Exhibit 99.1

          Fitch Affirms Ratings and Outlook on ProAssurance


    BIRMINGHAM, Ala.--(BUSINESS WIRE)--Nov. 9, 2006--Fitch Ratings has
affirmed its "A-" insurer financial strength rating for the primary
insurance operating companies of ProAssurance Corporation (NYSE: PRA).
The Company's debt ratings were also affirmed as was the Stable
outlook for ProAssurance.

    "We're pleased that Fitch Ratings recognizes the financial
strength, market leadership and customer-service commitment of
ProAssurance and its principal insurance subsidiaries," said Chairman
and CEO A. Derrill Crowe, M.D.

    Among the highlights in Fitch's commentary was the recognition of
the "...solid financial condition of (ProAssurance's) operating
subsidiaries, consistent profitability, financial and operating
flexibility, and highly experienced management team."

    Fitch also said ProAssurance has, "... an established reputation
for providing quality service and expertise in risk management as well
as a strong track record of aggressively defending non-meritorious
claims which enhances customer loyalty..." Details of Fitch Ratings'
commentary and methodology are available at www.fitchrating.com.

    About ProAssurance

    ProAssurance Corporation is the nation's fourth largest writer of
medical professional liability insurance through our principal
subsidiaries The Medical Assurance Company, Inc., ProNational
Insurance Company, NCRIC, Inc., Physicians Insurance Company of
Wisconsin, Inc., and Red Mountain Casualty Insurance Company, Inc. We
also write professional liability coverage through Woodbrook Casualty
Insurance, Inc.

    In addition to the "A-" rating from Fitch, A.M. Best assigns a
rating of "A-" (Excellent) to the ProAssurance Group and our principal
professional liability subsidiaries, except NCRIC, Inc., which is
rated B++ (Very Good) and Standard & Poor's assigns our principal
professional liability carriers a rating of "A-" ("Strong").


    CONTACT: ProAssurance Corporation, Birmingham
             Frank B. O'Neil, 800-282-6242 or 205-877-4461
             Sr. Vice President, Corporate Communications &
             Investor Relations
             foneil@ProAssurance.com