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ProAssurance Corporation

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Employees 1036
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FY2003 Annual Report · ProAssurance Corporation
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V I G I L A N T

P r o A s s u r a n c e •     2003  Annual  Report

ever V I G I L A N T

F i n a n c i a l   H i g h l i g h t s

Fiscal Years Ended December 31

(in thousands)

2003

2002 

2001

2000

1999

Income Statement Highlights(1)
Gross premiums written(1)
Total revenues
Net income(1)(2)
Balance Sheet Highlights
Total investments
Total assets
Reserve for losses and loss adjustment expenses
Long-term debt
Total liabilities

$ 740,110
709,640
38,703

$2,055,672
$2,879,352
$1,814,584
$ 104,789
$2,333,047

$ 636,156
555,767
12,207

$1,679,497
$2,586,650
$1,622,468
$
72,500
$2,055,086

$ 388,983
382,555
12,450

$1,521,279
$2,238,325
$1,442,341
$
82,500
$1,802,606

$ 223,871
222,589
24,300

$ 796,526
$1,122,836
$ 659,659
$
—
$ 777,669

$ 201,593
208,029
46,700

$ 761,918
$1,117,668
$ 665,792
$
—
$ 791,944

(1) Includes Professionals Group since the date of consolidation, June 27, 2001. See Note 2 to the Consolidated Financial Statements.

(2) Net income for the year ended December 31, 2002 was increased by $1.7 million due to the adoption of SFAS 141 and 142. See Note 14 to our Consolidated
Financial Statements. In accordance with SFAS 142, we wrote off the unamortized balance of deferred credits that related to business combinations com-
pleted prior to July 1, 2001. The cumulative effect increased net income per share (basic and diluted) by $0.07 per share.

$18.77

$17.49

$16.02

$15.22

$13.92

’99

’00

’01

’02

’03

Book Value per Share

$546

$505

$413

$326

$345

’99

’00

’01

’02

’03

Shareholders’ Equity
(in millions)

$283

$177

$46

’99

$36

’00

$61

’01

’02

’03

Cash Flow from Operations(1)
(in millions)

A b o u t   P r o A s s u r a n c e   C o r p o r a t i o n
ProAssurance Corporation is a specialty insurer with almost $2.9 billion
in assets and more than $740 million in gross written premiums.
Through its subsidiaries ProAssurance is the nation’s fourth largest
writer of medical professional liability insurance and is one of the
top ten writers of personal auto coverage in Michigan.

letter

T O   M Y   F E L L O W
S H A R E H O L D E R S ,

has  declined  from  124.5%  in  2002  to  111.6%  in  2003.  We
expect that ratio to continue to show improvement in the next
few years as price increases work their way to our bottom line
and we see claims for recent years reach maturity.

M a r c h   1 5 ,   2 0 0 4
By every measure, 2003 was our most successful year since the
creation of ProAssurance in 2001. We returned our Professional
Liability segment to profitability and believe it to be poised to
achieve the financial goals we’ve set for this line of business.
Our Personal Lines segment again generated industry-leading
returns. As we enter 2004, we are Ever Vigilant in running a
customer-focused  and  financially  strong  insurance  group  that
provides  security  for  its  policyholders  and  strong  returns  for 
its shareholders.

In Professional Liability, our largest
business segment, the operational
discipline that has been a hallmark 
of ProAssurance has allowed us 
to succeed in today’s turbulent 
liability environment.

Our  commitment  to  rate  adequacy  has  not  wavered,  and  we
have already filed for increases in nine of our states so far in
2004. Now that rates are at what we believe are appropriate
levels, we do expect to see some slowing in the rate of overall
premium increases, which has been at 28% for the past two
years. This certainly will be welcome news for our customers.

Because  of  our  close  ties  to  the  medical  community  and  the
physician  leaders  in  our  management,  we  understand  the
effect  our  rate  increases  have  had  on  our  insureds.  But  the
failure  of  more  medical  malpractice  insurers  in  2003  brought
fresh  lessons  of  the  disastrous  consequences  of  failing  to
properly  operate  a  business.  We  have  chosen  to  protect  our
balance sheet and ultimately, the financial well-being of those
we insure.

The compounding effect of our rate increases and the continuing
re-underwriting of our book has driven significant improvements
in our combined ratio. The Professional Liability combined ratio

Our success in Professional Liability is based upon our experi-
enced staff and regional operating model. Our regional approach
to  underwriting  ensures  that  our  coverage  decisions  reflect 
the latest developments in each state. We are confident that
market conditions in 2004 will allow us to begin adding well-
underwritten  business  to  our  book  at  advantageous  pricing,
thus further enhancing our ability to meet our underwriting and
profitability targets.

Our hands-on, local approach is also vital to our claims success.
Our edge is in the venue-specific knowledge that allows us to
conclude over 90% of all claims filed against our insureds with
a favorable outcome. We recognize the upfront costs expended
in defending a claim. However, our success helps us control our
ultimate loss and legal costs and produces tremendous policy-
holder  loyalty.  We  believe  this  localized  approach  to  basic
insurance decisions is one of the reasons we have succeeded
where other companies have failed.

In  2003,  we  also  saw  great  progress  toward  our  goal  of
becoming  a  key  player  in  the  Excess  &  Surplus  Lines  market
for professional liability risks. Many of the risks that have fallen
outside the standard market have found a home with our new
company, Red Mountain Casualty. Red Mountain allows us to
customize our pricing and coverage terms to meet the needs of
these  unique,  yet  potentially  insurable  risks.  Red  Mountain
generated  $20  million  in  premium  in  2003  and  could  easily
build to $30 million in 2004.

The  success  we’ve  enjoyed  in  our  operations  gives  us  confi-
dence in our ability to raise capital as needed to support our
organic  growth  as  well  as  potential  mergers  or  acquisitions
opportunities. As an example, our sale of convertible debentures
last summer allowed us to eliminate variable rate debt and a
variety  of  restrictive  covenants  imposed  by  our  lenders,  thus
giving us additional financial flexibility at attractive terms.

Looking toward growth and future capital needs, we have filed
a $250 million universal shelf offering that gives us the flexi-
bility  to  move  quickly  to  raise  capital  through  an  offering  of
equity,  debt,  or  a  combination  of  both.  The  ability  to  obtain
capital  will  allow  us  to  take  advantage  of  any  opportunities
that may present themselves to us. Our recent renewal rights
transaction  with  the  OHIC  Insurance  Company  is  one  such

example.  We  believe  that  the  capacity  crunch  in  our  sector,
and the inability of competitors to effectively raise capital, will
provide us with additional opportunities to grow our business
within our established business footprint.

The issue of capacity, whether to support growth or to fund an
acquisition, is something we are constantly and carefully eval-
uating.  Should  we  see  that  our  new  business  and  premium
growth  are  straining  our  capacity,  we  likely  would  move  to
obtain enough capital to give us room to grow and assure the
rating agencies of our commitment to balance sheet strength.
We  would  also  pursue  additional  capital,  if  needed,  to  fund 
an acquisition.

While  we  are  committed  to  a  strong  balance  sheet  with
growth,  we  do  not  intend  to  seek  additional  capital  unless 
we  have  a  justified  need.  We  will  not  burden  the  Company
with debt for which we have no use, nor will we issue equity
that  would  have  a  long-term  dilutive  effect  on  our  current
shareholders.

But  often  the  most  important  transactions  are  the  ones  that
are  not  executed.  Rest  assured  that  we  will  apply  the  same
diligence  and  skill  to  our  evaluation  of  mergers  and  acquisi-
tions that we apply to our underwriting and claims efforts. Our
goal  is  to  write  profitable  business  that  will  allow  us  to
achieve  our  financial  targets.  We  will  not  acquire  simply  for
the sake of acquisition, nor will we commit blindly to top-line
growth at the expense of profitability.

We will learn much about the future of Tort Reform in the com-
ing year. Tort reforms failed twice at the federal level in 2003
and will likely be a key campaign issue in this fall’s election. At
the state level, the past 18 months have been fruitful for those
supporting Tort Reform as a way to balance the scales of jus-
tice. We are waiting to learn if the Supreme Courts in those
states will uphold those reforms. If the reforms are upheld, we
could see a new era of stability in medical liability rates. If they
are  overturned,  rates  are  likely  to  resume  their  rapid  ascent
toward unaffordability.

We expect to succeed no matter what the outcome of the Tort
Reform  fight.  Opportunities  will  abound  for  a  strong,  respon-
sive  medical  liability  insurer.  We  are  equipped  and  ready  to
capitalize on those opportunities, no matter how the business
environment evolves.

Along with our excitement regarding
Professional Liability, we are equally
enthusiastic about the ability of 
our Personal Lines segment to 
bolster our earnings. 

In 2003, MEEMIC Insurance Company’s combined ratio was a
stellar  87.9%,  marking  the  ninth  consecutive  year  that
MEEMIC has earned an underwriting profit. We see no reason
that  MEEMIC’s  success  should  end,  absent  an  unpredictable
weather-related catastrophe loss.

I do want to compliment MEEMIC’s management and employ-
ees for the high quality execution of MEEMIC’s business plan.
At MEEMIC, we focus on the best risks from a preferred mar-
ket, Michigan educators and their families. Our ability to select
the best risks from that pool and then efficiently handle their
claims allows MEEMIC to be an integral part of the profit pic-
ture at ProAssurance.

In  2004,  we  expect  MEEMIC  to  produce  solid  earnings  and
generate the capital required to support its planned growth in
Michigan’s  parochial  schools,  colleges  and  universities.  We
also  expect  MEEMIC  to  expand  beyond  its  Michigan  base  in
2004. Peer-to-peer selling plays a key role in our policy persis-
tency  and  overall  success  in  Michigan,  so  we  are  identifying
qualified educators outside of Michigan to serve as our sales
arm.  Our  growth  outside  of  Michigan  won’t  be  explosive  or
immediate, but our success in Michigan allows us the luxury of
moving  deliberately  in  this  expansion,  thus  creating  a  model
for successful expansion for the future.

While  we  are  pleased  to  tell  you  about  our  2003  results  in
both Professional Liability and Personal Lines, we believe the
best is yet to come. With our merger solidly behind us and the
effects of price increases being realized in our income state-
ment, we expect a combined ratio of approximately 100% for
2004, and foresee further improvement in 2005. We are thus
confident in our ability to reach our ultimate goal of a Return
on Equity of between 12% and 14%. In reaching those financial
goals  we  will  also  meet  the  equally  important  goal  of  main-
taining a balance sheet whose strength is beyond question.

Every employee at ProAssurance is working each day to meet
this  goal  while  exceeding  our  customers’  expectations.  Our
success is due to their diligence and dedication; I am grateful
for their efforts.

I am equally grateful to the agents and defense attorneys who
represent us and our insureds with honest, effective advocacy.
I would also like to thank the insureds who serve on our advi-
sory committees; they really make the difference in keeping us
up-to-date with the emerging
changes in medicine and den-
tistry as well as the insurance
needs of our clients.

Finally,  I  am  most  grateful  to
those of you who join with us
as investors in ProAssurance.
I  hope  you’ll  continue  to 
share in our success in the
years ahead.

A. Derrill Crowe, M.D.
Chairman and CEO

looking

out F O R   O U R

C U S T O M E R S

E v e r   V i g i l a n t  
ProAssurance’s financial strength is now more important—and more evident—
than ever before. The power of our balance sheet allows us to respond when
other insurers can’t, and gives our customers the confidence that we can keep
our promise of insurance protection.

As one of America’s leading specialty insurance groups, our singular focus is on
uncompromising financial stability that supports our dedication to excellence.

Our  commitment  to  responsive  service  enhances  our  position  as  an  industry
leader  and  enables  us  to  deliver  the  performance  that  our  insureds  and
investors have come to expect.

MAR KET  CAPITALI ZATION 
S I NC E  I NC E PTION
(in millions)

$230

$192

$186

$131

$103

$348

$319

9/11/91

12/31/91

12/31/92

12/31/93

12/31/94

12/31/95

12/31/96

P r o f e s s i o n a l   L i a b i l i t y
The  Professional  Liability  market  has  been  shaken  by  signifi-
cant  contractions  in  the  past  few  years.  While  thousands  of
American physicians face the specter of bankrupt companies,
abandoned  markets  or  restricted  coverage,  ProAssurance’s
insureds have learned not to fear because they know our firm
financial foundation is their assurance that we remain solidly
behind them.

P e r s o n a l   L i n e s
For more than fifty years MEEMIC Insurance Company has pro-
vided  security  and  value  to  educators  and  their  families  in
Michigan.  We  offer  a  full  range  of  auto  and  home  insurance
products  tailored  to  meet  the  budgets  and  lifestyles  of  the
people we serve. Our representatives are a part of the educa-
tional communities they serve, which ensures that we maintain
our reputation for integrity and unmatched service.

This unquestioned dedication to financial strength goes hand-
in-hand  with  our  unparalleled  commitment  to  the  defense  of
non-meritorious claims. We understand our insureds’ desire to
protect  their  hard-won  reputation,  and  we  are  committed  to
the strongest advocacy on their behalf, while at the same 
time seeking reasonable, expedient settlement of claims that 
have merit.

We are recognized as an industry leader because we combine
our  experience  and  knowledge  to  provide  the  complete  cus-
tomized coverage our insureds demand.

As MEEMIC expands beyond Michigan, we remain dedicated
to the premise that educators deserve a specialized insurance
company that understands their unique and evolving needs.

$1,013

$936

$771

$605

$606

$496

$453

$379

ProAssurance’s  market  capitalization  exceeded  the  $1  billion  mark  in
the first quarter of 2004. This represents a milestone for our organiza-
tion’s management, employees and agents, and reflects the financial
markets’  support  of  our  measured  approach  to  sustaining  profitable
growth and building balance sheet strength.

12/31/97

12/31/98

12/31/99

12/31/00

12/31/01

12/31/02

12/31/03

3/1/04

T A B L E   O F

contents

Business

Properties

Legal Proceedings

Submission of Matters to a Vote of Security Holders

Market for Registrant’s Common Equity and Related Stockholder Matters

Selected Financial Data

Management’s Discussion and Analysis of 
Financial Condition and Results of Operations

Quantitative and Qualitative Disclosures About Market Risk

Financial Statements and Supplementary Data

Changes In and Disagreements With Accountants 
on Accounting and Financial Disclosure

Controls and Procedures

Directors and Executive Officers of the Registrant

Executive Compensation

Security Ownership of Certain Beneficial Owners and Management

Certain Relationships and Related Transactions

Principal Accountant Fees and Services

Exhibits, Financial Statement Schedules, and Reports on Form 8-K

Report of Independent Auditors

Consolidated Balance Sheets

Consolidated Statements of Changes in Capital

Consolidated Statements of Income

Consolidated Statements of Cash Flow

Notes to Consolidated Financial Statements

Schedule I: Summary of Investments—Other Than Investments in Related Parties

Schedule II: Condensed Financial Information of Registrant

Schedule III: Supplementary Insurance Information

Schedule IV: Reinsurance

Schedule VI: Supplementary Property and Casualty Insurance Information

3

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19

19

21

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23

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59

59

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D i r e c t o r s
A. Derrill Crowe, MD(4)*
Chairman & Chief Executive Officer

Lucian Bloodworth(1)(2)
Chairman, Cain Manufacturing Company, Inc.

John J. McMahon, Jr.(1)(3)(5)*
Chairman, Ligon Industries

Victor T. Adamo, Esq., CPCU(4)
Vice-Chairman & Chief Operating Officer

Robert E. Flowers, MD(1)(3)*(4)(5)
Retired Physician

John P. North, Jr., CPA(1)(2)*
Retired Accounting Firm Partner

Paul R. Butrus(4)
Vice-Chairman

Wilfred W. Yeargan, MD(1)(3)
Physician

Ann F. Putallaz, Ph.D.(1)(2)
Vice-President, Munder Capital Management

Committees
(1) Independent
(2) Audit
(3) Compensation

(4) Executive
(5) Nominating & Corporate Governance
*Chair

S e n i o r   O f f i c e r s  
Jeffrey L. Bowlby, ARM
Senior Vice-President, Marketing & Sales
Professional Liability Group

Lynn Kalinowski
President
MEEMIC Insurance Company

Robert D. Francis
Senior Vice-President
Managing Director
Red Mountain Casualty Insurance Company, Inc.

James J. Morello, CPA
Chief Accounting Officer & Treasurer
Senior Vice-President
ProAssurance Corporation

Howard H. Friedman, ACAS, MAAA
Chief Financial Officer & Secretary
Senior Vice-President
ProAssurance Corporation

Frank B. O’Neil
Investor Relations Officer
Senior Vice-President 
Corporate Communications
ProAssurance Corporation

William H. Woodhams, MD(1)(5)
Physician

Christine C. Schmitt, CPA
Chief Financial Officer & Treasurer
MEEMIC Insurance Company

Darryl K. Thomas, Esq.
Senior Vice-President, Claims
Professional Liability Group

I n v e s t o r   I n f o r m a t i o n
There were 29,105,971 shares of ProAssurance
Corporation  common  stock  outstanding  at
March  1,  2004.  On  that  date,  we  had  3,605
shareholders  of  record.  Our  common  stock
trades on The New York Stock Exchange under
the symbol PRA. Our stock is listed as ProAsr in
the stock section of USA Today and many major
newspapers, and as ProAssurance in The Wall
Street  Journal. We  also  post  the  price  of  our
stock on our website, www.ProAssurance.com.

Our Transfer Agent is Mellon Investor Services,
LLC.  You  may  phone  them  at  (800)  851-4218,
and  you  may  access  their  website  at  www.
melloninvestor.com. If you hold shares in certifi-
cate form, you may learn more about your share-
holdings  by  using  Mellon  Investor  Services’
dedicated website, https://vault.melloninvestor.
com/isd/. This website will allow you to verify
your shareholdings and report address changes.

You also may report address changes by mail by
writing to:

Mellon Investor Services, LLC
P. O. Box 3338
South Hackensack, NJ 07606-1916

If you have a certificate to transfer, you should
obtain  forms  and  instructions  from  Mellon

Designed by Curran & Connors, Inc. / www.curran-connors.com

Investor  Services  by  phone  or  through  their
website.  Send  the  certificate(s)  and  required
form by insured, registered mail to:

www.ProAssurance.com. If you prefer, you may
request the same information by mail or phone
by contacting:

Mellon Investor Services, LLC
Stock Transfer Department
P. O. Box 3312
South Hackensack, NJ 07606-1912

If you need to report lost or stolen stock certifi-
cates,  please  phone  (800)  851-4218  or  send  a
registered letter to:

Mellon Investor Services, LLC
Estoppel Department
P. O. Box 3317
South Hackensack, NJ 07606-1917

How to learn about our 
Corporate Governance
We  post  detailed  information  in  the  Corpo-
rate  Governance  section  of  our  website,
www.ProAssurance.com. If you prefer, you may
request the information by mail or phone.

How to obtain financial information
We  post  detailed  financial  information,  and
maintain  archives  of  that  information,  along
with  prior  presentations  and  conference  calls
on the Investor Relations section of our website,

Frank B. O’Neil
Senior Vice President, Corporate
Communications & Investor Relations
Investor@ProAssurance.com
(205) 877-4461

How to contact us
You may write to us at:

ProAssurance Corporation
P. O. Box 590009
Birmingham, AL 35259-0009

We also can be reached by phone, fax or through
our website:

Phone: (205) 877-4400 • (800) 282-6242
Fax: (205) 802-4799
www.ProAssurance.com

Annual Meeting
The  2004  Annual  Meeting  is  scheduled  for
10:30 a.m. on May 19, 2004 at the Harbert Center,
2019 4th Avenue North, Birmingham, AL.

ProAssurance’s Professional Liability advertising 
focuses on our financial strength and market leadership.

100 Brookwood Place, Birmingham, Alabama 35209
205-877-4400   800-282-6242

www.ProAssurance.com