/ limited liability companies that it
believes will be considered a VIE under FIN 46. ProAssurance does not believe it
is the primary beneficiary relative to these entities and would not be required
to consolidate the entities under FIN 46. These investments are included in
Other Investments and total $25.5 million at September 30, 2003 and $19.6
million at December 31, 2002.

         On May 15, 2003, the FASB issued SFAS No. 150, "Accounting for Certain
Financial Instruments with Characteristics of both Liabilities and Equity."
SFAS No. 150 requires certain financial instruments that embody obligations of
the issuer and have characteristics of both liabilities and equities to be
classified as liabilities. For public companies, SFAS No. 150 is effective for
all financial instruments created or modified after May 31, 2003 and for other
instruments at the beginning of the first interim period beginning after June
15, 2003. The adoption of SFAS 150 had no effect on ProAssurance's financial
condition or results of operations.

11. MINORITY INTEREST

         On January 29, 2003 ProAssurance's indirect subsidiary, MEEMIC
Holdings, Inc. (MEEMIC Holdings) repurchased all of the outstanding shares of
its common stock that were not owned by ProAssurance's subsidiary, ProNational
Insurance Company. MEEMIC Holdings used its internal funds in the approximate
amount of $34.1 million to acquire 1,062,298 shares of its common stock, to pay
for outstanding options representing 120,000 shares, and to pay the expenses of
the transaction. The funds were derived from MEEMIC Holdings' cash and
investment resources. As a result of the transaction MEEMIC Holdings is now a
wholly-owned indirect subsidiary of ProAssurance. ProAssurance recognized
goodwill of $7.6 million related to the transaction. Income for the nine months
ended September 30, 2003 was reduced by the income attributable (16%) to the
MEEMIC Holdings minority interest for the period from January 1, 2003 to January
29, 2003. MEEMIC Holdings is the 100% owner of MEEMIC Insurance Company.

                                       16



                    PROASSURANCE CORPORATION AND SUBSIDIARIES
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
                               SEPTEMBER 30, 2003

12. EARNINGS PER SHARE

         The following represents a reconciliation of the numerators and
denominators of the basic and diluted earnings per share computations (amounts
are in thousands, except per share data):



                                                                 THREE MONTHS ENDED           NINE MONTHS ENDED
                                                                    SEPTEMBER 30                 SEPTEMBER 30
                                                               ---------------------------------------------------
                                                                 2003           2002          2003          2002
                                                               ---------------------------------------------------
                                                                                             
BASIC EARNINGS PER SHARE CALCULATION:
Numerator:
Income (loss) before cumulative effect of accounting change    $    9,735   $    (4,524)  $     24,876   $  (1,462)
Cumulative effect of accounting change                                  -             -              -       1,694
                                                               ---------------------------------------------------
Net income                                                     $    9,735   $    (4,524)  $     24,876   $     232
                                                               ===================================================

Denominator:
Weighted average number of common shares outstanding               28,967        25,851         28,935      25,845
                                                               ===================================================

Basic earnings per share:
Income (loss) before cumulative effect of accounting change    $     0.34   $     (0.18)  $       0.86   $   (0.06)
Cumulative effect of accounting change                                  -             -              -        0.07
                                                               ---------------------------------------------------
Net income                                                     $     0.34   $     (0.18)  $       0.86   $    0.01
                                                               ===================================================

DILUTED EARNINGS PER SHARE CALCULATION:
Numerator:
Income (loss) before cumulative effect of accounting change    $    9,735   $    (4,524)  $     24,876   $  (1,462)
Dilutive effect of stock options held by minority
   shareholders                                                         -           (58)             -        (151)
                                                               ---------------------------------------------------
Income (loss) before cumulative effect of accounting
   change-diluted computation                                       9,735        (4,582)        24,876      (1,613)
Cumulative effect of accounting change                                  -             -              -       1,694
                                                               ---------------------------------------------------
Net income-diluted computation                                 $    9,735   $    (4,582)  $     24,876   $      81
                                                               ===================================================

Denominator:
Weighted average number of common shares outstanding               28,967        25,851         28,935      25,845
Assumed conversion of dilutive stock options and awards               198             -            173          17
                                                               ---------------------------------------------------
Diluted weighted average number of common shares
  outstanding                                                      29,165        25,851         29,108      25,862
                                                               ===================================================

Diluted earnings per share
Income (loss) before cumulative effect of accounting change    $     0.33   $     (0.18)  $       0.85   $   (0.06)
Cumulative effect of accounting change                                  -             -              -        0.06
                                                               ---------------------------------------------------
Net income                                                     $     0.33   $     (0.18)  $       0.85   $    0.00
                                                               ===================================================


         ProAssurance excluded outstanding options for the purchase of
approximately 3,000 common shares from its September 30, 2003 diluted earnings
per share computations because the effect of doing so would have been
antidilutive.

         ProAssurance's diluted earnings per share computations for the three
months ended September 30, 2002 did not consider the effect of outstanding stock
options because the effect would have been antidilutive. Options for the
purchase of approximately 1,116,000 shares of common stock were outstanding at
September 30, 2002.

                                       17



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS

         For purposes of this management discussion and analysis, references to
ProAssurance," "we," "us," and "our" refers to ProAssurance Corporation and its
subsidiaries. You should read this discussion in conjunction with the
consolidated financial statements and notes thereto in our Annual Form 10-K/A
for the year ended December 31, 2002. The following discussion of the financial
condition and results of operations contains certain forward-looking information
that involves risk and uncertainties. Our financial condition and operating
results could differ significantly from these forward-looking statements; see
"Forward-Looking Statements." Important factors that could cause or contribute
to such differences or changes include those discussed in our Annual Report on
Form 10-K/A for the year ended December 31, 2002.

CRITICAL ACCOUNTING POLICIES

         We are required to make estimates and assumptions in certain
circumstances that affect amounts reported in our consolidated financial
statements and related footnotes. We evaluate these estimates and assumptions on
an on-going basis based on 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, and that reported results of operations will not be
materially adversely affected from time to time by the need to make accounting
adjustments reflecting changes in these estimates and assumptions. We believe
the following policies are the most sensitive to estimates and judgments.

         Premium Income: We recognize insurance premium income on a monthly pro
rata basis over the respective terms of the policies in force. Unearned premiums
represent the portion of premiums written applicable to the unexpired terms of
the policies in force.

         Reserve for Losses and Loss Adjustment Expenses ("losses and LAE"): Our
reserve for losses and LAE represents our estimate of the future amounts
necessary to pay claims and expenses associated with investigation and
settlement of claims. These estimates consist of case reserves and bulk
reserves. Case reserves are estimates of future losses and LAE for reported
claims and are established by our claims departments. Bulk reserves, which
include a provision for losses that have occurred but have not been reported to
us as well as development on reported claims, are the difference between (i) the
sum of case reserves and paid losses and (ii) an actuarially determined estimate
of the total losses and LAE necessary for the ultimate settlement of all
reported claims and incurred but not reported claims, including amounts already
paid. The estimates take into consideration our past loss experience, available
industry data and projections as to future claims frequency, severity,
inflationary trends and settlement patterns. Independent actuaries review our
reserves for losses and LAE each year and prepare reports that include
recommendations as to the level of reserves. We consider these recommendations
as well as other factors, such as known, anticipated or estimated changes in
frequency and severity of claims and loss retention levels and premium rates, in
establishing the amount of our reserves for losses and LAE. Estimating
professional liability reserves is a particularly complex process because such
estimates reflect multiple judgments involving many uncertainties made over an
extended period of time, often exceeding five years, during which these claims
are resolved. Our reserve estimates may vary significantly from the eventual
outcome. The assumptions used in establishing our reserves are regularly
reviewed and updated by management as new data becomes available. Any
adjustments necessary are reflected in then current operations. Due to the size
of our reserves, even a small percentage adjustment to these estimates could
have a material effect on our results of operations for the period in which the
change is made.

         Reinsurance: Our receivable from reinsurers represents our estimate of
the amount of our future loss and LAE payments that will be reimbursed by
reinsurers. These estimates are based upon our estimates of the ultimate losses
and LAE that we expect to incur and the portion of those losses that we expect
to be allocable to reinsurers based upon the terms of our reinsurance
agreements. We also estimate premiums ceded under reinsurance agreements wherein
the premium due to the reinsurer, subject to certain maximums and minimums, is a
percentage of the losses reimbursed under the

                                       18



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

agreement. Given the uncertainty of the ultimate amounts of our losses and LAE,
these estimates may vary significantly from the eventual outcome. Our estimates
of the amounts receivable from and due to reinsurers are regularly reviewed and
updated by management as new data becomes available. Our assessment of the
collectibility of the recorded amounts receivable from reinsurers is based
primarily upon public financial statements and rating agency data. Any
adjustments necessary are reflected in then current operations. Due to the size
of our receivable from reinsurers, even a small adjustment to these estimates
could have a material effect on our results of operations for the period in
which the change is made. At September 30, 2003, we considered all of our
receivable from reinsurers to be collectible.

         Investments: We consider our fixed maturity securities as
available-for-sale and our equity securities as either available-for-sale or
trading portfolio securities. Our available-for-sale securities are available to
be sold in response to a number of issues, including our liquidity needs,
changes in market interest rates and investment management strategies, among
others. Available-for-sale securities are recorded at fair value, with
unrealized gains and losses, net of the related income tax effect, excluded from
income and reported as a component of stockholders' equity.

         In prior years, we did not designate any of our securities as trading
portfolio securities. However, since January 1, 2003 certain of our equity
security purchases have been designated as trading portfolio securities. A
trading portfolio is more responsive to a highly volatile equity market since a
trading portfolio is carried at fair value with the holding gains and losses
included in realized investment gains and losses in the current period.

         We evaluate the securities in our available-for-sale investment
portfolio on at least a quarterly basis for declines in market value below cost
for the purpose of determining whether these declines represent other than
temporary declines. The evaluation involves judgment by management. Some of the
factors we consider in the evaluation of our investments are:

         -        the extent to which the market value of the security is less
                  than its cost basis

         -        the length of time for which the market value of the security
                  has been less than its cost basis

         -        the financial condition and near-term prospects of the
                  security's issuer, taking into consideration the economic
                  prospects of the issuers' industry and geographical region, to
                  the extent that information is publicly available

         -        ProAssurance's ability and intent to hold the investment for a
                  period of time sufficient to allow for any anticipated
                  recovery in market value

         A decline in the fair value of an available-for-sale security below
cost that we judge to be other than temporary is realized as a loss in the
current period and reduces the cost basis of the security. In subsequent
periods, we base any measurement of gain or loss or decline in value upon the
adjusted cost basis of the security.

         Business Owned Life Insurance (BOLI): During 2003 we purchased business
owned life insurance ("BOLI") policies on certain key employees at a cost of
approximately $50 million. The primary purpose of the program is to offset
future employee benefit expenses through earnings on the cash value of the
policies. We are the owner and principal beneficiary of these policies; however,
approximately 1% ($50,000 per insured employee) of the total estimated death
proceeds are payable to employee designated beneficiaries. These life insurance
contracts are carried at their current cash surrender value. Changes in the cash
surrender value are included in income in the current period as investment
income. The death proceeds and the related payable to the employee's beneficiary
are recorded upon the insured employee's death.

                                       19



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

LIQUIDITY AND CAPITAL RESOURCES

         We need liquid funds to pay losses and loss adjustment expenses (losses
and LAE) and operating expenses in the ordinary course of business and to meet
our debt service requirements. Cash provided by our operating activities was
sufficient to meet those needs during the nine months ended September 30, 2003.
We believe that our operating activities will provide sufficient cash to meet
our liquidity needs during the next twelve months.

         Our net reserves for losses and LAE (net of amounts receivable from
reinsurers) at September 30, 2003 increased approximately $147.5 million over
those at December 31, 2002. Substantially all of this increase is in our
professional liability segment, a "long tailed" business. A characteristic of a
"long tailed" business is that there is a long length of time between the
occurrence of an insured event and significant payment on that event. Because of
this characteristic, it is not unusual for reserves to increase, especially
during periods of business growth.

         We have not experienced difficulties in collecting amounts due from
reinsurers. Recently, there has been public speculation about the ability of
Gerling Global Reinsurance Corporation of America (Gerling) and PMA Capital
Insurance Company (PMA) to pay claims. Neither company is accepting new
reinsurance business. Gerling is not rated by A.M. Best and PMA has been
downgraded to B++. Neither company participates in our current reinsurance
treaties but both have been part of previous reinsurance programs. At December
31, 2002 our recorded receivable from these two companies was $63.5 million,
approximately 65% of which related to our estimates of IBNR and its allocation
to the various reinsurance treaties. Based upon information available to us,
including statements made by Gerling and PMA, we anticipate that both companies
will meet their obligations to us.

         Our positive cash flow from operations for the nine months ended
September 30, 2003 of approximately $218 million primarily results from timing
delays that exist between the collection of premiums and the payment of losses
and from growth in our premiums written, which is discussed in more detail in
the following section, "Results of Operations."

         Investments and cash and cash equivalents increased by approximately
$240.6 million during the nine months ended September 30, 2003. Approximately
$37 million of that increase represents the net proceeds from the debentures
issued in July less the funds utilized to payoff our bank term loan. The
remaining increase primarily resulted from the cash flow from operations offset
by the funds that were expended to purchase the MEEMIC Holdings, Inc. (MEEMIC
Holdings) minority interest, as discussed below.

         On January 29, 2003 ProAssurance's subsidiary, MEEMIC Holdings
repurchased all of the outstanding shares of its common stock that were not
owned by ProAssurance's subsidiary, ProNational Insurance Company (ProNational).
MEEMIC Holdings used its internal funds in the approximate amount of $34.1
million to acquire 1,062,298 shares of its common stock to pay for outstanding
options representing 120,000 shares, and to pay the expenses of the
transactions. The funds were derived from MEEMIC Holdings' cash and investment
resources. As a result of the transaction MEEMIC Holdings is now a wholly-owned
indirect subsidiary of ProAssurance. Goodwill of approximately $7.6 million was
recorded related to the transaction.


                                       20


ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

         As premiums grow so does our need for capital to support our insurance
operations. We have experienced significant growth with respect to our
professional liability premiums and expect continued growth throughout the
remainder of 2003 and into 2004. This growth has primarily come as a result of
increased prices but is also a result of reduced competition in the professional
liability market. We have taken actions to provide the additional capital needed
to take advantage of these favorable market conditions. In late 2002, we raised
$46.5 million through the sale of our common stock in an underwritten public
offering, and applied $36 million to the capital of our insurance subsidiaries.

         In early July 2003 we received $104.6 million from the issuance of 3.9%
Convertible Debentures, due June 2023, having a face value of $107.6 million. We
utilized a substantial portion of the net proceeds to repay our outstanding term
loan, as discussed in the following paragraph. We will use the balance of the
net proceeds for general corporate purposes, which may include contributions to
the capital of our insurance subsidiaries to support the expected growth in
insurance operations.

         We repaid the entire balance of our $67.5 million term loan on July 23,
2003 and canceled the credit agreement under which the loan had been provided.
There were no fees or penalties associated with the prepayment or the
cancellation of the credit agreement. Given our current capital position, we are
considering whether or not to replace the line of credit previously provided
under the credit agreement.

         Through 2006, the annual cash outflows are expected to be significantly
less for the Debentures than for the term loan. The term loan required minimum
annual principal payments of $10 million and the entire remaining loan balance
became due in 2006. The Debentures do not require annual repayments of principal
and are not due until 2023, although holders may require ProAssurance to
repurchase the Debentures on June 30 of 2008, 2013, 2018 or upon a change in
control. See Note 7 of our condensed consolidated financial statements for a
description of the Debentures.

                                       21



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

RESULTS OF OPERATIONS - OVERVIEW

         We operate in two industry segments: professional liability insurance
and personal lines insurance. Our professional liability insurance segment
principally provides liability insurance for providers of health care services,
and, to a limited extent, providers of legal services. The principal operating
insurance subsidiaries of this segment are: The Medical Assurance Company, Inc.,
Medical Assurance of West Virginia, Inc., ProNational Insurance Company and Red
Mountain Casualty Insurance Company, Inc. Our personal lines segment provides
personal property and casualty insurance to individuals through the operations
of a single insurance company, MEEMIC Insurance Company.

         All of our revenues and expenses are allocated to the operating
segments, other than investment income earned directly by the parent holding
company and interest expense related to long-term debt held by the parent.

         Our consolidated net income is $9.7 million, or $0.33 per diluted share
for the three months ended September 30, 2003 and $24.9 million, or $0.85 per
diluted share for the nine months ended September 30, 2003. The operating
results of each of our reportable industry segments are discussed separately in
the following sections.

         We recorded a loss from debt retirement of $0.3 million during the
third quarter of 2003 related to the repayment of our bank term loan before its
scheduled maturity date. Although there were no penalties or fees associated
with the repayment, at the time of repayment we expensed the remaining
unamortized debt issue costs associated with the loan.

         Interest expense increased to $1.2 million for the three month period
ended September 30, 2003 as compared to $0.7 million for the same period in
2002. The increase results from a higher rate of interest on the debentures
issued in July 2003 as compared to the bank term loan and an increase in the
total amount of outstanding debt. Management elected to replace the term loan
with the debentures because the debentures provided a longer-term source of
capital at a fixed interest rate.

         Interest expense increased to $2.3 million from $2.2 million for the
nine month period ended September 30, 2003 as compared to the same period in
2002. This increase is due to the higher interest costs in the third quarter of
2003, as discussed in the preceding paragraph, as offset by lower interest costs
for the first six months of 2003. Interest expense was lower in the first six
months of 2003 as compared to 2002 because both the average outstanding balance
on the term loan and the variable interest rate on the term loan were lower in
2003.

         For all periods presented, the provision for income taxes is different
from that which would be obtained by applying the statutory Federal income tax
rate to income before taxes because a portion of ProAssurance's investment
income is tax-exempt.

         Minority interest in both 2003 and 2002 relates entirely to the
minority interest in the income of MEEMIC Holdings. As discussed under
"Liquidity and Capital Resources" we purchased this minority interest on January
29, 2003. In 2003, earnings were allocable to the minority interest only for the
period from January 1 to January 29. In 2002, earnings were allocable to the
minority interest for the entire period.

                                       22



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

PROFESSIONAL LIABILITY INSURANCE SEGMENT

         Operating results for our professional liability insurance segment for
the three and nine months periods ended September 30, 2003 and 2002 are
summarized in the table below (dollars in thousands).



                                      THREE MONTHS ENDED SEPTEMBER 30               NINE MONTHS ENDED SEPTEMBER 30
                                  ----------------------------------------       ------------------------------------
                                                                 INCREASE                                   INCREASE
                                      2003           2002       (DECREASE)          2003         2002      (DECREASE)
                                  ----------------------------------------       ------------------------------------
                                                                                         
Gross premiums written            $    145,526    $  115,372    $   30,154       $  411,342   $  335,713   $   75,629
                                  ========================================       ====================================

Net premiums written              $    134,126    $   89,026    $   45,100       $  364,916   $  266,896   $   98,020
                                  ========================================       ====================================
Revenues:
Premiums earned                   $    136,277    $  108,243    $   28,034       $  375,031   $  299,810   $   75,221
Premiums ceded                          14,601        25,212       (10,611)          49,951       63,615      (13,664)
                                  ----------------------------------------       ------------------------------------
Net premiums earned                    121,676        83,031        38,645          325,080      236,195       88,885
Net investment income                   15,583        17,352        (1,769)          45,574       51,247       (5,673)
Net realized investment gains
    (losses)                             1,431       (13,547)       14,978            4,043      (17,969)      22,012

Other income                               473         1,185          (712)           3,031        3,899         (868)
                                  ----------------------------------------       ------------------------------------
Total revenues                         139,163        88,021        51,142          377,728      273,372      104,356

Expenses:
Net losses and loss adjustment
    expenses                           116,140        91,030        25,110          318,142      256,704       61,438
Underwriting, acquisition and
    insurance expenses                  16,360        12,790         3,570           48,658       41,119        7,539
                                  ----------------------------------------       ------------------------------------
Total expenses                         132,500       103,820        28,680          366,800      297,823       68,977
                                  ----------------------------------------       ------------------------------------

Income (loss) before income
    taxes                         $      6,663    $  (15,799)   $   22,462       $   10,928   $  (24,451)  $   35,379
                                  ========================================       ====================================

Net loss and LAE ratio*                   95.5%        109.6%        (14.1)%           97.9%       108.7%       (10.8)%
Underwriting expense ratio*               13.4%         15.4%         (2.0)%           15.0%        17.4%        (2.4)%
                                  ----------------------------------------       ------------------------------------
Combined ratio                           108.9%        125.0%        (16.1)%          112.9%       126.1%       (13.2)%
Less:  Investment income ratio*           12.8%         20.9%         (8.1)%           14.0%        21.7%        (7.7)%
                                  ----------------------------------------       ------------------------------------
Operating ratio                           96.1%        104.1%         (8.0)%           98.9%       104.4%        (5.5)%
                                  ========================================       ====================================




                                      September 30      December 31
                                          2003              2002
                                      -----------------------------
                                                 
Net reserves for loss and LAE         $  1,237,733     $  1,096,205
                                      =============================


* Ratios shown are expressed as a percentage of net premiums earned.

                                       23



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

PREMIUMS

Premiums written:

         Our professional liability insurance segment principally provides
liability insurance for providers of medical and other health care services, and
to a limited extent, providers of legal services.

         Premiums written for the professional liability segment increased by
$30.2 million for the three months and $75.6 million for the nine months ended
September 30, 2003 as compared to the same periods in 2002, principally due to
rate increases. We experienced significant premium growth from new business in
states where competitors have left the professional liability market. The growth
in new business has largely been offset by policies that did not renew due to
higher rates and our own underwriting decisions.

         We have implemented and we plan to continue to implement rate increases
based on loss trends; however, our ability to implement those rate increases is
subject to regulatory approval. We estimate that, on average, 2003 renewals to
date are at rates that are more than 25% higher than 2002 rates. However, we do
not expect premium growth to reflect the full amount of the rate increases
because retention of our insureds may be reduced by the higher rates.
Additionally, we are in the process of converting any remaining occurrence
coverages to claims-made coverages. Since first-year claims-made coverage has a
significantly lower premium than occurrence coverage due to lower loss exposure,
the conversion will reduce gross premiums written.

Premiums earned:

         Premiums earned for the professional liability segment increased $28.0
million for the three months and $75.2 million for the nine months ended
September 30, 2003 as compared to the same periods in 2002. Premiums are earned
pro rata over the entire policy period (generally one year) after the policy is
written. The increase in 2003 earned premiums therefore reflects on a pro rata
basis the changes in written premiums that occurred during both 2003 and 2002.
Thus earned premiums have increased as discussed in the section on premiums
written.

Premiums ceded:

         Premiums ceded represent the premiums we must ultimately pay to our
reinsurers for their assumption of a portion of our losses. Premiums ceded
decreased by $10.6 million and $13.7 million, respectively, for the three and
nine month periods ended September 30, 2003 as compared to the same periods in
2002. We have reduced the portion of our losses that we cede to our reinsurers.
Under reinsurance contracts that became effective in October 2002, our retention
levels for medical liability losses became $1.0 million in all states whereas
previously our retention in many states was as low as $250,000. Premiums ceded
have decreased both in total dollars and as a percentage of premiums earned
because we have ceded a smaller portion of our risk.

                                       24



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

LOSSES AND LOSS ADJUSTMENT EXPENSES

         Our net reserve for losses and LAE represents our estimate of the
future amounts necessary to pay claims and expenses associated with
investigation and settlement of claims. The resulting net losses and loss
adjustment expenses (hereafter referred to as "net losses and LAE") may be
summarized into three components of these estimates: (i) actuarial evaluation of
incurred loss levels for the current accident year; (ii) actuarial re-evaluation
of incurred loss levels for prior accident years; and (iii) actuarial
re-evaluation of the reserve for the death, disability and retirement provision.

         Accident year refers to the accounting period in which the insured
event becomes a liability of the insurer. For occurrence policies the insured
event becomes a liability when the event takes place; for claims-made policies
the insured event becomes a liability when the event is first reported to the
insurer. We believe that measuring losses on an accident year basis is the most
indicative measure of the underlying profitability of the premiums earned in
that period since it associates policy premiums earned with our estimate of the
losses incurred related to those policy premiums.

         The following table summarizes professional net losses and LAE and net
loss ratios for the three and nine month periods ended September 30, 2003 and
2002 by separating losses between the current accident year and all prior
accident years (dollars in thousands). The net loss ratios shown are calculated
by dividing the applicable net losses and LAE by calendar year net premiums
earned.



                                                          THREE MONTHS ENDED            NINE MONTHS ENDED
                                                             SEPTEMBER 30                  SEPTEMBER 30
                                                     ---------------------------------------------------------
                                                         2003           2002           2003           2002
                                                     ---------------------------------------------------------
                                                                                      
Net losses and LAE:
   Current accident year                             $    116,140   $     91,030   $    317,392   $    254,304
   Prior accident years                                         -              -            750          2,400
   Change in death, disability, and retirement
     reserves                                                   -              -              -              -
                                                     ---------------------------------------------------------
Calendar year net losses and LAE                     $    116,140   $     91,030   $    318,142   $    256,704
                                                     =========================================================

Net loss ratio attributable to:
   Current accident year net losses and LAE                  95.5%         109.6%          97.7%         107.7%
   Prior accident years net losses and LAE                      -              -            0.2%           1.0%
   Change in death, disability, and
     retirement reserves                                        -              -              -              -
                                                     ---------------------------------------------------------
Calendar year net loss ratio                                 95.5%         109.6%          97.9%         108.7%
                                                     =========================================================


         Current accident year net losses and LAE increased by $25.1 million and
$63.1 million, respectively, for the three and nine month periods ended
September 30, 2003 as compared to the three and nine month periods ended
September 30, 2002, primarily due to increased loss costs. The current accident
year net loss ratio for the three months ended September 30, 2003, as compared
to the same period in 2002, has decreased from 109.6% to 95.5%. The current
accident year net loss ratio for the nine months ended September 30, 2003, as
compared to the same period in 2002, has decreased from 107.7% to 97.7%. The
improvement in the loss ratio primarily reflects the effects of a more adequate
premium structure as a result of rate increases implemented during 2003 and
2002.

                                       25



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

NET INVESTMENT INCOME AND NET REALIZED INVESTMENT GAINS (LOSSES)

         Our professional liability segment investment income is primarily
derived from the interest income earned by our fixed maturity securities but
also includes interest income from short-term and cash equivalent investments,
dividend income from equity securities, increases in the cash surrender value of
BOLI contracts, and rental income earned by our commercial real estate holdings.
Investment fees and expenses and real estate expenses are deducted from
investment income.

         Our net investment income decreased by $1.8 million and $5.7 million,
respectively, for the three and nine month periods ended September 30, 2003 as
compared to the same periods in 2002. The decrease occurred even though our
average invested funds increased in 2003. The positive effect of additional
invested funds was more than offset by the effect of lower average yields. The
weighted average tax equivalent book yield (tax adjusted gross earnings divided
by the average quarterly ending book value) of our professional liability
segment fixed maturity investments is 4.4% and 4.7%, respectively, for the three
and nine months ended September 30, 2003 as compared to 5.9% and 6.2%,
respectively, for the same periods in 2002. The average yield is reduced as
compared to 2002 because market rates available for the investment of new and
matured funds were lower in 2003. Also, in the fourth quarter of 2002 we sold a
significant portion of our fixed maturity portfolio in order to realize capital
gains and these securities were reinvested at substantially lower rates.

         Net realized investment gains (losses) include gains and losses
realized on sales of investment securities and realized losses for other than
temporary impairments in the fair value of investment securities, as shown in
the following table (in thousands).



                                                       THREE MONTHS ENDED            NINE MONTHS ENDED
                                                          SEPTEMBER 30                  SEPTEMBER 30
                                                   --------------------------------------------------------
                                                       2003           2002           2003           2002
                                                   --------------------------------------------------------
                                                                                    
Net gains (losses) from sales                      $     1,428    $      (273)   $     4,362    $    (2,695)
Other than temporary impairment losses                       -        (13,274)          (322)       (15,274)
Holding gains (losses) on trading portfolio                  3              -              3              -
                                                   --------------------------------------------------------
Net realized investment gains (losses)             $     1,431    $   (13,547)   $     4,043    $   (17,969)
                                                   ========================================================


                                       26



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

UNDERWRITING, ACQUISITION AND INSURANCE EXPENSES

         Underwriting, acquisition and insurance expenses increased by
approximately $3.6 million and $7.5 million, respectively, for the three and the
nine month periods ended September 30, 2003 as compared to the same periods in
2002. These expenses are comprised of variable costs, such as commissions and
premium taxes that are directly related to premiums earned, and fixed costs that
have no direct relationship to premium volume, such as the costs of our
underwriting department and guaranty fund assessments. The 2003 increase in
expenses is due to higher costs incurred as a result of premium growth, somewhat
offset by reductions in certain costs. Guaranty fund assessments were lower by
approximately $400,000 and $1.6 million, respectively, during the three and nine
month periods ended September 30, 2003 as compared to the same periods in 2002.
Also, as discussed under the caption "Other Income" late in the second quarter
of 2003 we ceased to provide medical credentialing services. Termination of this
business activity reduced expenses by approximately $500,000 and $600,000,
respectively, during the three and nine month periods ended September 30, 2003.

         The underwriting expense ratio is the total of underwriting,
acquisition and insurance expenses divided by net premiums earned. This ratio is
13.4% and 15.0%, respectively, for the three and nine month periods ended
September 30, 2003 as compared to 15.4% and 17.4% for the same periods in 2002.
The ratio decreased because there was no significant change in our fixed costs,
other than the previously discussed decrease in guaranty fund assessments, while
premiums earned increased in both the three and the nine month periods.

OTHER INCOME

         We have historically provided medical credentialing services for a fee.
These services did not contribute significantly to our bottom line and we ceased
to provide these services late in the second quarter of 2003. The cessation of
these services reduced fee income by approximately $0.6 million for both the
three and the nine month periods ended September 30, 2003 as compared to the
same periods in 2002 and is the primary reason for the overall decline in 2003
other income.

                                       27



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

PERSONAL LINES INSURANCE OPERATIONS SEGMENT

         Our personal lines segment is comprised of the operations of a single
insurance company, MEEMIC Insurance Company. Selected financial data for our
personal lines insurance segment is summarized in the table below (dollars in
thousands).



                                             THREE MONTHS ENDED                          NINE MONTHS ENDED
                                                SEPTEMBER 30                                SEPTEMBER 30
                                    ------------------------------------       -------------------------------------
                                                               INCREASE                                    INCREASE
                                       2003         2002      (DECREASE)          2003         2002       (DECREASE)
                                    ------------------------------------       -------------------------------------
                                                                                        
Gross premiums written              $   51,224   $   45,503   $    5,721       $  145,874   $  129,350    $   16,524
                                    ====================================       -------------------------------------

Net premiums written                $   46,494   $   41,627   $    4,867       $  132,918   $  119,410    $   13,508
                                    ====================================       =====================================

Revenues:
Premiums earned                     $   48,479   $   42,780   $    5,699       $  139,168   $  119,745    $   19,423
Premiums ceded                           4,725        3,864          861           12,938        9,910         3,028
                                    ------------------------------------       -------------------------------------
Net premiums earned                     43,754       38,916        4,838          126,230      109,835        16,395
Net investment income                    2,612        2,467          145            7,644        7,526           118
Net realized investment gains
    (losses)                                 5          (13)          18              106          631          (525)
Other income                               549          475           74            1,541        1,385           156
                                    ------------------------------------       -------------------------------------
Total revenues                          46,920       41,845        5,075          135,521      119,377        16,144
Expenses:
Net losses and loss adjustment
    expenses                            29,643       24,838        4,805           83,989       73,427        10,562

Underwriting, acquisition and
    insurance expenses                  10,078        8,590        1,488           28,436       24,743         3,693
                                    ------------------------------------       -------------------------------------
Total expenses                          39,721       33,428        6,293          112,425       98,170        14,255
                                    ------------------------------------       -------------------------------------
Income (loss) before income taxes   $    7,199   $    8,417   $   (1,218)      $   23,096   $   21,207    $    1,889
                                    ====================================       =====================================

Net losses and LAE ratio*                 67.7%        63.8%         3.9%            66.5%        66.9%         (0.4%)
Underwriting expenses ratio*              23.0%        22.1%         0.9%            22.5%        22.5%          0.0%
                                    ------------------------------------       -------------------------------------
Combined ratio                            90.7%        85.9%         4.8%            89.0%        89.4%         (0.4%)
Less: Investment income ratio*             6.0%         6.3%        (0.3%)            6.1%         6.9%         (0.8%)
                                    ------------------------------------       -------------------------------------
Operating ratio*                          84.7%        79.6%         5.1%            82.9%        82.5%          0.4%
                                    ====================================       =====================================




                                           SEPTEMBER 30         December 31
                                               2003                2002
                                           --------------------------------
                                                          
Net reserves for loss and LAE              $     70,191         $    64,251
                                           ================================


* Ratios shown are expressed as a percentage of net premiums earned.

                                       28



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

PREMIUMS

Premiums written:

         Gross premiums written for the three and nine month periods ended
September 30, 2003, respectively, increased by $5.7 and $16.5 million as
compared to the same periods in 2002. Premiums by line of business for each
period are as follows (dollars in thousands):



                                        THREE MONTHS ENDED            NINE MONTHS ENDED
                                           SEPTEMBER 30                  SEPTEMBER 30
                                     ------------------------------------------------------
                                       2003           2002           2003           2002
                                     ------------------------------------------------------
                                                                      
Automobile                           $  40,942      $  36,752      $ 119,308      $ 109,046
Homeowners                              10,012          8,519         25,845         19,709
Boat, umbrella, and other                  270            232            721            595
                                     ------------------------------------------------------
                                     $  51,224      $  45,503      $ 145,874      $ 129,350
                                     ======================================================


         Automobile premiums are higher during 2003 for both the three and the
nine month periods primarily due to increases in the number of autos insured and
increases in the value of those autos. The number of insured vehicles increased
from 182,058 at September 30, 2002 to 190,815 at September 30, 2003. Automobile
premiums have also grown due to a 2% rate increase that became effective on
October 1, 2002 and a 0.6% increase that became effective on July 1, 2003.

         Homeowners premiums are higher during 2003 in both the three and the
nine month periods primarily due to a 22% rate increase that became effective on
July 1, 2002 and a 7.6% rate increase that became effective April 1, 2003.
Homeowners premiums have also grown due to increases in the number of homes
insured and the value of those homes. The number of insured homes increased from
53,554 at September 30, 2002 to 59,606 at September 30, 2003.

Premiums earned:

         Premiums earned increased by $5.7 million and $19.4 million,
respectively, for the three and nine month periods ended September 30, 2003 as
compared to the same periods in 2002. As with premiums written, this growth is
primarily due to increases in the number of autos and homes insured and
increases in the values of those autos and homes.

Premiums ceded:

         Premiums ceded represent the premiums we must ultimately pay to our
reinsurers for their assumption of a portion of our losses. Premiums ceded
increased for both the three and the nine month periods ended September 30, 2003
as compared to the same periods in 2002. The increases are primarily due to the
increased volume of our business and increased rates charged by our reinsurers.
Premiums ceded were reduced by $1.0 million in September 2003 and $1.3 million
in March 2002 due to decreases in our estimates of the amounts due to our
reinsurers related to prior year coverages.

                                       29



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

LOSSES AND LOSS ADJUSTMENT EXPENSES

         The following table summarizes personal lines net losses and LAE and
net loss ratios for the three and nine month periods ended September 30, 2003
and 2002 by separating losses between the current accident year and all prior
accident years (dollars in thousands). The net loss ratios shown are calculated
by dividing the applicable net losses and LAE by current calendar year net
premiums earned.



                                                      THREE MONTHS ENDED             NINE MONTHS ENDED
                                                         SEPTEMBER 30                   SEPTEMBER 30
                                                   -----------------------------------------------------
                                                     2003           2002             2003         2002
                                                   -----------------------------------------------------
                                                                                    
Net losses and LAE:
   Current accident year                           $  33,289      $  27,366       $  91,095     $ 78,291
   Prior accident years                               (3,646)        (2,528)         (7,106)      (4,864)
                                                   -----------------------------------------------------
Calendar year net losses and LAE                   $  29,643      $  24,838       $  83,989     $ 73,427
                                                  ======================================================
Net loss ratio attributable to:
   Current accident year net losses and LAE             76.0%          70.3%           72.1%        71.3%
   Prior accident year net losses and LAE               (8.3%)         (6.5%)          (5.6%)       (4.4%)
                                                   -----------------------------------------------------
Calendar year net loss ratio                            67.7%          63.8%           66.5%        66.9%
                                                  ======================================================


         As compared to the same periods in 2002, current accident year net
losses and LAE of $33.3 million for the three months and $91.1 million for the
nine months ended September 30, 2003 increased by $5.9 million and $12.8
million, respectively, principally due to an increased number of insureds and
loss cost inflation. The current accident year net loss ratios for 2003 reflect
rate increases for auto and homeowners, offset by increases in homeowners
property claims from an increased frequency in fires and losses from the August
2003 Midwestern power outage.

         The adjustments to prior year losses recorded in 2003 and 2002 were
made in the normal course of business as a part of our recurring review of loss
reserves and reflect favorable development in our estimates of prior years' loss
reserves.

NET INVESTMENT INCOME AND NET REALIZED INVESTMENT GAINS (LOSSES)

         Our net investment income is comprised of the interest and dividend
income from our fixed maturity, short-term, cash equivalents and equity
investments, net of investment expenses. There is no significant change in our
net investment income for either the three month or the nine month period ended
September 30, 2003 as compared to the same periods in 2002, primarily because
increases in the size of the portfolio were offset by declines in market
interest rates.

         The weighted average tax equivalent book yield (tax adjusted gross
earnings divided by the average quarterly ending book value) of the personal
lines segment fixed maturity investments are 5.7% and 5.8%, respectively, for
the three and nine months ended September 30, 2003 as compared to 6.0% and 6.1%,
respectively, for the three and nine month periods ended September 30, 2002. The
average yield is reduced as compared to 2002 because market rates available for
the investment of new and matured funds were lower in 2003.

         Net realized investment gains and losses for the three and nine month
periods ended September 30, 2003 and 2002 did not include any realized losses
for other than temporary impairments.

                                       30



ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS (CONTINUED)

UNDERWRITING, ACQUISITION AND INSURANCE EXPENSES

         Underwriting, acquisition and insurance expenses consist of normal,
recurring expenses such as commissions, salaries and other expenses. These
expenses increased by approximately $1.5 million and $3.7 million, respectively,
for the three and nine month periods ended September 30, 2003 as compared to the
same periods in 2002, primarily due to higher underwriting and acquisition costs
from premium growth. The underwriting expense ratio is the total of
underwriting, acquisition and insurance expenses divided by net premiums earned.
This ratio is 23.0% and 22.5%, respectively, for the three and nine month
periods ended September 30, 2003 and is higher for the three months ended
September 30, 2003 as compared to the same period in 2002 due to increased
mandatory statutory assessments.

                                       31



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.

         The term market risk refers to the risk of loss arising from adverse
changes in market rates and prices, such as interest rates, equity prices and
foreign currency exchange rates.

         All market sensitive instruments discussed here relate to our
investment assets that are classified as available for sale.

         As of September 30, 2003, our fair value investment in fixed income
securities was $1.809 billion. These securities are subject primarily to
interest rate risk and credit risk.

         At September 30, 2003 we own no equity or fixed income securities that
require treatment as derivatives under generally accepted accounting principles
and we have no plans to acquire securities that would require such treatment.

INTEREST RATE RISK

         Our fixed maturities 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. We believe we are in a position to keep our
fixed income investments until maturity, as we do not invest in fixed maturity
securities for trading purposes.

         The table below displays the anticipated effect of market interest rate
fluctuations on the value and weighted average modified duration of our fixed
maturity portfolio (dollars in millions.)



       Interest                    Portfolio                            Weighted Average
        Rates                        Value      Change in Value        Modified Duration
- ----------------------------------------------------------------------------------------
                                                              
200 basis point rise               $   1,681       $   (128)                  3.84
100 basis point rise               $   1,746       $    (63)                  3.65
     Current rate*                 $   1,809       $      -                   3.59
100 basis point decline            $   1,876       $     67                   3.56
200 basis point decline            $   1,943       $    134                   3.61


* Current rates are as of September 30, 2003.

         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.

                                       32



ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK (CONTINUED)

         Certain limitations are inherent in the method of analysis presented in
the computation of the fair value of fixed rate instruments. Actual values may
differ from those 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, 2003, the fair value of our investment in preferred
stocks was $30.3 million, including net unrealized gains of $1.4 million.
Preferred stocks are primarily subject to interest rate risk because they bear a
fixed rate of return. The investments in the above table do not include
preferred stocks.

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. We believe that this
concentration in investment grade securities reduces our exposure to credit risk
on these fixed income investments to an acceptable level. However, in the
current environment even investment grade securities can rapidly deteriorate and
result in significant losses.

EQUITY PRICE RISK

         At September 30, 2003 the fair value of our investment in common stocks
excluding preferred stocks as discussed in the preceding paragraphs, was $14.3
million, which included net unrealized gains of $1.3 million. These securities
are subject to equity price risk, which is defined as the potential for loss in
market value due to a decline in equity prices. A hypothetical 10% increase in
the market prices as of September 30, 2003 would increase the fair value of
these securities to $15.7 million; a hypothetical 10% decrease in the price of
each of these marketable securities would reduce the fair value to $12.8
million. The selected hypothetical change does not reflect what could be
considered the best or worst scenarios.

         ProAssurance's cash and short-term investment portfolio at September
30, 2003 was on a cost basis which approximates its fair value. This portfolio
lacks significant market rate sensitivity due to its short duration.

ITEM 4. CONTROLS AND PROCEDURES

         The Chief Executive Officer and Chief Financial Officer of the Company
evaluated the effectiveness of our disclosure controls and procedures (as
defined in SEC Rule 13a-15(e)) as of September 30, 2003. Based on that
evaluation, the Chief Executive Officer and Chief Financial Officer have
concluded that our disclosure controls and procedures are effective.

         During the quarter ended September 30, 2003, there was no change in our
internal control over financial reporting (as defined in Rule 13a-15(f)) that
has materially affected, or is reasonably likely to materially affect, our
internal control over financial reporting.

                                       33



                           FORWARD-LOOKING STATEMENTS

         The U.S. securities laws, including the Private Securities Litigation
Reform Act of 1995, provide a "safe harbor" for certain forward-looking
statements. This report and the documents incorporated by reference herein
contain statements concerning our future results and performance and other
matters that are "forward-looking" statements within the meaning of Section 27A
of the Securities Act and Section 21E of the Exchange Act. The words
"anticipates," "believes," "estimates," "expects," "plans," "intends" and
similar expressions are intended, but are not the exclusive means, to identify
these forward-looking statements. These forward-looking statements include among
other things statements concerning: liquidity and capital requirements, return
on equity, financial ratios, net income, premiums, losses and loss reserves,
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, payment of dividends, and other
matters.

         These forward-looking statements are based upon our estimates and
anticipation of future events that are subject to certain risks and
uncertainties that could cause actual results to vary materially from historical
or expected results described in the forward-looking statements. Due to such
risks and uncertainties, you are urged not to place undue reliance on
forward-looking statements.

         Risks that could adversely affect our operations or cause actual
results to differ materially from anticipated results include, but are not
limited to, the following:

         -        underwriting losses on the risks we insure are higher or lower
                  than expected;

         -        unexpected changes in loss trends and reserving assumptions
                  which might require the reevaluation of the liability for loss
                  and loss adjustment expenses, thus resulting in an increase or
                  decrease in the liability and a corresponding adjustment to
                  earnings;

         -        our ability to retain current business, acquire new business,
                  expand product lines and a variety of other factors affecting
                  daily operations such as, but not limited to, economic, legal,
                  competitive and market conditions which may be beyond our
                  control and are thus difficult or impossible to predict;

         -        changes in the interest rate environment and/or the securities
                  markets that adversely impact the fair value of our
                  investments or our income;

         -        inability on our part to achieve continued growth through
                  expansion into other states or through acquisitions or
                  business combinations;

         -        general economic conditions that are worse than anticipated;

         -        inability on our part to obtain regulatory approval of, or to
                  implement, premium rate increases;

         -        the effects of weather-related events;

         -        changes in the legal system, including retroactively applied
                  decisions that affect the frequency and severity of claims;

         -        a verdict against one of our insureds that is in excess of
                  policy limits could expose us to bad faith litigation by the
                  insured;

         -        significantly increased competition among insurance providers
                  and related pricing weaknesses in some markets;

         -        the loss of an agent or agents who produce a significant
                  portion of our business;

         -        changes in the availability, cost, quality or collectibility
                  of reinsurance;

         -        changes to our ratings by rating agencies;

         -        regulatory and legislative actions or decisions that adversely
                  affect us; and

         -        our ability to utilize loss carryforwards and other deferred
                  tax assets.

         All forward-looking statements included in this document are based upon
information available to us on the date hereof, and we undertake no obligation,
other than as may be required under the federal securities laws, to publicly
update or revise any forward-looking statements, whether as a result of new
information, future events or otherwise. We do not assume responsibility for the
accuracy and completeness of the forward-looking statements.

         We caution you that these risk factors may not be exhaustive. We
operate in a continually changing business environment, and new risk factors
emerge from time to time. We cannot predict such new risk factors, nor can we
assess the impact, if any, of such new risk factors on our businesses or the
extent to which any factor or combination of factors may cause actual results to
differ materially from those expressed or implied by any forward-looking
statements. In light of these risks, uncertainties and assumptions, the
forward-looking events discussed in this prospectus might not occur.

         For these statements, we claim the protection of the safe harbor for
forward-looking statements contained in Section 27A of the Securities Act.

                                       34



                           PART II - OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS

         See Note 9 to the condensed consolidated financial statements.

ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS.

         On July 7, 2003, ProAssurance issued and sold, in a private placement,
$100 million aggregate principal amount of its 3.90% Convertible Senior
Debentures due 2023 (the Debentures). On July 16, 2003, ProAssurance issued and
sold, in a private placement, $7.6 million aggregate principal amount of the
Debentures pursuant to an option to purchase additional Debentures granted to
the initial purchasers. The Debentures are senior unsecured obligations of
ProAssurance and rank equally with ProAssurance's other unsecured and
unsubordinated obligations.

         The Debentures were sold to Banc of America Securities LLC and Cochran,
Caronia Securities LLC, as the initial purchasers, as "accredited investors"
within the meaning of Rule 501 under the Securities Act of 1933, as amended (the
Securities Act), in reliance upon the private placement exemption afforded by
the Securities Act, and were offered and sold to "qualified institutional
buyers" under Rule 144A under the Securities Act. Pursuant to a registration
rights agreement entered into in connection with the private offering,
ProAssurance agreed to file with the Securities and Exchange Commission a
registration statement under the Securities Act to permit registered resales of
the Debentures and the shares of ProAssurance's common stock issuable upon the
conversion of the Debentures.

         The Debentures were issued in the principal amount of $107.6 million.
After giving effect to a 2.75% ($3.0 million) underwriters' discount, net
proceeds from the offering were approximately $104.6 million. ProAssurance used
the net proceeds to pay off its existing term loan having an outstanding
principal balance of $67.5 million. The balance of the net proceeds will be used
for general corporate purposes, which may include contributions to the capital
of its insurance subsidiaries to support the expected growth in insurance
operations.

         The Debentures are convertible, upon the occurrence of certain events,
into shares of common stock of ProAssurance at an initial conversion rate of
23.9037 shares for each $1,000 principal amount of the Debentures, which is
equivalent to an initial conversion price of approximately $41.83 per share.
ProAssurance's common stock is traded on the New York Stock Exchange under the
symbol "PRA". See Note 7 of the Notes to Condensed Consolidated Financial
Statements of ProAssurance and subsidiaries included elsewhere herein for a
description of the conversion rights and other terms of the Debentures.

                                       35



ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K

         (a)      Exhibits.

                  31.1     Certification of Principal Executive Officer of
                           ProAssurance as required under SEC rule 13a-14(a)

                  31.2     Certification of Principal Financial Officer of
                           ProAssurance as required under SEC rule 13a-14(a)

                  32.1     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)

                  32.2     Certification of Principal Financial 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)

         (b)      Reports on Form 8-K.

                  ProAssurance filed a Current Report on Form 8-K on July 1,
                  2003 that furnished information regarding the pricing and
                  terms of its private offering of convertible debentures that
                  was publicly released on that same day.

                  ProAssurance filed a Current Report on Form 8-K on July 8,
                  2003 that furnished information regarding the closing of its
                  private offering of convertible debentures that was publicly
                  released on that same day.

                  ProAssurance filed a Current Report on Form 8-K on July 8,
                  2003 that furnished information regarding A.M. Best's
                  affirmation of ProAssurance's Financial Strength Rating and
                  Best's rating of the company's recently issued debentures that
                  was publicly released on that same day.

                  ProAssurance filed a Current Report on Form 8-K on July 15,
                  2003 that furnished information regarding the exercise of an
                  over-allotment option in connection with the company's
                  recently issued debentures that was publicly released on that
                  same day.

                  ProAssurance filed a Current Report on Form 8-K on August 6,
                  2003 that furnished information publicly released on that same
                  day regarding the merger of the Medical Assurance, Inc.
                  Pension Plan and the Professionals Group Employee Stock
                  Ownership Plan into the ProAssurance Group Savings and
                  Retirement Plan.

                  ProAssurance filed a Current Report on Form 8-K on August 11,
                  2003 that furnished information publicly released on that same
                  day regarding operating results for the quarter period and six
                  month period ended June 30, 2003.

                  ProAssurance filed a Current Report on Form 8-K on September
                  3, 2003 that furnished the information publicly released on
                  that same day regarding its participation in a panel
                  discussion at an investor conference sponsored by Sandler
                  O'Neill and Partners.

                                       36



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 10, 2003
                                   /s/ Howard H. Friedman
                                   -----------------------------------------
                                   Howard H. Friedman, Chief Financial Officer
                                   (Duly authorized officer and principal
                                   financial officer)

                                       37