in and the Specialty year Jason. retention as and quarter improvement segment full The you, ratios growth, for premium by highlighted loss P&C segment. results Thank as accident across premium current the year top line pricing increases well are
expenses X.X from combined a the related NORCAL ratio full year unfavorable relatively as to Excluding accounting adjustments XXXX. the acquisition, purchase to percentage point was flat onetime impact compared and XXXX
acquisition We that the continue talent, delivered the growth, pleased value synergies diversification operating including business. regional leverage, organization, NORCAL of asset expense with our premium strategic invested to has to be and the
was increased XX% year Premium for by same year, top The million to to in XX% in an acquisition. primarily retention business. the XX% in and for compared both the XXXX. for the growth $XXX the year, driven $XXX written and million retention segment premium of improvements NORCAL full in quarter the by this representing in physician line result year, quarter driven XX% standard for the was our the the period Gross
premium of and delivered retention our and XX% medical XX% strong addition, business respectively. we units, in small In technology
was Our XX% our the retention the specialty to health care disciplined space. continue specialty we strategy as underwriting execute for in year
year. for care. quarter specialty X% were the and with the increases pricing quarter XX% We in the increase of were health year in X% for full price the and Renewal pleased
throughout firming business. to specialty and addition, the structure business the continue market and conditions secure terms, quarter the we to In XXXX. conditions appear be product to The specialty fourth start improved in
competitive lower severity the compared segment accident standard and New was ULAE. and higher-than-anticipated relatively conditions. for year, This quarter book $XX by within reflection was a for full for accounting of business in million for physician trends the driven points of ratio year of the The couple the change recognition and in frequency flat year the improved territories market to was loss the XXXX, quarter this percentage X.X offset and claim exclusive segment purchase in million $XX by loss of our states. a certain
and the $XX in prior in million $XX recognized of for the period $X XXXX. favorable We million million net year compared in accident and development $XX as year the to quarter comparable million
severity As standard claims social lesser less experienced severity as comments, of higher-than-anticipated is business outlined his XXXX. in development operating are QX jurisdictions resulting by physician in specialty favorable in trends. and, to pressured business, in our currently compared environment a inflation to our Ned select a and that opening extent, we by We in
and the quarter. reunderwriting for percentage increase subject lower items by broker in XX% premiums efforts was ULAE points to due prior and for commissions. to earned and volume premium ratio year, quarter was The ratio the the onetime expense excluding the The the expense various XX.X% driven change, higher primarily after our accounting, quarter increased a of purchase the X.X
business costs as expense retention strong premium noted broker related as as accident increased primarily line X.X year and points, ratios. summary, For in to improved technology initiatives segment increased and of in growth the In percentage well ratio the travel. subject top reflecting to higher year, quarter delivered the the loss volume commissions
position XXXX favorably These in success ahead a economic continued continue of of We in marketplace. of year be the to integration. headwinds pressures the with spite and for inflation and us social NORCAL competitive the the achievements ongoing pleased
year, With XX amazing to years. journey, this the retire agency want It and tremendous my your all as grateful our express and over my as to over colleagues past for Ned of to and support all relationships, our and and ProAssurance decision valued Directors well my the sincere I'm lead to X opportunity like appreciation that accomplished partners leadership my experiences an ProAssurance to the for respect we years. tenure. for extremely strategic been take business this opportunities past to Board I thank has at I to team together. am I'd executive and confidence Rand, organization support your and during to thanks the for the serve grateful
out to our Senior shout and Shook, special Kevin you Members. Eastern and A Team thank Executives
compensation the together, XX sale had experience building workers' portfolio and segregated we business. For of entrepreneurial years a specialty
and over my was Let's journey only their thank together. I also recently of in It and together, its you all not families XXth special and truly to a to the business anniversary. support together, start a but build [indiscernible] celebrated bottom we heart. from want We XXXX raised communities
heartfelt a Francis, I'd commitment your Senior P&C you strong team Especially we on NORCAL. and like a Executives, built the members with for to transaction years. we work, for conclude ProAssurance, navigated all to in over X past dedication acquisition executed the hard to foundation thank future and Together, successfully with integration of the our Rob the the and history largest and excellence of challenges,
we have your extremely I and accomplished for grateful support that and am valued proud together of tremendous all friendships.
back Jason, you. to